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Factors associated with COVID-19 vaccine acceptance and hesitancy in children: a comprehensive survey

Saber Gharagozlou1, Fatemeh Azizi2, Elmira Hajiesmaeil Memar3

  • 1Division of Allergy and Clinical Immunology, Department of Pediatrics, Pediatrics Center of Excellence, Children's Medical Center Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

BMC Public Health
|December 19, 2024
PubMed

Insights

Parental attitudes and child demographics significantly impact COVID-19 vaccine acceptance. Addressing safety concerns and enhancing education are crucial for increasing pediatric vaccination rates.

Area of Science:

  • Pediatric Health
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic highlighted the importance of childhood immunizations.
  • Parental decisions significantly influence pediatric vaccination uptake.
  • Understanding factors affecting vaccine acceptance is vital for public health strategies.

Purpose of the Study:

  • To examine factors influencing parental decisions on childhood COVID-19 vaccination.
  • To identify key drivers of vaccine acceptance and hesitancy in children.
  • To analyze demographic and attitudinal correlates of pediatric vaccination.

Main Methods:

  • A cross-sectional survey of 226 children (aged 5-18) in Tehran, Iran.
  • Data collected on demographics, vaccination status, and parental influences.
  • Analysis of variables associated with vaccine hesitancy and acceptance.

Main Results:

  • Only 22.1% of children were vaccinated; parental vaccination correlated with higher child vaccination rates.
  • Child's age, parental education, and prior COVID-19 hospitalizations were significant factors.
  • Key vaccine acceptance drivers: safety (66%) and preventing severe illness (60%).
  • Primary hesitancy reasons: concerns about side effects (58%), lack of trust (19.9%), and efficacy doubts (15.9%).

Conclusions:

  • Childhood COVID-19 vaccination is influenced by parental attitudes, child's age, and hospitalization history.
  • Addressing parental concerns about vaccine safety and efficacy is essential.
  • Targeted educational outreach and transparent communication can improve pediatric vaccination rates.
Abstract

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