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Caregivers' Intention to Vaccinate Their Children Under 12 Years of Age Against COVID-19: A Cross-Sectional
Maurizio Lecce1, Gregorio Paolo Milani2,3, Carlo Agostoni2,3
1Department of Biomedical Sciences for Health, Postgraduate School of Public Health, University of Milan, Milan, Italy.
Insights
Caregivers
Area of Science:
- Pediatric Infectious Diseases
- Public Health
- Vaccinology
Background:
- The impact of Coronavirus disease 2019 (COVID-19) on children is significant.
- Childhood vaccination against COVID-19 offers benefits for individuals and community protection.
- The European Medicines Agency (EMA) approved Comirnaty (Pfizer-BioNTech) for children aged 5-11 years.
Purpose of the Study:
- To investigate caregivers' intention to vaccinate children under 12 years against COVID-19.
- To identify factors influencing caregivers' vaccination decisions for their children.
- To inform strategies for promoting pediatric COVID-19 vaccination.
Main Methods:
- A structured questionnaire was administered to caregivers of children under 12 years.
- Data collected from caregivers visiting hospitals in Milan, Italy (September-October 2021).
- 601 valid responses analyzed from a >98% response rate.
Main Results:
- 51.7% of caregivers intended to vaccinate their child against COVID-19.
- 23% refused vaccination, and 25.3% were unsure.
- Vaccination intention was higher among vaccinated caregivers, those with higher education, and those with personal experiences of COVID-19 illness or death in their social circle.
Conclusions:
- Targeted, evidence-based information is crucial for caregivers regarding pediatric COVID-19 vaccination.
- Efforts are needed to address hesitancy and promote vaccine uptake in children under 12.
- Understanding caregiver perspectives is key to successful childhood immunization programs.
Abstract:
The impact of Coronavirus disease 2019 (COVID-19) on the pediatric population is increasingly recognized. A widespread vaccination in childhood would provide benefits for children and might help ending the pandemic by enhancing community protection. Following recent approval by the European Medicines Agency (EMA) of Comirnaty (Pfizer-BioNTech) for children aged 5-11 years, we aimed to investigate caregivers' intention to vaccinate their children <12 years of age against COVID-19. A structured questionnaire was administered to caregivers of children aged <12 years visiting the Emergency Department or the outpatient clinics in three major hospitals of Milan, Italy, from 20 September to 17 October 2021. A total of 612 caregivers were invited to participate and 604 accepted (response rate >98%). Three questionnaires were excluded due to compiling errors and 601 were included in the analysis. A total of 311 (51.7%) caregivers stated they would have their child vaccinated, 138 (23%) would refuse to vaccinate their child and 152 (25.3%) were unsure. The intention to vaccinate the child was higher in caregivers vaccinated against COVID-19, in those with a bachelor's degree or higher level of education, and in those with friends/acquaintances who became ill or died due to COVID-19. This study shows that increasing efforts are necessary to provide evidence-based tailored information to caregivers and to promote vaccination in this pediatric age group.
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