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COVID-19 Vaccine Hesitancy Among Parents: A Qualitative Study
Aubree Honcoop1, James R Roberts2, Boyd Davis3
1University of Nebraska Medical Center, Omaha, Nebraska.
Pediatrics
|October 23, 2023
Summary
Parents express concerns about pediatric COVID-19 vaccines, including infertility and long-term effects. Trusting doctors and accessing clear information are key to improving vaccine confidence and uptake in children.
Area of Science:
- Public Health
- Vaccinology
- Qualitative Research
Background:
- Parental vaccine hesitancy for coronavirus disease 2019 (COVID-19) hinders pediatric vaccine uptake.
- Online surveys offer insights, but qualitative data provide deeper context on decision-making.
- Targeting specific demographics like Black, Spanish-speaking, and rural white parents is crucial due to disproportionate COVID-19 impacts.
Purpose of the Study:
- To explore factors influencing pediatric COVID-19 vaccine decisions among hesitant parents/caregivers from specific demographic groups.
- To gather qualitative data to inform the design of a mobile application aimed at increasing pediatric COVID-19 vaccine confidence.
- To understand the unique concerns of Black, Spanish-speaking, and rural white parents regarding childhood vaccination.
Main Methods:
- Conducted key informant interviews (KIIs) with vaccine acceptors/refusers and focus groups with vaccine-hesitant parents/caregivers.
- Included participants aged 2-17 years from rural, urban Black, and Spanish-speaking communities.
- Employed discourse and thematic analysis on deidentified transcripts to identify consensus themes.
Main Results:
- 36 participants (4 acceptors, 4 refusers via KIIs; 28 in focus groups) completed the study.
- Participants across all focus groups indicated a willingness to trust information from their doctors regarding COVID-19 vaccines.
- Common concerns included potential infertility, general vaccine safety, long-term effects, and impacts on pre-existing conditions.
Conclusions:
- Parental concerns regarding pediatric COVID-19 vaccination are numerous but addressable.
- Findings will guide the development of targeted interventions to enhance vaccine confidence.
- Qualitative insights are vital for designing effective public health strategies to improve childhood immunization rates.
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