Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA.
Department of Medicine, Children's Hospital, Boston, MA, USA.
Ann Med. 2022 Dec;54(1):733-742. doi: 10.1080/07853890.2022.2045034.
There was a five-fold increase in COVID-19 hospitalization case counts among children and adolescents between June and October 2021. However, polls suggest that adolescent COVID-19 vaccination coverage has plateaued in the United States.
Using the Census Bureau's Household Pulse Survey, we assessed trends in COVID-19 vaccination among adolescents ages 12-17 years, parents' intention to vaccinate their adolescent children, and their reasons for not intending to vaccinate their children from July to October 2021 using a large, nationally representative survey of U.S. households ( = 59,424). Trends in COVID-19 adolescent vaccination coverage, nationally and by sociodemographic characteristics, factors associated with adolescent vaccination status and parental intent to vaccinate their adolescent children, as well as changes in reasons for non-vaccination were examined using regression models.
Receipt of ≥1 dose of a COVID-19 vaccine among adolescents ages 12-17 years increased five percentage points, from 56% (July) to 61% (October), with significant increases across most sociodemographic variables. However, there were no significant changes in parental intention to vaccinate their adolescent children during the same time period. Approximately one-quarter of parents were unsure about or reluctant to vaccinate their children, which remained consistent from July to October. Among those who had not vaccinated their children, lack of trust in the government and vaccines, and the belief that the COVID-19 vaccine is not needed or effective, was higher in October compared to July.
Parental intention to vaccinate their children has remained relatively stable throughout the late summer and early fall of 2021. Encouraging paediatricians to discuss the importance and safety of COVID-19 vaccines, addressing concerns and misinformation, as well as recommending and offering vaccines are important for increasing parental confidence in vaccines as well as vaccination uptake among adolescents.KEY MESSAGEReceipt of ≥1 dose of a COVID-19 vaccine among adolescents ages 12-17 years increased five percentage points, from 56% (July) to 61% (October), with significant increases across most sociodemographic variables.Approximately one quarter of parents were unsure about or reluctant to vaccinate their children, which remained consistent from July to October.Encouraging paediatricians to discuss the importance and safety of COVID-19 vaccines, addressing concerns and misinformation, as well as recommending and offering vaccines is important for increasing parental confidence in vaccines as well as vaccination uptake among adolescents.
2021 年 6 月至 10 月，儿童和青少年的 COVID-19 住院病例数增加了五倍。然而，民意调查显示，美国青少年 COVID-19 疫苗接种率已趋于平稳。
我们使用人口普查局的家庭脉搏调查，评估了 2021 年 7 月至 10 月期间 12-17 岁青少年 COVID-19 疫苗接种情况、父母为青少年接种疫苗的意愿以及他们不打算为孩子接种疫苗的原因。我们使用全国代表性的美国家庭调查（=59424）来评估青少年 COVID-19 疫苗接种覆盖率的趋势，这些家庭的青少年年龄在 12-17 岁之间。使用回归模型检查 COVID-19 青少年疫苗接种覆盖率的趋势，包括全国和按社会人口特征、与青少年疫苗接种状况和父母为青少年接种疫苗意愿相关的因素，以及非接种原因的变化。
12-17 岁青少年接受至少一剂 COVID-19 疫苗的比例增加了五个百分点，从 56%（7 月）上升到 61%（10 月），在大多数社会人口统计学变量中都有显著增加。然而，同期父母为青少年接种疫苗的意愿没有显著变化。大约四分之一的父母对为孩子接种疫苗犹豫不决，从 7 月到 10 月，这一比例一直保持不变。在那些没有为孩子接种疫苗的人中，对政府和疫苗缺乏信任，以及认为 COVID-19 疫苗不需要或无效的观念，在 10 月比 7 月更高。
在 2021 年夏末初秋，父母为孩子接种疫苗的意愿相对稳定。鼓励儿科医生讨论 COVID-19 疫苗的重要性和安全性，解决关注和误解，并建议和提供疫苗，这对于提高父母对疫苗的信心以及青少年的疫苗接种率非常重要。
