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Factors Influencing Parental and Individual COVID-19 Vaccine Decision Making in a Pediatric Network

Aspects of the COVID-19 vaccination campaign differed from routine vaccines, including emergency use authorizations, the prioritization of access, and the politicization of messaging. Subsequently, many parents reported lower vaccine confidence relative to routine vaccines, and vaccination coverage...

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Autores principales: Shen, Angela K., Browne, Safa, Srivastava, Tuhina, Michel, Jeremy J., Tan, Andy S. L., Kornides, Melanie L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412825/
https://www.ncbi.nlm.nih.gov/pubmed/36016165
http://dx.doi.org/10.3390/vaccines10081277
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author Shen, Angela K.
Browne, Safa
Srivastava, Tuhina
Michel, Jeremy J.
Tan, Andy S. L.
Kornides, Melanie L.
author_facet Shen, Angela K.
Browne, Safa
Srivastava, Tuhina
Michel, Jeremy J.
Tan, Andy S. L.
Kornides, Melanie L.
author_sort Shen, Angela K.
collection PubMed
description Aspects of the COVID-19 vaccination campaign differed from routine vaccines, including emergency use authorizations, the prioritization of access, and the politicization of messaging. Subsequently, many parents reported lower vaccine confidence relative to routine vaccines, and vaccination coverage stalled below targets. This study aimed to understand parental vaccine decision making and compare COVID-19 versus routine vaccine decision making. We conducted nine virtual focus groups between 25 February 2022–11 March 2022 with parents (n = 41) of the Children’s Hospital of Philadelphia’s patients, recruited via email and stratified by vaccine hesitancy status (non-hesitant vs. hesitant). Transcripts were analyzed using the vaccine hesitancy matrix domains. Of 41 total participants, 25 (61.0%) were non-hesitant, 16 (39.0%) were hesitant or their children were not up-to-date on adolescent vaccines, and most self-identified as female (95.1%) and White/Caucasian (61.0%). Most participants (87.5%) were fully vaccinated against COVID-19 and many of their first children (n = 26, 63.4%) were vaccinated against influenza. Several themes emerged regarding decision making: individual influences, group influences, vaccine and vaccine program influences, and contextual influences. While some influences were similar for routine and COVID-19 vaccine decision making (e.g., needing evidence-based information), other factors were vaccine- or situation-specific. Building trust requires a multi-faceted concerted effort that involves addressing the complex vaccine decision-making process.
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spelling pubmed-94128252022-08-27 Factors Influencing Parental and Individual COVID-19 Vaccine Decision Making in a Pediatric Network Shen, Angela K. Browne, Safa Srivastava, Tuhina Michel, Jeremy J. Tan, Andy S. L. Kornides, Melanie L. Vaccines (Basel) Article Aspects of the COVID-19 vaccination campaign differed from routine vaccines, including emergency use authorizations, the prioritization of access, and the politicization of messaging. Subsequently, many parents reported lower vaccine confidence relative to routine vaccines, and vaccination coverage stalled below targets. This study aimed to understand parental vaccine decision making and compare COVID-19 versus routine vaccine decision making. We conducted nine virtual focus groups between 25 February 2022–11 March 2022 with parents (n = 41) of the Children’s Hospital of Philadelphia’s patients, recruited via email and stratified by vaccine hesitancy status (non-hesitant vs. hesitant). Transcripts were analyzed using the vaccine hesitancy matrix domains. Of 41 total participants, 25 (61.0%) were non-hesitant, 16 (39.0%) were hesitant or their children were not up-to-date on adolescent vaccines, and most self-identified as female (95.1%) and White/Caucasian (61.0%). Most participants (87.5%) were fully vaccinated against COVID-19 and many of their first children (n = 26, 63.4%) were vaccinated against influenza. Several themes emerged regarding decision making: individual influences, group influences, vaccine and vaccine program influences, and contextual influences. While some influences were similar for routine and COVID-19 vaccine decision making (e.g., needing evidence-based information), other factors were vaccine- or situation-specific. Building trust requires a multi-faceted concerted effort that involves addressing the complex vaccine decision-making process. MDPI 2022-08-08 /pmc/articles/PMC9412825/ /pubmed/36016165 http://dx.doi.org/10.3390/vaccines10081277 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Shen, Angela K.
Browne, Safa
Srivastava, Tuhina
Michel, Jeremy J.
Tan, Andy S. L.
Kornides, Melanie L.
Factors Influencing Parental and Individual COVID-19 Vaccine Decision Making in a Pediatric Network
title Factors Influencing Parental and Individual COVID-19 Vaccine Decision Making in a Pediatric Network
title_full Factors Influencing Parental and Individual COVID-19 Vaccine Decision Making in a Pediatric Network
title_fullStr Factors Influencing Parental and Individual COVID-19 Vaccine Decision Making in a Pediatric Network
title_full_unstemmed Factors Influencing Parental and Individual COVID-19 Vaccine Decision Making in a Pediatric Network
title_short Factors Influencing Parental and Individual COVID-19 Vaccine Decision Making in a Pediatric Network
title_sort factors influencing parental and individual covid-19 vaccine decision making in a pediatric network
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412825/
https://www.ncbi.nlm.nih.gov/pubmed/36016165
http://dx.doi.org/10.3390/vaccines10081277
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