Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran.
School of Educational Psychology and Counselling, Faculty of Education, Monash University, Melbourne, VIC, Australia.
Front Public Health. 2023 Feb 16;11:1085197. doi: 10.3389/fpubh.2023.1085197. eCollection 2023.
Recent new mutations and increases in transmission of COVID-19 among adolescents and children highlight the importance of identifying which factors influence parental decisions regarding vaccinating their children. The current study aims to explore whether child vulnerability and parents' attitudes toward vaccines mediate the association between perceived financial well-being and vaccine hesitancy among parents.
A predictive, cross-sectional, multi-country online questionnaire was administered with a convenience sample of 6,073 parents (Australia, 2,734; Iran, 2,447; China, 523; Turkey, 369). Participants completed the Parent Attitude About Child Vaccines (PACV), the Child Vulnerability Scale (CVS), a Financial Well-being (FWB) measure, and Parental Vaccine Hesitancy (PVH) questionnaire.
The current study revealed that perceived financial well-being had significant and negative associations with parents' attitudes toward COVID-19 vaccines and child vulnerability among the Australian sample. Contrary to the Australian findings, results from Chinese participants indicated that financial well-being had significant and positive predictive effects on parent attitudes toward vaccines, child vulnerability, and parental vaccine hesitancy. The results of the Iranian sample revealed that parents' attitudes toward vaccines and child vulnerability significantly and negatively predicted parental vaccine hesitancy.
The current study revealed that a parents' perceived financial well-being had a significant and negative relationship with parental attitudes about vaccines and child vulnerability; however, it did not significantly predict parental vaccine hesitancy among Turkish parents as it did for parents in Australia, Iran, and China. Findings of the study have policy implications for how certain countries may tailor their vaccine-related health messages to parents with low financial wellbeing and parents with vulnerable children.
最近，青少年和儿童中 COVID-19 的新突变和传播增加，突显了确定哪些因素影响父母决定为子女接种疫苗的重要性。本研究旨在探讨儿童脆弱性和父母对疫苗的态度是否在感知财务状况与父母对疫苗的犹豫之间起中介作用。
采用预测性、横断面、多国家在线问卷调查，对 6073 名父母（澳大利亚 2734 名；伊朗 2447 名；中国 523 名；土耳其 369 名）进行了便利抽样调查。参与者完成了父母对儿童疫苗的态度量表（PACV）、儿童脆弱性量表（CVS）、财务状况量表（FWB）和父母对疫苗的犹豫量表（PVH）。
本研究显示，澳大利亚样本中，感知财务状况与父母对 COVID-19 疫苗的态度以及儿童脆弱性呈显著负相关。与澳大利亚的结果相反，中国参与者的结果表明，财务状况对父母对疫苗、儿童脆弱性和父母对疫苗的犹豫有显著的正向预测作用。伊朗样本的结果表明，父母对疫苗的态度和儿童脆弱性显著且负向预测父母对疫苗的犹豫。
本研究显示，父母的感知财务状况与父母对疫苗的态度和儿童脆弱性呈显著负相关；然而，它对土耳其父母的父母对疫苗的犹豫没有显著预测作用，而对澳大利亚、伊朗和中国的父母则有显著预测作用。该研究的结果对某些国家如何针对财务状况不佳的父母和有脆弱儿童的父母量身定制与疫苗相关的健康信息具有政策意义。
