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Comparing COVID-19 Vaccination Outcomes with Parental Values, Beliefs, Attitudes, and Hesitancy Status, 2021-2022
Tuhina Srivastava1,2,3, Angela K Shen3,4,5, Safa Browne4
1Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Insights
Parental acceptance of the COVID-19 vaccine for children is influenced by perceived safety and prior influenza vaccination. Suburban parents showed lower vaccination odds, suggesting a need for targeted mobile messaging.
Area of Science:
- Pediatric Health
- Vaccinology
- Public Health
Background:
- COVID-19 vaccine acceptance remains a challenge, especially among parents.
- Understanding parental decision-making is crucial for improving child vaccination rates.
Purpose of the Study:
- To investigate factors influencing parental decisions regarding COVID-19 vaccination for their children.
- To identify demographic and attitudinal predictors of vaccine acceptance.
Main Methods:
- Prospective cohort study of 334 parents in an urban/suburban pediatric network (Oct 2021-Mar 2022).
- Linked survey data on vaccine attitudes, social norms, and access to electronic health records for child vaccination outcomes.
- Statistical analysis using adjusted odds ratios (aOR) to determine significant factors.
Main Results:
- Parents perceiving the COVID-19 vaccine as very safe had higher odds of acceptance (aOR: 2.69).
- Prior influenza vaccination of the child increased odds of COVID-19 vaccine acceptance (aOR: 4.07).
- Parents attending suburban practices had lower odds of vaccinating their child (aOR: 0.38).
Conclusions:
- Perceived vaccine safety and history of other childhood vaccinations are key drivers of parental COVID-19 vaccine acceptance.
- Targeted mobile-based health messaging emphasizing vaccine safety may improve pediatric vaccination coverage in suburban areas.
Abstract:
Despite the availability of safe and effective COVID-19 vaccines, vaccine acceptance has been low, particularly among parents. More information is needed on parental decision-making. We conducted a prospective cohort study from October 2021 to March 2022 among 334 parents in a large urban/suburban pediatric primary care network and linked longitudinal survey responses about attitudes and beliefs on vaccination, social norms, and access to vaccination services for COVID-19 to electronic health-record-derived vaccination outcomes for their eldest age-eligible children in June 2022. The odds of accepting two doses of COVID-19 vaccine for their child was higher in respondents who indicated the COVID-19 vaccine would be very safe (aOR [CI]: 2.69 [1.47−4.99], p = 0.001), as well as those who previously vaccinated their child against influenza (aOR [CI]: 4.07 [2.08−8.12], p < 0.001). The odds of vaccinating their child were lower for respondents who attended suburban vs. urban practices (aOR [CI]: 0.38 [0.21−0.67], p = 0.001). Parents in the cohort were active users of social media; the majority (78%) used their phone to check social media platforms at least once per day. Our findings suggest that healthcare providers and policymakers can focus on improving vaccination coverage among children living in suburban neighborhoods through targeted mobile-based messaging emphasizing safety to their parents.
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