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Factors Associated With Racially and Ethnically Diverse Sample of Adolescents, Young Adults, and Parents' Intention
Brittany L Rosen1,2, Andrea Meisman1, Quin Sun3
1Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Purpose:
Identify variables, including moderating variables, associated with adolescents, young adults, and parents' intention to receive a COVID-19 vaccine in January 2021.
Design:
Cross-sectional survey.
Setting:
United States Midwestern academic medical center.
Sample:
Adolescents (n = 242); young adults (n = 333); parents (n = 563).
Measures:
Associations between predictors-participant characteristics, general vaccine hesitancy, COVID-19 and vaccine knowledge, perceptions, and normative beliefs-and intention to receive a COVID-19 vaccine (outcome) were assessed. To determine variables impacting the strength of the relationship between predictors and outcome, moderators included 2020/2021 influenza vaccine receipt, having experienced discrimination, and primary sources of information for COVID-19.
Analysis:
Multivariable logistic regression examined associations, including moderating effects, for adolescents, young adults, parents, and parents for child.
Results:
With 20,231 email addresses receiving the survey, 1138 participants were included in the analysis. Intention to receive a COVID-19 vaccine was reported by 60.7% adolescents (n = 147), 65.2% young adults (n = 217), and 38.5% parents (n = 217) and 38.2% parents (n = 215) intended to vaccinate their child. Intention was associated with lower general vaccine hesitancy for adolescents (AOR = 1.50), young adults (AOR = 1.39), parents (AOR = 1.18), and parents' intention for their child (AOR = 1.17). Parents citing reputable medical experts as primary source of COVID-19 information positively moderated vaccine perceptions and intention for self (AOR = 8.25) and child (AOR = 6.37).
Conclusion:
Clinician training to address vaccine hesitancy may be effective at promoting positive COVID-19 vaccine perceptions.
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