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Parental attitudes in the pediatric emergency department about the COVID-19 vaccine

BACKGROUND: COVID-19 vaccinations are now recommended in the United States (U.S.) for children ≥ 6 months old. However, pediatric vaccination rates remain low, particularly in the Hispanic/Latinx population. OBJECTIVE: Using the 4C vaccine hesitancy framework (calculation, complacency, confidence, c...

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Autores principales: Schiff, Jared, Schmidt, Anita R., Pham, Phung K., Pérez, Jocelyn B., Pannaraj, Pia S., Chaudhari, Pradip P., Liberman, Danica B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9597585/
https://www.ncbi.nlm.nih.gov/pubmed/36344362
http://dx.doi.org/10.1016/j.vaccine.2022.10.046
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author Schiff, Jared
Schmidt, Anita R.
Pham, Phung K.
Pérez, Jocelyn B.
Pannaraj, Pia S.
Chaudhari, Pradip P.
Liberman, Danica B.
author_facet Schiff, Jared
Schmidt, Anita R.
Pham, Phung K.
Pérez, Jocelyn B.
Pannaraj, Pia S.
Chaudhari, Pradip P.
Liberman, Danica B.
author_sort Schiff, Jared
collection PubMed
description BACKGROUND: COVID-19 vaccinations are now recommended in the United States (U.S.) for children ≥ 6 months old. However, pediatric vaccination rates remain low, particularly in the Hispanic/Latinx population. OBJECTIVE: Using the 4C vaccine hesitancy framework (calculation, complacency, confidence, convenience), we examined parental attitudes in the emergency department (ED) towards COVID-19 vaccination, identified dimensions of parental vaccine hesitancy, and assessed parental willingness to have their child receive the COVID-19 vaccine. METHODS: As part of a larger multi-methods study examining influenza vaccine hesitancy, we conducted interviews that included questions about COVID-19 vaccine authorization for children. We used directed content analysis to extract qualitative themes from 3 groups of parents in the ED: Hispanic/Latinx Spanish speaking (HS), Hispanic/Latinx English speaking (HE), non-Hispanic/non-Latinx White English speaking (WE). Themes were triangulated with the Parent Attitudes about Childhood Vaccines (PACV) survey, where higher scores indicate increased vaccine hesitancy. RESULTS: Factors influencing vaccine hesitancy were mapped to the 4C framework from 58 sets of interviews and PACVs. HE and HS parents, compared to WE parents, had less knowledge about COVID-19 and its vaccine, and more beliefs in COVID-19 vaccine myths. However, both HS and HE parent groups were more inclined to endorse COVID-19 vaccine effectiveness as a reason to have their children vaccinated. HS parents felt that COVID-19 increased their fear of illnesses in general and were worried about confusing COVID-19 with other infections. Median PACV scores of HS (Mdn = 20) and HE (Mdn = 20) parent groups were higher than of WE parents (Mdn = 10), but parental willingness to have their child receive COVID-19 vaccination was similar across groups. CONCLUSIONS: Higher COVID-19 vaccine hesitancy among HS and HE parents compared to WE parents may be attributed to insufficient knowledge about COVID-19, its vaccine, along with COVID-19 vaccine myths. Efforts to provide targeted vaccine education to different populations is warranted.
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spelling pubmed-95975852022-10-26 Parental attitudes in the pediatric emergency department about the COVID-19 vaccine Schiff, Jared Schmidt, Anita R. Pham, Phung K. Pérez, Jocelyn B. Pannaraj, Pia S. Chaudhari, Pradip P. Liberman, Danica B. Vaccine Article BACKGROUND: COVID-19 vaccinations are now recommended in the United States (U.S.) for children ≥ 6 months old. However, pediatric vaccination rates remain low, particularly in the Hispanic/Latinx population. OBJECTIVE: Using the 4C vaccine hesitancy framework (calculation, complacency, confidence, convenience), we examined parental attitudes in the emergency department (ED) towards COVID-19 vaccination, identified dimensions of parental vaccine hesitancy, and assessed parental willingness to have their child receive the COVID-19 vaccine. METHODS: As part of a larger multi-methods study examining influenza vaccine hesitancy, we conducted interviews that included questions about COVID-19 vaccine authorization for children. We used directed content analysis to extract qualitative themes from 3 groups of parents in the ED: Hispanic/Latinx Spanish speaking (HS), Hispanic/Latinx English speaking (HE), non-Hispanic/non-Latinx White English speaking (WE). Themes were triangulated with the Parent Attitudes about Childhood Vaccines (PACV) survey, where higher scores indicate increased vaccine hesitancy. RESULTS: Factors influencing vaccine hesitancy were mapped to the 4C framework from 58 sets of interviews and PACVs. HE and HS parents, compared to WE parents, had less knowledge about COVID-19 and its vaccine, and more beliefs in COVID-19 vaccine myths. However, both HS and HE parent groups were more inclined to endorse COVID-19 vaccine effectiveness as a reason to have their children vaccinated. HS parents felt that COVID-19 increased their fear of illnesses in general and were worried about confusing COVID-19 with other infections. Median PACV scores of HS (Mdn = 20) and HE (Mdn = 20) parent groups were higher than of WE parents (Mdn = 10), but parental willingness to have their child receive COVID-19 vaccination was similar across groups. CONCLUSIONS: Higher COVID-19 vaccine hesitancy among HS and HE parents compared to WE parents may be attributed to insufficient knowledge about COVID-19, its vaccine, along with COVID-19 vaccine myths. Efforts to provide targeted vaccine education to different populations is warranted. Elsevier Ltd. 2022-11-28 2022-10-26 /pmc/articles/PMC9597585/ /pubmed/36344362 http://dx.doi.org/10.1016/j.vaccine.2022.10.046 Text en © 2022 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Schiff, Jared
Schmidt, Anita R.
Pham, Phung K.
Pérez, Jocelyn B.
Pannaraj, Pia S.
Chaudhari, Pradip P.
Liberman, Danica B.
Parental attitudes in the pediatric emergency department about the COVID-19 vaccine
title Parental attitudes in the pediatric emergency department about the COVID-19 vaccine
title_full Parental attitudes in the pediatric emergency department about the COVID-19 vaccine
title_fullStr Parental attitudes in the pediatric emergency department about the COVID-19 vaccine
title_full_unstemmed Parental attitudes in the pediatric emergency department about the COVID-19 vaccine
title_short Parental attitudes in the pediatric emergency department about the COVID-19 vaccine
title_sort parental attitudes in the pediatric emergency department about the covid-19 vaccine
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9597585/
https://www.ncbi.nlm.nih.gov/pubmed/36344362
http://dx.doi.org/10.1016/j.vaccine.2022.10.046
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