Takou Mbah Overbeck Christian, Goodman Sara H, Maldonado Yvonne, Bollyky Jennifer
Stanford University School of Medicine, Stanford, CA, USA.
Department of Pediatrics, Division of Infectious Diseases, Stanford University School of Medicine, Stanford, CA, USA.
BMC Public Health. 2025 Mar 7;25(1):921. doi: 10.1186/s12889-025-22132-5.
To characterize the differences between COVID-19 vaccine-hesitant and vaccine-accepting parents in the Bay Area.
We analyzed a cross-sectional survey of 251 parents of children (< 18 years) from six San Francisco Bay Area counties in November of 2022. We adapted WHO's Vaccine Hesitancy Scale (VHS) into a 9-item Likert scale measuring COVID-19 vaccine hesitancy. We assigned a VHS score to each participant, with lower VHS scores indicating higher vaccine hesitancy. We performed multiple linear regression analyses with VHS scores and children's vaccination status as outcomes and demographic factors as predictors.
Parents of children who had received at least one dose of the COVID-19 vaccine had a 17.1% higher VHS score compared to parents of children who had not received any dose (p < 0.01). Additionally, parents with annual income <$50,000 had a 9.6% lower VHS score compared to parents with income > $150,000 (p < 0.01), indicating higher vaccine hesitancy in lower-income parents.
Low-income parents appear to be more vaccine-hesitant than high-income parents in the Bay Area. Future public health interventions should focus on lower-income parents to improve vaccine uptake.
描述旧金山湾区对新冠疫苗持犹豫态度和接受疫苗的父母之间的差异。
我们分析了2022年11月对旧金山湾区六个县251名18岁以下儿童的父母进行的横断面调查。我们将世界卫生组织的疫苗犹豫量表（VHS）改编为一个9项李克特量表，用于测量对新冠疫苗的犹豫程度。我们为每位参与者分配了一个VHS分数，分数越低表明疫苗犹豫程度越高。我们以VHS分数和儿童的疫苗接种状况为结果，以人口统计学因素为预测指标进行了多元线性回归分析。
与未接种任何一剂新冠疫苗的儿童的父母相比，已接种至少一剂新冠疫苗的儿童的父母的VHS分数高17.1%（p<0.01）。此外，年收入低于5万美元的父母的VHS分数比收入高于15万美元的父母低9.6%（p<0.01），这表明低收入父母的疫苗犹豫程度更高。
在旧金山湾区，低收入父母似乎比高收入父母对疫苗更犹豫。未来的公共卫生干预措施应侧重于低收入父母，以提高疫苗接种率。
