Rosen Brittany L, Meisman Andrea, Sun Quin, Real Francis J, Steller Alyssa, Chandler Emmanuel, Crosby Lori, Frenck Robert, Klein Melissa, Kahn Jessica A
Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Am J Health Promot. 2024 Jun;38(5):672-682. doi: 10.1177/08901171241233397. Epub 2024 Feb 11.
Identify variables, including moderating variables, associated with adolescents, young adults, and parents' intention to receive a COVID-19 vaccine in January 2021.
Cross-sectional survey.
United States Midwestern academic medical center.
Adolescents (n = 242); young adults (n = 333); parents (n = 563).
Associations between predictors-participant characteristics, general vaccine hesitancy, COVID-19 and vaccine knowledge, perceptions, and normative beliefs-and intention to receive a COVID-19 vaccine (outcome) were assessed. To determine variables impacting the strength of the relationship between predictors and outcome, moderators included 2020/2021 influenza vaccine receipt, having experienced discrimination, and primary sources of information for COVID-19.
Multivariable logistic regression examined associations, including moderating effects, for adolescents, young adults, parents, and parents for child.
With 20,231 email addresses receiving the survey, 1138 participants were included in the analysis. Intention to receive a COVID-19 vaccine was reported by 60.7% adolescents (n = 147), 65.2% young adults (n = 217), and 38.5% parents (n = 217) and 38.2% parents (n = 215) intended to vaccinate their child. Intention was associated with lower general vaccine hesitancy for adolescents (AOR = 1.50), young adults (AOR = 1.39), parents (AOR = 1.18), and parents' intention for their child (AOR = 1.17). Parents citing reputable medical experts as primary source of COVID-19 information positively moderated vaccine perceptions and intention for self (AOR = 8.25) and child (AOR = 6.37).
Clinician training to address vaccine hesitancy may be effective at promoting positive COVID-19 vaccine perceptions.
确定与青少年、青年及父母在2021年1月接种新冠疫苗意愿相关的变量，包括调节变量。
横断面调查。
美国中西部学术医疗中心。
青少年（n = 242）；青年（n = 333）；父母（n = 563）。
评估预测因素（参与者特征、一般疫苗犹豫态度、新冠病毒及疫苗知识、认知和规范信念）与接种新冠疫苗意愿（结果）之间的关联。为确定影响预测因素与结果之间关系强度的变量，调节变量包括2020/2021年流感疫苗接种情况、是否经历过歧视以及新冠病毒信息的主要来源。
多变量逻辑回归分析青少年、青年、父母及为子女接种疫苗的父母的关联，包括调节效应。
在收到调查邮件的20231个邮箱地址中，1138名参与者纳入分析。报告有接种新冠疫苗意愿的青少年占60.7%（n = 147），青年占65.2%（n = 217），父母占38.5%（n = 217），打算为孩子接种疫苗的父母占38.2%（n = 215）。意愿与青少年（优势比 = 1.50）、青年（优势比 = 1.39）、父母（优势比 = 1.18）及父母为孩子接种意愿（优势比 = 1.17）时较低的一般疫苗犹豫态度相关。将知名医学专家作为新冠病毒信息主要来源的父母对自我（优势比 = 8.25）和孩子（优势比 = 6.37）的疫苗认知和接种意愿有正向调节作用。
针对疫苗犹豫态度的临床医生培训可能有助于促进对新冠疫苗的积极认知。
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