The Pediatric Research in Emergency Therapeutics (PRETx) Program, Division of Emergency Medicine, Department of Pediatrics, University of British Columbia, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Emergency Department, University Children's Hospital Zurich, Zurich, Switzerland.
Prev Med. 2022 Sep;162:107121. doi: 10.1016/j.ypmed.2022.107121. Epub 2022 Jul 18.
Vaccine hesitancy is complex and a threat to global public health during the ongoing COVID-19 pandemic. Our objective was to determine factors associated with caregivers' willingness to vaccinate children despite not being immunized themselves against COVID-19. The International COVID-19 Parental Attitude Study (COVIPAS), a multinational cohort study, recruited caregivers of children 0-18 years old in 21 Emergency Departments (EDs) in USA, Canada, Israel, and Switzerland during November-December 2021. Of a total of 4536 caregivers who completed the survey, 882 (19.4%) were unvaccinated, and 62 (7.0%) of the unvaccinated planned to vaccinate their children. Unvaccinated caregivers with children that had their childhood vaccines up-to-date (OR 3.03 (1.36, 8.09), p = 0.01), and those very worried their child has COVID-19 in the ED (OR 3.11 (1.44, 6.34), p < 0.01) were much more likely to plan to immunize their children. Primary care providers and public health agencies should not assume that unvaccinated parents will not vaccinate their children. Determining child's vaccination status and parental level of concern about COVID-19 may help identify caregivers who are open to give their children the vaccine.
疫苗犹豫是当前 COVID-19 大流行期间对全球公共卫生的一个复杂威胁。我们的目的是确定在自身未接种 COVID-19 疫苗的情况下，照顾者愿意为子女接种疫苗的相关因素。国际 COVID-19 父母态度研究（COVIPAS）是一项多中心队列研究，于 2021 年 11 月至 12 月期间在 21 家美国、加拿大、以色列和瑞士的急诊部（ED）招募了 0-18 岁儿童的照顾者。在完成调查的 4536 名照顾者中，共有 882 人（19.4%）未接种疫苗，其中 62 人（7.0%）计划为子女接种疫苗。那些自身未接种疫苗但子女疫苗接种情况良好的照顾者（OR 3.03（1.36, 8.09），p = 0.01），以及那些非常担心子女在 ED 感染 COVID-19 的照顾者（OR 3.11（1.44, 6.34），p < 0.01），更有可能计划为子女接种疫苗。初级保健提供者和公共卫生机构不应假设未接种疫苗的父母不会为子女接种疫苗。确定子女的疫苗接种情况和父母对 COVID-19 的关注程度，可能有助于识别愿意为子女接种疫苗的照顾者。
