Parental Perspectives on Immunizations: Impact of the COVID-19 Pandemic on Childhood Vaccine Hesitancy.

Parental Perspectives on Immunizations: Impact of the COVID-19 Pandemic on Childhood Vaccine Hesitancy.
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DOI:
10.1007/s10900-021-01017-9
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发表时间:
2022-03
影响因子:
5.9
通讯作者:
Anand V
Anand V
中科院分区:
医学4区
文献类型:
--
作者:
He K;Mack WJ;Neely M;Lewis L;Anand V

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在2019冠状病毒病大流行之前,人们对儿童疫苗犹豫进行了广泛研究。这场大流行给儿科疫苗接种带来了新的障碍。此外,COVID-19疫苗的开发存在导致疫苗犹豫的复杂因素。我们在洛杉矶儿童医院进行了一项基于移动的电话的横断面调查,询问父母在大流行之前和期间对疫苗的看法。我们的主要目的是了解大流行对常规儿童疫苗犹豫的影响。其次,我们研究了接种疫苗的意愿、对COVID-19疫苗的犹豫以及关键的人口因素。在252名参与者中,我们发现在COVID-19大流行期间,儿童疫苗犹豫总体增加(p = 0.006),风险感知增加(p = 0.006),疫苗信心不变。增加的犹豫并没有转化为减少接种常规儿童疫苗或流感疫苗的意图。在大流行期间,收入较高的家庭(50-99 K,> 100 K)与常规儿童疫苗犹豫减少相关,而西班牙裔和非裔美国人种族的风险感知增加。对于COVID-19疫苗犹豫,收入较高(> 100 K)的家庭与犹豫减少相关,而非白人种族和种族的风险感知增加。我们发现,在COVID-19大流行期间,常规儿童疫苗犹豫增加,主要是由于风险认知增加。儿童疫苗犹豫和COVID-19疫苗犹豫背后的关键人口因素包括家庭收入和种族。了解常规儿童疫苗犹豫背后的因素对于在COVID-19大流行期间和之后保持儿童疫苗接种率和提高疫苗信心至关重要。
Childhood vaccine hesitancy has been studied extensively before the COVID-19 pandemic. The pandemic presented new barriers to pediatric vaccinations. Furthermore, the development of COVID-19 vaccines has complicated factors underlying vaccine hesitancy. We performed a cross-sectional mobile phone-based survey at Children’s Hospital Los Angeles querying parents regarding perspectives on vaccines before and during the pandemic. Our primary aim was to understand the impact of the pandemic on routine childhood vaccine hesitancy. Secondarily, we examined intent to vaccinate, COVID-19 vaccine hesitancy, and key contributing demographic factors. Among 252 participants, we found overall increased childhood vaccine hesitancy (p = 0.006), increased risk perception (p = 0.006), and unchanged vaccine confidence during the COVID-19 pandemic. Increased hesitancy did not translate into decreased intent to vaccinate with routine childhood vaccines or influenza vaccines. During the pandemic, households with higher income (50–99 K, > 100 K) correlated with decreased routine childhood vaccine hesitancy, while Hispanic ethnicity and African American race had increased risk perception. For COVID-19 vaccine hesitancy, households with higher income (> 100 K) correlated with decreased hesitancy, while non-White ethnicity and race had increased risk perception. We found that routine childhood vaccine hesitancy increased during the COVID-19 pandemic, mainly due to increased risk perception. Key contributing demographic factors behind both childhood vaccine hesitancy and COVID-19 vaccine hesitancy included household income and race. Understanding factors behind routine childhood vaccine hesitancy is crucial to maintaining pediatric vaccination rates and promoting vaccine confidence during and after the COVID-19 pandemic.
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