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Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review

BACKGROUND: The acceptance of vaccination against COVID-19 among parents of young children plays a significant role in controlling the current pandemic. A wide range of factors that influence vaccine hesitancy in adults has been reported worldwide, but less attention has been given to COVID-19 vacci...

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Autores principales: Khan, Yusra Habib, Rasheed, Maria, Mallhi, Tauqeer Hussain, Salman, Muhammad, Alzarea, Abdulaziz Ibrahim, Alanazi, Abdullah Salah, Alotaibi, Nasser Hadal, Khan, Salah-Ud-Din, Alatawi, Ahmed D., Butt, Muhammad Hammad, Alzarea, Sami I., Alharbi, Khalid Saad, Alharthi, Salman S., Algarni, Majed Ahmed, Alahmari, Abdullah K., Almalki, Ziyad Saeed, Iqbal, Muhammad Shahid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731120/
https://www.ncbi.nlm.nih.gov/pubmed/36507133
http://dx.doi.org/10.3389/fped.2022.950406
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author Khan, Yusra Habib
Rasheed, Maria
Mallhi, Tauqeer Hussain
Salman, Muhammad
Alzarea, Abdulaziz Ibrahim
Alanazi, Abdullah Salah
Alotaibi, Nasser Hadal
Khan, Salah-Ud-Din
Alatawi, Ahmed D.
Butt, Muhammad Hammad
Alzarea, Sami I.
Alharbi, Khalid Saad
Alharthi, Salman S.
Algarni, Majed Ahmed
Alahmari, Abdullah K.
Almalki, Ziyad Saeed
Iqbal, Muhammad Shahid
author_facet Khan, Yusra Habib
Rasheed, Maria
Mallhi, Tauqeer Hussain
Salman, Muhammad
Alzarea, Abdulaziz Ibrahim
Alanazi, Abdullah Salah
Alotaibi, Nasser Hadal
Khan, Salah-Ud-Din
Alatawi, Ahmed D.
Butt, Muhammad Hammad
Alzarea, Sami I.
Alharbi, Khalid Saad
Alharthi, Salman S.
Algarni, Majed Ahmed
Alahmari, Abdullah K.
Almalki, Ziyad Saeed
Iqbal, Muhammad Shahid
author_sort Khan, Yusra Habib
collection PubMed
description BACKGROUND: The acceptance of vaccination against COVID-19 among parents of young children plays a significant role in controlling the current pandemic. A wide range of factors that influence vaccine hesitancy in adults has been reported worldwide, but less attention has been given to COVID-19 vaccination among children. Vaccine hesitancy is considered a major challenge in achieving herd immunity, and it is more challenging among parents as they remain deeply concerned about their child’s health. In this context, a systematic review of the current literature is inevitable to assess vaccine hesitancy among parents of young children to ensure a successful ongoing vaccination program. METHOD: A systematic search of peer-reviewed English literature indexed in Google Scholar, PubMed, Embase, and Web of science was performed using developed keywords between 1 January 2020 and August 2022. This systematic review included only those studies that focused on parental concerns about COVID-19 vaccines in children up to 12 years without a diagnosis of COVID-19. Following PRISMA guidelines, a total of 108 studies were included. The quality appraisal of the study was performed by Newcastle–Ottawa Scale (NOS). RESULTS: The results of 108 studies depict that vaccine hesitancy rates differed globally with a considerably large number of factors associated with it. The highest vaccine hesitancy rates among parents were reported in a study from the USA (86.1%) and two studies from Saudi Arabia (>85%) and Turkey (89.6%). Conversely, the lowest vaccine hesitancy rates ranging from 0.69 and 2% were found in two studies from South Africa and Switzerland, respectively. The largest study (n = 227,740) was conducted in Switzerland while the smallest sample size (n = 12) was represented by a study conducted in the USA. The most commonly reported barriers to childhood vaccination were mothers’ lower education level (N = 46/108, 43%), followed by financial instability (N = 19/108, 18%), low confidence in new vaccines (N = 13/108, 12%), and unmonitored social media platforms (N = 5/108, 4.6%). These factors were significantly associated with vaccine refusal among parents. However, the potential facilitators for vaccine uptake among respondents who intended to have their children vaccinated include higher education level (N = 12/108, 11%), followed by information obtained through healthcare professionals (N = 9/108, 8.3%) and strong confidence in preventive measures taken by the government (N = 5/81, 4.6%). CONCLUSION: This review underscores that parents around the globe are hesitant to vaccinate their kids against COVID-19. The spectrum of factors associated with vaccine hesitancy and uptake varies across the globe. There is a dire need to address vaccine hesitancy concerns regarding the efficacy and safety of approved vaccines. Local context is inevitable to take into account while developing programs to reduce vaccine hesitancy. There is a dire need to devise strategies to address vaccine hesitancy among parents through the identification of attributing factors.
