Division of Science Integration, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 1090 Tusculum Ave., MS C-10, Cincinnati, OH 45226, United States.
Center for SMART Health, Clinical and Translational Science Institute, University of California, Los Angeles, 200 Medical Plaza Driveway, Suite 120, Los Angeles, CA 90095, United States.
Vaccine. 2023 Jan 4;41(1):101-108. doi: 10.1016/j.vaccine.2022.11.001. Epub 2022 Nov 7.
We examined parents' COVID-19 vaccination intentions for their children, reasons for not vaccinating, and the potential impact of a school/daycare vaccination requirement or pediatrician's recommendation on vaccination intentions. Two online surveys were conducted in June-July and September-October 2021, before pediatric COVID-19 vaccines were authorized for emergency use in children age < 12 years, with an internet-based, non-probability sample of U.S. adults. Respondents with children (age < 18 years) in the household were asked about their intention (likelihood) of vaccinating these children against COVID-19. Weighted Chi-square tests using a Rao-Scott correction were performed. Vaccinated (45.7 %) versus unvaccinated (6.9 %) parents were almost seven times more likely to have vaccinated their 12-17-year-old children against COVID-19. Approximately 58.4 % of respondents with unvaccinated children ages 2-11 years and 42.4 % of those with children < 2 years said they are "very" or "extremely likely" to vaccinate these children against COVID-19. Female parents were significantly more likely (p < .01 to p < .001) to express lower levels of COVID-19 vaccine intentions. Across all age groups of children unvaccinated against COVID-19, parental vaccine intentions increased with increased household income and education levels. COVID-19 vaccine side effects and safety concerns were primary reasons for not vaccinating children. Strategies including school vaccination requirements and recommendations from pediatricians were shown to increase parental COVID-19 vaccination intentions for some. More research is needed on factors that increase/hinder COVID-19 pediatric vaccine uptake.
我们研究了父母对子女接种 COVID-19 疫苗的意愿、不接种疫苗的原因，以及学校/日托疫苗接种要求或儿科医生建议对疫苗接种意愿的潜在影响。在儿科 COVID-19 疫苗获得授权用于 12 岁以下儿童紧急使用之前，于 2021 年 6 月至 7 月和 9 月至 10 月进行了两次在线调查，采用基于互联网的、非概率性的美国成年人样本。有子女（年龄<18 岁）的受访者被问及他们为这些孩子接种 COVID-19 疫苗的意愿（可能性）。使用 Rao-Scott 校正的加权卡方检验进行了检验。已接种（45.7%）与未接种（6.9%）疫苗的父母，让其 12-17 岁子女接种 COVID-19 疫苗的可能性几乎高出七倍。大约 58.4%有未接种 2-11 岁儿童的受访者和 42.4%有<2 岁儿童的受访者表示，他们“非常”或“极其”可能为这些孩子接种 COVID-19 疫苗。女性父母表示接种 COVID-19 疫苗的意愿较低（p<0.01 至 p<0.001）的可能性显著更高。在所有未接种 COVID-19 疫苗的儿童年龄组中，父母的疫苗接种意愿随着家庭收入和教育水平的提高而增加。COVID-19 疫苗的副作用和安全问题是不接种儿童疫苗的主要原因。研究表明，包括学校疫苗接种要求和儿科医生建议在内的策略可以提高一些父母对 COVID-19 疫苗接种的意愿。需要进一步研究增加/阻碍 COVID-19 儿科疫苗接种的因素。
