与父母接受 COVID-19 疫苗接种相关的因素：一项多中心儿科急诊横断面分析。
Factors Associated With Parental Acceptance of COVID-19 Vaccination: A Multicenter Pediatric Emergency Department Cross-Sectional Analysis.
机构信息
Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, NJ.
Department of Emergency Medicine, University of California at San Francisco School of Medicine, San Francisco, CA.
出版信息
Ann Emerg Med. 2022 Aug;80(2):130-142. doi: 10.1016/j.annemergmed.2022.01.040. Epub 2022 Feb 1.
STUDY OBJECTIVE
During the delta surge of the COVID-19 pandemic in 2021, we sought to identify characteristics and beliefs associated with COVID-19 vaccination acceptance in parents of pediatric emergency department (ED) patients.
METHODS
We conducted a cross-sectional survey-based study of the parents of children aged 3 to 16 years presenting to 1 of 9 pediatric EDs from June to August 2021 to assess the parental acceptance of COVID-19 vaccines. Using multiple variable regression, we ascertained which factors were associated with parental and pediatric COVID-19 vaccination acceptance.
RESULTS
Of 1,491 parents approached, 1,298 (87%) participated, of whom 50% of the parents and 27% of their children aged 12 years or older and older were vaccinated. Characteristics associated with parental COVID-19 vaccination were trust in scientists (adjusted odds ratio [aOR] 5.11, 95% confidence interval [CI] 3.65 to 7.15), recent influenza vaccination (aOR 2.66, 95% CI 1.98 to 3.58), college degree (aOR 1.97, 95% CI 1.36 to 2.85), increasing parental age (aOR 1.80, 95% CI 1.45 to 2.22), a friend or family member hospitalized because of COVID-19 (aOR 1.34, 95% CI 1.05 to 1.72), and higher income (aOR 1.60, 95% CI 1.27 to 2.00). Characteristics associated with pediatric COVID-19 vaccination (children aged ≥12 years) or intended COVID-19 pediatric vaccination, once approved for use, (children aged <12 years) were parental trust in scientists (aOR 5.37, 95% CI 3.65 to 7.88), recent influenza vaccination (aOR 1.89, 95% CI 1.29 to 2.77), trust in the media (aOR 1.68, 95% CI 1.19 to 2.37), parental college degree (aOR 1.49, 95% CI 1.01 to 2.20), and increasing parental age (aOR 1.26, 95% CI 1.01 to 1.57).
CONCLUSION
Overall COVID-19 vaccination acceptance was low. Trust in scientists had the strongest association with parental COVID-19 vaccine acceptance for both themselves and their children.
研究目的
在 2021 年 COVID-19 大流行的德尔塔浪潮期间，我们试图确定与儿科急诊部 (ED) 患儿父母的 COVID-19 疫苗接种接受相关的特征和信念。
方法
我们对 2021 年 6 月至 8 月期间在 9 家儿科 ED 就诊的 3 至 16 岁儿童的父母进行了一项基于横断面调查的研究，以评估父母对 COVID-19 疫苗的接受程度。使用多变量回归，我们确定了哪些因素与父母和儿科 COVID-19 疫苗接种接受相关。
结果
在接触的 1491 位家长中，有 1298 位（87%）参与了调查，其中 50%的家长和 27%的 12 岁及以上儿童已接种疫苗。与父母 COVID-19 疫苗接种相关的特征包括对科学家的信任（调整后的优势比 [aOR] 5.11，95%置信区间 [CI] 3.65 至 7.15）、最近接种流感疫苗（aOR 2.66，95%CI 1.98 至 3.58）、大学学历（aOR 1.97，95%CI 1.36 至 2.85）、父母年龄增加（aOR 1.80，95%CI 1.45 至 2.22）、有朋友或家人因 COVID-19 住院（aOR 1.34，95%CI 1.05 至 1.72）和较高的收入（aOR 1.60，95%CI 1.27 至 2.00）。与儿科 COVID-19 疫苗接种（≥12 岁儿童）或一旦获准用于儿科 COVID-19 疫苗接种（<12 岁儿童）相关的特征是父母对科学家的信任（aOR 5.37，95%CI 3.65 至 7.88）、最近接种流感疫苗（aOR 1.89，95%CI 1.29 至 2.77）、对媒体的信任（aOR 1.68，95%CI 1.19 至 2.37）、父母的大学学历（aOR 1.49，95%CI 1.01 至 2.20）和父母年龄增加（aOR 1.26，95%CI 1.01 至 1.57）。
结论
总体而言，COVID-19 疫苗接种接受率较低。对科学家的信任与父母对自己和孩子的 COVID-19 疫苗接种接受率有最强的关联。
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