期刊
出版社
MDPI
DOI: 10.3390/ijerph19074212
关键词
adolescent COVID-19 vaccination; parent vaccine decision-making; 5C vaccine hesitancy model; vaccine acceptance; vaccine confidence; public health vaccine communication
资金
- University of California, Irvine's Institute for Clinical and Translational Science's NIH Community Engagement Alliance against COVID-19 Disparities [21-312-0217571-66106L]
- CA Grant [21-312-0217571-66106]
This study investigated the factors influencing parent-adolescent COVID-19 vaccine decision-making. It found that parents uncertain about vaccinating adolescents expressed low vaccine confidence and high COVID-19 disease risk complacency, while parents who accepted vaccination expressed high confidence in health authority vaccine recommendations and perceived COVID-19 risk. Unique pandemic-related factors such as emotional health and resuming social activities also influenced vaccine acceptance.
Adolescent COVID-19 vaccination has stalled at 53% in the United States. Vaccinating adolescents remains critical to preventing the continued transmission of COVID-19, the emergence of variants, and rare but serious disease in children, and it is the best preventive measure available to return to in-person schooling. We investigated parent-adolescent COVID-19 vaccine decision-making. Between 24 February and 15 March 2021, we conducted surveys and 12 focus groups with 46 parent-adolescent dyads in Southern California. Parents and adolescents completed a survey prior to participation in a focus group discussion, which focused on exploring COVID-19 vaccine acceptance or uncertainty and was guided by the 5C vaccine hesitancy model. Parents uncertain about vaccinating adolescents expressed low vaccine confidence and high COVID-19 disease risk complacency. Parents who accepted COVID-19 vaccination for adolescents expressed high confidence in health authority vaccine recommendations, high perceived COVID-19 risk, and collective responsibility to vaccinate children. Additionally, unique pandemic-related factors of vaccine acceptance included vaccinating for emotional health, resuming social activities, and vaccine mandates. Among parents, 46% were willing to vaccinate their adolescent, 11% were not, and 43% were unsure. Among adolescents, 63% were willing to vaccinate. Despite vaccine availability, 47% of adolescents remain unvaccinated against COVID-19. Factors associated with vaccine uncertainty and acceptability inform health care practitioner, school, community, and public health messaging to reach parents and adolescents.
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