Phan Thao-Ly Tam, Enlow Paul T, Wong Michael K, Lewis Amanda M, Kazak Anne E, Miller Jonathan M
Associate Professor of Pediatrics, Thomas Jefferson University; Research Scientist, Nemours Center for Healthcare Delivery Science.
Assistant Professor of Pediatrics, Thomas Jefferson University; Assistant Research Scientist, Nemours Center for Healthcare Delivery Science.
Dela J Public Health. 2021 Dec 15;7(5):64-71. doi: 10.32481/djph.2021.12.015. eCollection 2021 Dec.
To describe sociodemographic disparities in caregiver beliefs about the COVID-19 vaccine for their children.
This was a cross-sectional study, linking caregiver-reported data to geocoded sociodemographic data from child EHRs. Caregivers of children receiving care in a Delaware pediatric healthcare system were invited to complete a survey about COVID-19 vaccine beliefs from March 19 to April 16, 2021.
1499 caregivers participated (18% Black, 11% Hispanic, 32% public insurance, 12% rural). 54% of caregivers intended to vaccinate their children, while 34% were unsure and 12% would not. Caregivers of younger children (aOR 3.70, CI 2.36-5.79), Black children (aOR 2.11, CI 1.50-2.96), and from disadvantaged communities (aOR 1.59, CI 1.05-2.42) were more likely to be unsure and not vaccinate their children. Caregivers from rural communities were more likely not to vaccinate their children (aOR 2.51, CI 1.56-4.05). Fewer caregivers of younger children, Black children, and from disadvantaged communities believed in the safety or efficacy of the vaccines (p < 0.001), while fewer caregivers of younger children and from rural communities believed in their children's susceptibility to COVID-19 or risk of getting severe disease from COVID-19 (p < 0.05). While the majority (72%) of caregivers were influenced by health experts, fewer from communities of color and disadvantaged communities were (p<0.001).
Caregivers of younger children and from communities of color, rural communities, and disadvantaged communities in Delaware expressed more COVID-19 vaccine hesitancy.
This study explores beliefs of different communities in Delaware, which are important to tailoring public health messaging and strategies to increase vaccine uptake in these communities.
描述照顾者对其子女新冠疫苗的信念方面的社会人口统计学差异。
这是一项横断面研究，将照顾者报告的数据与儿童电子健康记录中的地理编码社会人口统计学数据相联系。2021年3月19日至4月16日，邀请在特拉华州儿科医疗系统接受治疗的儿童的照顾者完成一项关于新冠疫苗信念的调查。
1499名照顾者参与调查（18%为黑人，11%为西班牙裔，32%有公共保险，12%来自农村）。54%的照顾者打算为其子女接种疫苗，而34%不确定，12%不会接种。年龄较小儿童的照顾者（调整后比值比[aOR]为3.70，置信区间[CI]为2.36 - 5.79）、黑人儿童的照顾者（aOR为2.11，CI为1.50 - 2.96）以及来自弱势社区的照顾者（aOR为1.59，CI为1.05 - 2.42）更有可能不确定且不为其子女接种疫苗。来自农村社区的照顾者更有可能不为其子女接种疫苗（aOR为2.51，CI为1.56 - 4.05）。年龄较小儿童的照顾者、黑人儿童的照顾者以及来自弱势社区的照顾者中，相信疫苗安全性或有效性的人数较少（p < 0.001），而年龄较小儿童的照顾者以及来自农村社区的照顾者中，相信其子女易感染新冠或因新冠患重病风险的人数较少（p < 0.05）。虽然大多数（72%）照顾者受到健康专家的影响，但有色人种社区和弱势社区的照顾者受影响的较少（p<0.001）。
特拉华州年龄较小儿童的照顾者以及来自有色人种社区、农村社区和弱势社区的照顾者对新冠疫苗表现出更多犹豫。
本研究探讨了特拉华州不同社区的信念，这对于调整公共卫生信息和策略以提高这些社区的疫苗接种率很重要。
