Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey.
Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey.
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DOI：
10.1016/j.vaccine.2020.09.084
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发表时间：
2020-11-10
期刊：
影响因子：
5.5
通讯作者：
International COVID-19 Parental Attitude Study (COVIPAS) Group
中科院分区：
文献类型：
--
作者：
Goldman RD;Yan TD;Seiler M;Parra Cotanda C;Brown JC;Klein EJ;Hoeffe J;Gelernter R;Hall JE;Davis AL;Griffiths MA;Mater A;Manzano S;Gualco G;Shimizu N;Hurt TL;Ahmed S;Hansen M;Sheridan D;Ali S;Thompson GC;Gaucher N;Staubli G;International COVID-19 Parental Attitude Study (COVIPAS) Group
大约三分之二的护理人员打算为孩子接种 COVID-19 疫苗。接受的最常见原因是保护孩子。拒绝的最常见原因是疫苗的新颖性。儿童年龄、慢性疾病、疫苗接种史影响意愿。照顾者性别、疫苗接种史、对感染的担忧都会影响意愿。自 2020 年 1 月发布 SARS-CoV-2 基因序列以来，已有 100 多种候选 COVID-19 疫苗正在开发中。儿童接种 COVID-19 疫苗将有助于限制疾病的传播，因为群体免疫可能需要疫苗覆盖率高达 80%。 2009 年 H1N1 流感大流行期间，美国儿童此前的大流行疫苗覆盖率低至 40%。调查与全球护理人员在疫苗可用时为其孩子接种 COVID-19 疫苗的意愿相关的预测因素。一项国际横断面调查，调查对象为 2020 年 3 月 26 日至 5 月 31 日期间带着孩子来到六个国家的 16 个儿科急诊室 (ED) 的 1541 名护理人员。65% (n = 1005) 的护理人员表示，一旦有疫苗可用，他们打算为孩子接种 COVID-19 疫苗。一项单变量和随后的多变量分析发现，预期摄入量的增加与年龄较大的儿童、没有慢性疾病的儿童、父亲完成调查时、儿童了解最新的疫苗接种计划、最近的流感疫苗接种史以及护理人员在急诊室完成调查时担心他们的孩子患有 COVID-19 相关。打算接种疫苗的看护者报告的最常见原因是保护孩子（62%），而拒绝接种疫苗的看护者报告的最常见原因是疫苗的新颖性（52%）。大多数看护者打算为孩子接种 COVID-19 疫苗，尽管接种情况可能与儿童和看护者人口统计数据以及疫苗接种史等特定因素有关。公共卫生战略需要提供有关即将推出的 COVID-19 疫苗的安全性和有效性的证据，强调儿童感染的风险和后果，并对护理人员进行有关疫苗接种作用的教育，以解决接种障碍。
About two thirds of caregivers intend to vaccinate their children against COVID-19. Most common reason for acceptance was to protect the child. Most common reason for refusal was the vaccine’s novelty. Child age, chronic illness, vaccination history affects willingness. Caregiver gender, vaccination history, concern about infection affect willingness. More than 100 COVID-19 vaccine candidates are in development since the SARS-CoV-2 genetic sequence was published in January 2020. The uptake of a COVID-19 vaccine among children will be instrumental in limiting the spread of the disease as herd immunity may require vaccine coverage of up to 80% of the population. Prior history of pandemic vaccine coverage was as low as 40% among children in the United States during the 2009 H1N1 influenza pandemic. To investigate predictors associated with global caregivers’ intent to vaccinate their children against COVID-19, when the vaccine becomes available. An international cross sectional survey of 1541 caregivers arriving with their children to 16 pediatric Emergency Departments (ED) across six countries from March 26 to May 31, 2020. 65% (n = 1005) of caregivers reported that they intend to vaccinate their child against COVID-19, once a vaccine is available. A univariate and subsequent multivariate analysis found that increased intended uptake was associated with children that were older, children with no chronic illness, when fathers completed the survey, children up-to-date on their vaccination schedule, recent history of vaccination against influenza, and caregivers concerned their child had COVID-19 at the time of survey completion in the ED. The most common reason reported by caregivers intending to vaccinate was to protect their child (62%), and the most common reason reported by caregivers refusing vaccination was the vaccine’s novelty (52%). The majority of caregivers intend to vaccinate their children against COVID-19, though uptake will likely be associated with specific factors such as child and caregiver demographics and vaccination history. Public health strategies need to address barriers to uptake by providing evidence about an upcoming COVID-19 vaccine’s safety and efficacy, highlighting the risks and consequences of infection in children, and educating caregivers on the role of vaccination.
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