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Parents' COVID-19 vaccine intentions for children under 5 years: Brief reflections from a qualitative study
Katie Attwell1,2, Lara McKenzie1, Sian Tomkinson1
1School of Social Sciences, The University of Western Australia, Perth, Western Australia, Australia.
Insights
Most parents intend to vaccinate young children against COVID-19, but some delay due to safety concerns. Targeted messaging emphasizing serious illness risks and scientific authority can improve vaccine uptake in children under 5.
Area of Science:
- Public Health
- Vaccinology
- Pediatrics
Background:
- COVID-19 vaccination is available for Australian children under 5 with comorbidities.
- Parental vaccine intention is critical for successful vaccine rollouts.
- Understanding parental motivations informs public health strategies.
Purpose of the Study:
- To examine parental vaccine intentions for children under 5 years old.
- To inform current and future COVID-19 vaccine programs for young children.
- To identify factors influencing parental vaccine decisions.
Main Methods:
- Mixed-methods project 'Coronavax: Preparing Community and Government'.
- Interviews conducted with 18 Western Australian parents of young children in late 2021.
- Exploration of parents' intentions regarding COVID-19 vaccination for their children.
Main Results:
- Two-thirds of parents intended to vaccinate their children when eligible.
- One-third of parents intended to delay vaccination.
- Reasons for delay included risk/safety perceptions, side effect fears, and social network influence.
- Parents delaying vaccination were waiting, not refusing.
Conclusions:
- Targeted messaging emphasizing COVID-19's seriousness in children can improve uptake.
- Messaging should leverage scientific and technical authorities' credibility.
- Current messaging should focus on parents of children with serious comorbidities.
- Government recommendations aim to protect children's health.
Aim:
Australian authorities made COVID-19 vaccines available for children aged under 5 years old with serious comorbidities in August 2022. There is presently no universal programme for young children, but crucial to any rollout's success is whether parents are motivated and able to vaccinate. By examining parents' vaccine intentions, this study aims to inform current and future COVID-19 vaccine roll-outs for children aged under 5 years.
Methods:
As part of the mixed methods project 'Coronavax: Preparing Community and Government' we interviewed 18 Western Australian parents of young children about their intentions in late 2021.
Results:
Two thirds intended to vaccinate if and when they could, with one third intending to delay for reasons including risk and safety perceptions, fears about side effects and influence from their social networks. However, even those choosing to delay were waiting rather than refusing.
Conclusions:
To improve uptake, targeted messaging should emphasise that COVID-19 can be a serious disease in young children, with such messaging drawing on the reputability and esteem of scientific and technical authorities. Such messaging should be oriented towards parents of children with serious comorbidities at the present time. It will be important to emphasise that government vaccine recommendations are based on supporting families to protect their children and keep them healthy.
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