4.6 Article

Child and adolescent COVID-19 vaccination status and reasons for non-vaccination by parental vaccination status

期刊

PUBLIC HEALTH
卷 209, 期 -, 页码 82-89

出版社

W B SAUNDERS CO LTD
DOI: 10.1016/j.puhe.2022.06.002

关键词

COVID-19 vaccination; Vaccine hesitancy; Disparities; Children; Adolescents; Parents

资金

  1. Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) [K12HD092535]
  2. Tufts University
  3. Office of the Vice Provost for Research (OVPR)
  4. Scholarship Strategic Plan

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Less than half of children and three-quarters of adolescents are vaccinated against COVID-19. Vaccination coverage is lower among households with lower education and children without preventive check-ups. Parents of unvaccinated children are more likely to distrust vaccines and the government.
Objectives: COVID-19 vaccines are recommended for children ages >= 5 years. To develop effective in-terventions to increase uptake, this study explores reasons for parental hesitancy of child and adolescent COVID-19 vaccination. Study design: The Household Pulse Survey (HPS) is a nationally representative cross-sectional online household survey of adults aged >= 18 years that began data collection in April 2020 to help understand household experiences during the COVID-19 pandemic. Methods: Using data from December 29, 2021, to January 10, 2022 (n = 11,478), we assessed child and adolescent COVID-19 vaccination coverage and parental intent to vaccinate their children and adoles-cents. Factors associated with child and adolescent vaccination coverage were examined using multi -variable regression models. Reasons for not having had their child or adolescent vaccinated, stratified by parental vaccination status, were compared using tests of differences in proportions. Results: Less than one-half (42.3%) of children and three-quarters (74.8%) of adolescents are vaccinated. Vaccination coverage was lower among households with lower education, as well as among children who had not had a preventive check-up in the past year. Parents of unvaccinated children were more likely to report that they do not trust COVID-19 vaccines, do not trust the government, and do not believe children need a COVID-19 vaccine compared to parents of vaccinated children. Conclusion: Efforts to increase uptake of vaccines by children and adolescents should target those with lower education, reassure parents of the vaccine safety and efficacy for themselves and their children/ adolescents, and support yearly preventive care visits for their children. (c) 2022 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

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