Department of Pediatrics, Division of Infectious Diseases, School of Medicine, University of North Carolina, Chapel Hill, NC, United States.
Department of Biology, University of North Carolina, Chapel Hill, NC, United States.
Fam Pract. 2023 Feb 9;40(1):1-8. doi: 10.1093/fampra/cmac056.
COVID-19 vaccines are available for adolescents in the United States, but many parents are hesitant to have their children vaccinated. The advice of primary care professionals strongly influences vaccine uptake.
We examined the willingness of primary care professionals (PCPs) to recommend COVID-19 vaccination for adolescents.
Participants were a national sample of 1,047 US adolescent primary care professionals. They participated in an online survey in early 2021, after a COVID-19 vaccine had been approved for adults but before approval for adolescents. Respondents included physicians (71%), advanced practice providers (17%), and nurses (12%). We identified correlates of willingness to recommend COVID-19 vaccination for adolescents using logistic regression.
The majority (89%) of respondents were willing to recommend COVID-19 vaccination for adolescents, with advanced practice providers and nurses being less likely than paediatricians to recommend vaccination (84% vs. 94%, aOR 0.47, 95% CI 0.23-0.92). Respondents who had received at least one dose of a COVID-19 vaccine were more likely to recommend adolescent vaccination (92% vs. 69%, aOR 4.20, 95% CI 2.56-6.87) as were those with more years in practice (94% vs. 88%, aOR 2.93, 95% CI 1.79-4.99). Most respondents (96%) said they would need some measure of support in order to provide COVID-19 vaccination to adolescents, with vaccine safety and efficacy information being the most commonly cited need (80%).
Adolescent primary care professionals were generally willing to recommend COVID-19 vaccination. However, most indicated a need for additional resources to be able to administer COVID-19 vaccines at their clinic.
美国已为青少年提供 COVID-19 疫苗，但许多家长对为孩子接种疫苗犹豫不决。初级保健专业人员的建议强烈影响疫苗接种率。
我们调查了初级保健专业人员（PCP）推荐青少年接种 COVID-19 疫苗的意愿。
参与者是美国 1047 名青少年初级保健专业人员的全国样本。他们在 2021 年初参加了一项在线调查，此时一种 COVID-19 疫苗已被批准用于成年人，但尚未批准用于青少年。受访者包括医生（71%）、高级执业护士（17%）和护士（12%）。我们使用逻辑回归识别愿意推荐青少年接种 COVID-19 疫苗的相关因素。
大多数（89%）受访者愿意为青少年推荐 COVID-19 疫苗，与儿科医生相比，高级执业护士和护士推荐接种疫苗的可能性较小（84%比 94%，优势比 0.47，95%置信区间 0.23-0.92）。至少接种过一剂 COVID-19 疫苗的受访者更有可能推荐青少年接种疫苗（92%比 69%，优势比 4.20，95%置信区间 2.56-6.87），从业年限较长的受访者也是如此（94%比 88%，优势比 2.93，95%置信区间 1.79-4.99）。大多数受访者（96%）表示，为了能够在其诊所为青少年接种 COVID-19 疫苗，他们需要某种程度的支持，疫苗安全性和有效性信息是最常提到的需求（80%）。
青少年初级保健专业人员普遍愿意推荐 COVID-19 疫苗接种。然而，大多数人表示需要额外的资源，以便能够在其诊所接种 COVID-19 疫苗。
