Bord Shiran, Satran Carmit, Schor Ayelet
Health Systems Management Department, The Max Stern Yezreel Valley College, Yezreel Valley 1930600, Israel.
Nursing Department, The Max Stern Yezreel Valley College, Yezreel Valley 1930600, Israel.
Vaccines (Basel). 2022 Jun 9;10(6):917. doi: 10.3390/vaccines10060917.
Israel was among the first countries to initiate adolescent COVID-19 vaccination. As adolescent vaccination requires parental consent, we evaluated the factors associated with parents' willingness to vaccinate their adolescents and their point of view regarding adolescents' involvement in this decision. An online survey was completed by 581 parents of adolescents aged 16-18. The main independent variables included trust in the healthcare system, components of the Health Belief Model (HBM) and adolescents' involvement in the decision, as well as background data, including demographics. Analysis included a multiple logistic regression and mediation examination. Parents reported that 446 adolescents (76.8%) have been or will soon be vaccinated against COVID-19, 12.2% chose not to vaccinate their child and 11% have not yet decided. Vaccination was significantly associated with HBM components and with adolescents' involvement in the decision. The perceived vaccination benefits acted as a mediator in the association between parents' COVID-19 perceived threat and adolescent vaccination, as well as between parents' trust in the healthcare system and adolescent vaccination. Addressing vaccination benefits and barriers is pivotal in the attempt to enhance adolescents' vaccination adherence. Considering the importance of adolescents' involvement in the decision, addressing them directly may also be beneficial in improving vaccination rates.
以色列是最早启动青少年新冠疫苗接种的国家之一。由于青少年接种疫苗需要家长同意，我们评估了与家长愿意为其青少年接种疫苗相关的因素，以及他们对青少年参与这一决策的看法。581名16 - 18岁青少年的家长完成了一项在线调查。主要自变量包括对医疗保健系统的信任、健康信念模型（HBM）的组成部分、青少年参与决策的情况，以及包括人口统计学在内的背景数据。分析包括多元逻辑回归和中介检验。家长报告称，446名青少年（76.8%）已经或即将接种新冠疫苗，12.2%的家长选择不为孩子接种，11%尚未做出决定。接种疫苗与健康信念模型的组成部分以及青少年参与决策显著相关。感知到的接种疫苗益处，在家长对新冠的感知威胁与青少年接种疫苗之间的关联中，以及在家长对医疗保健系统的信任与青少年接种疫苗之间的关联中，起到了中介作用。在提高青少年疫苗接种依从性的尝试中，解决接种疫苗的益处和障碍至关重要。考虑到青少年参与决策的重要性，直接与他们沟通可能也有助于提高接种率。
