Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Infection Control Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Postgrad Med. 2022 Apr;134(3):303-308. doi: 10.1080/00325481.2022.2044142. Epub 2022 Feb 25.
COVID-19 vaccines are critical tools to manage the current pandemic. The objective of this study is to assess determinants of COVID-19 vaccine hesitancy among parents in Ho Chi Minh City, Vietnam.
A cross-sectional study of parents were performed, who had at least one child aged 5-17 years. The data were collected by a self-report questionnaire, which was based, predominately, on the Health Belief Model (HBM), between January 21 and 20 April 2021. The main outcome of this study aims to investigate the self-reported parental COVID-19 vaccine hesitancy for their children that has been approved by health authorities in Vietnam.
A total of 1,015 parents completed the survey. Parental COVID-19 Vaccine Hesitancy for their children (26.2%) was decreased with blue-collar workers, intended to get vaccinated themselves, indicated sufficient knowledge toward COVID-19, and their older children reported having comorbidities. In the HBM structure, the barriers were positively related to parents' hesitancy to vaccinate their children, whilst perceived susceptibility and severity to illness, benefits of vaccination, and cues to action were less likely to cause a refusal of a vaccination for their children (all p < 0.05). The reasons for vaccine hesitancy included, predominately, concerns about side effects (81.6%), and vaccine safety (76.3%).
The findings show that almost a quarter of the study population are hesitant to vaccinate their children. Factors were associated with parental vaccination hesitancy for their children include sufficient knowledge of the COVID-19, older children and those with chronic conditions, and domains of HBM like the perception of susceptibility and severity to illness, benefit and barriers of vaccination, and cues to action. These will contribute to make planning in health communication strategies for the upcoming vaccination campaigns, as well as managing the pandemic.
COVID-19 疫苗是应对当前大流行的重要工具。本研究旨在评估越南胡志明市父母对 COVID-19 疫苗犹豫的决定因素。
对至少有一名 5-17 岁子女的父母进行了横断面研究。数据通过自我报告问卷收集，该问卷主要基于健康信念模型（HBM），于 2021 年 1 月 21 日至 4 月 20 日期间进行。本研究的主要结果旨在调查越南卫生当局批准的父母对其子女 COVID-19 疫苗的自我报告犹豫情况。
共有 1015 名父母完成了调查。父母对子女 COVID-19 疫苗的犹豫（26.2%）随蓝领工人、打算自己接种疫苗、对 COVID-19 有足够的认识以及其年长子女报告有合并症而降低。在 HBM 结构中，障碍与父母对子女接种疫苗的犹豫呈正相关，而对疾病的易感性和严重性、疫苗接种的益处以及行动提示的认识则不太可能导致拒绝为子女接种疫苗（均 p<0.05）。疫苗犹豫的原因主要包括对副作用（81.6%）和疫苗安全性（76.3%）的担忧。
研究结果表明，近四分之一的研究人群对为子女接种疫苗犹豫不决。与父母对子女接种疫苗犹豫不决相关的因素包括对 COVID-19 的充分了解、有慢性疾病的年长子女，以及 HBM 的各个领域，如对疾病易感性和严重性、疫苗接种的益处和障碍以及行动提示的认识。这些将有助于制定即将到来的疫苗接种运动的卫生宣传策略，并管理大流行。
