Rudolph Ben, Sharma Sumit, Ayala Leily, Thomas Jonna, Jackson-Shaheed Ebony, Price Anna E
Bridgeport Department of Health and Social Services, Bridgeport, USA.
Yale School of Medicine, New Haven, USA.
J Community Health. 2025 Apr;50(2):201-210. doi: 10.1007/s10900-024-01404-y. Epub 2024 Oct 5.
COVID-19 vaccine hesitancy is a significant public health concern, particularly among parents who serve as gatekeepers for their child(ren)'s vaccination status. This study adds to the literature by examining COVID-19 vaccine decisions among parents living in a mid-size, lower-income, racially/ethnically diverse, community. Parents of children, < 18 years and enrolled in the public schools system, were invited to complete a questionnaire offered in English, Spanish, and Portuguese. The questionnaire included questions about their child(ren)'s vaccination status, as well as factors which, based on the literature, might impact parents' vaccination decisions. Parents (n = 277) were mostly Hispanic/Latinx, females, with a high school degree/GED as their highest level of education achieved, a mean age of 40 years, and an average of two children < 18 years. Four-fifths (78.6%) of parents reported being vaccinated against COVID-19, but only 40.8% reported having all of their children vaccinated; 14.8% had some of their children get the COVID-19 vaccine, and 44.4% had none of their children get the COVID-19 vaccine. In bivariate associations, parents' vaccination status, parents age, the CDC website as a COVID-19 information source, awareness of age eligibility for the COVID-19 vaccine, parents reporting knowing someone who does not want to vaccinate their child, and parents' perceived social norm score were associated with children's vaccination status. However, when multivariate analyses were conducted, only parents' age and perceived social norms increased parents' odds of choosing to vaccinate their child. These findings have implications for those promoting COVID-19 vaccination among parents in lower-income, diverse communities.
对新冠疫苗接种的犹豫是一个重大的公共卫生问题，尤其是在那些决定孩子疫苗接种情况的家长当中。本研究通过调查居住在一个中等规模、低收入、种族/民族多样化社区的家长对新冠疫苗的决策，为相关文献增添了内容。邀请了18岁以下就读于公立学校系统的孩子的家长填写一份用英语、西班牙语和葡萄牙语提供的问卷。问卷包括关于他们孩子的疫苗接种情况的问题，以及根据文献可能影响家长疫苗接种决策的因素。家长（n = 277）大多是西班牙裔/拉丁裔女性，最高学历为高中文凭/普通同等学历证书，平均年龄40岁，平均有两个18岁以下的孩子。五分之四（78.6%）的家长报告已接种新冠疫苗，但只有40.8%的家长报告他们所有的孩子都已接种；14.8%的家长让部分孩子接种了新冠疫苗，44.4%的家长没有让任何一个孩子接种新冠疫苗。在双变量关联分析中，家长的疫苗接种状况、家长年龄、作为新冠信息来源的疾病控制与预防中心（CDC）网站、对新冠疫苗年龄适宜性的知晓情况、报告认识不想给孩子接种疫苗的人的家长，以及家长的感知社会规范得分与孩子的疫苗接种状况相关。然而，在进行多变量分析时，只有家长年龄和感知社会规范增加了家长选择让孩子接种疫苗的几率。这些发现对那些在低收入、多样化社区的家长中推广新冠疫苗接种的人具有启示意义。