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spelling pubmed-97311202022-12-09 Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review Khan, Yusra Habib Rasheed, Maria Mallhi, Tauqeer Hussain Salman, Muhammad Alzarea, Abdulaziz Ibrahim Alanazi, Abdullah Salah Alotaibi, Nasser Hadal Khan, Salah-Ud-Din Alatawi, Ahmed D. Butt, Muhammad Hammad Alzarea, Sami I. Alharbi, Khalid Saad Alharthi, Salman S. Algarni, Majed Ahmed Alahmari, Abdullah K. Almalki, Ziyad Saeed Iqbal, Muhammad Shahid Front Pediatr Pediatrics BACKGROUND: The acceptance of vaccination against COVID-19 among parents of young children plays a significant role in controlling the current pandemic. A wide range of factors that influence vaccine hesitancy in adults has been reported worldwide, but less attention has been given to COVID-19 vaccination among children. Vaccine hesitancy is considered a major challenge in achieving herd immunity, and it is more challenging among parents as they remain deeply concerned about their child’s health. In this context, a systematic review of the current literature is inevitable to assess vaccine hesitancy among parents of young children to ensure a successful ongoing vaccination program. METHOD: A systematic search of peer-reviewed English literature indexed in Google Scholar, PubMed, Embase, and Web of science was performed using developed keywords between 1 January 2020 and August 2022. This systematic review included only those studies that focused on parental concerns about COVID-19 vaccines in children up to 12 years without a diagnosis of COVID-19. Following PRISMA guidelines, a total of 108 studies were included. The quality appraisal of the study was performed by Newcastle–Ottawa Scale (NOS). RESULTS: The results of 108 studies depict that vaccine hesitancy rates differed globally with a considerably large number of factors associated with it. The highest vaccine hesitancy rates among parents were reported in a study from the USA (86.1%) and two studies from Saudi Arabia (>85%) and Turkey (89.6%). Conversely, the lowest vaccine hesitancy rates ranging from 0.69 and 2% were found in two studies from South Africa and Switzerland, respectively. The largest study (n = 227,740) was conducted in Switzerland while the smallest sample size (n = 12) was represented by a study conducted in the USA. The most commonly reported barriers to childhood vaccination were mothers’ lower education level (N = 46/108, 43%), followed by financial instability (N = 19/108, 18%), low confidence in new vaccines (N = 13/108, 12%), and unmonitored social media platforms (N = 5/108, 4.6%). These factors were significantly associated with vaccine refusal among parents. However, the potential facilitators for vaccine uptake among respondents who intended to have their children vaccinated include higher education level (N = 12/108, 11%), followed by information obtained through healthcare professionals (N = 9/108, 8.3%) and strong confidence in preventive measures taken by the government (N = 5/81, 4.6%). CONCLUSION: This review underscores that parents around the globe are hesitant to vaccinate their kids against COVID-19. The spectrum of factors associated with vaccine hesitancy and uptake varies across the globe. There is a dire need to address vaccine hesitancy concerns regarding the efficacy and safety of approved vaccines. Local context is inevitable to take into account while developing programs to reduce vaccine hesitancy. There is a dire need to devise strategies to address vaccine hesitancy among parents through the identification of attributing factors. Frontiers Media S.A. 2022-11-24 /pmc/articles/PMC9731120/ /pubmed/36507133 http://dx.doi.org/10.3389/fped.2022.950406 Text en Copyright © 2022 Khan, Rasheed, Mallhi, Salman, Alzarea, Alanazi, Alotaibi, Khan, Alatawi, Butt, Alzarea, Alharbi, Alharthi, Algarni, Alahmari, Almalki and Iqbal. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Khan, Yusra Habib
Rasheed, Maria
Mallhi, Tauqeer Hussain
Salman, Muhammad
Alzarea, Abdulaziz Ibrahim
Alanazi, Abdullah Salah
Alotaibi, Nasser Hadal
Khan, Salah-Ud-Din
Alatawi, Ahmed D.
Butt, Muhammad Hammad
Alzarea, Sami I.
Alharbi, Khalid Saad
Alharthi, Salman S.
Algarni, Majed Ahmed
Alahmari, Abdullah K.
Almalki, Ziyad Saeed
Iqbal, Muhammad Shahid
Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review
title Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review
title_full Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review
title_fullStr Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review
title_full_unstemmed Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review
title_short Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review
title_sort barriers and facilitators of childhood covid-19 vaccination among parents: a systematic review
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731120/
https://www.ncbi.nlm.nih.gov/pubmed/36507133
http://dx.doi.org/10.3389/fped.2022.950406
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