COVID-19 vaccination in urban American Indian and Alaska Native children: Parental characteristics, beliefs and attitudes associated with vaccine acceptance.
COVID-19 vaccination in urban American Indian and Alaska Native children: Parental characteristics, beliefs and attitudes associated with vaccine acceptance.
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DOI：
10.1016/j.jvacx.2023.100406
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发表时间：
2023-12
期刊：
影响因子：
3.8
通讯作者：
MacLehose, Richard
中科院分区：
文献类型：
--
作者：
Collier, Ann Futterman;Schaefer, Krista R.;Uddin, Azhar;Noonan, Carolyn;Dillard, Denise A.;Son-Stone, Linda;Manson, Spero M.;Buchwald, Dedra;MacLehose, Richard
关键词：
美国城市印第安人/阿拉斯加原住民父母让他们的孩子接种COVID-19疫苗的比例与美国其他人群一致。接种疫苗儿童的父母年龄较大，受过高等教育，压力和创伤较小，更有可能接种疫苗。与缺乏疫苗接受度相关的四个主要原因是：不信任、缺乏关注、不便和AI/AN担忧。对疫苗不信任和AI/AN担忧的父母报告了更大的创伤和更高的教育程度。关于美国印第安人和阿拉斯加原住民（AI/AN）父母及其子女的疫苗接种率或父母在这方面的决定，人们知之甚少。由于AI/AN人群中COVID-19的发病率和发病率不成比例，提高疫苗接种率是一个严重问题。我们的目标是描述与其子女接种COVID-19疫苗相关的城市AI/AN父母属性。调查参与者（n = 572）年龄≥18岁，有≥5岁的儿童，AI/AN，并在前一年内主要为AI/AN人群服务的六个城市卫生组织之一。他们被问及性别、年龄、教育程度、婚姻状况、感知压力、创伤史、是否接种过COVID-19疫苗、过去COVID-19检测呈阳性以及他们的孩子是否接种过疫苗。他们还被问及16种疫苗犹豫的原因。父母接种率为82%，其子女接种率为59%。与未给孩子接种疫苗的父母相比，给孩子接种疫苗的父母年龄较大，受教育程度较高，压力和创伤较小，更有可能接种疫苗。42%的父母表示他们将来可能会为未接种疫苗的孩子接种疫苗。16个疫苗犹豫的原因揭示了四个因素：不信任，不便，缺乏对大流行的关注，和AI/AN的关注。没有计划给孩子接种疫苗的父母对疫苗的不信任程度最高，对大流行缺乏关注。对疫苗不信任和对AI/AN特别关注的父母报告了更大的创伤史和更高的教育水平。尽管AI/AN父母和儿童的疫苗接种率很高，但COVID-19对AI/AN人群的后果比其他美国人群更严重。提供者在与AI/AN父母讨论疫苗接种选择时，应使用创伤信息，建立信任和文化能力的沟通。
Urban American Indian/Alaska Native parents had their children vaccinated against COVID-19 at rates consistent with other US populations. Parents of vaccinated children were older, had higher education, lower stress and trauma, and were more likely to be vaccinated. The four main reasons associated with a lack of vaccine acceptance were: distrust, lack of concern, inconvenience, and AI/AN concerns. Parents with greater vaccine distrust and AI/AN concerns reported greater trauma and higher education. Little is known about vaccination rates for American Indian and Alaska Native (AI/AN) parents and their children, or parental decisions in this regard. Improving vaccination rates is a serious concern due to the disproportionate incidence and morbidity of COVID-19 in AI/AN people. Our goal was to describe urban AI/AN parental attributes associated with COVID-19 vaccination of their children. Survey participants (n = 572) were ≥18 years of age, had children ≥5 years of age, AI/AN, and seen at one of six urban health organizations serving primarily AI/AN people within the prior year. They were asked about gender, age, education, marital status, perceived stress, trauma history, whether they had received the COVID-19 vaccine, tested positive for COVID-19 in the past, and if their child was vaccinated. They were also asked about 16 vaccine hesitancy reasons. Parental vaccination rate was 82%, with 59% of their children vaccinated. Parents who vaccinated their children were older, had higher education, lower stress and trauma, and were more likely to be vaccinated compared to parents who did not vaccinate their children. Forty-two percent of parents indicated they would likely vaccinate their unvaccinated child in the future. Sixteen vaccine hesitancy reasons revealed four factors: distrust, inconvenience, lack of concern about the pandemic, and AI/AN concerns. Parents who had no plans to vaccinate their children had the highest vaccine distrust and lack of concern about the pandemic. Parents with greater vaccine distrust and AI/AN specific concern reported significantly greater trauma history and higher levels of education. Even though vaccination rates for AI/AN parents and children are high, the consequences of COVID-19 for AI/AN people are more severe than for other US populations. Providers should use trauma-informed, trust-building and culturally competent communication when discussing choices about vaccination with AI/AN parents.
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