Canadian parents' perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a cross-sectional national survey.
Canadian parents' perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a cross-sectional national survey.
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DOI：
10.1016/j.vaccine.2021.10.002
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发表时间：
2021-12-20
期刊：
影响因子：
5.5
通讯作者：
MacDonald SE
中科院分区：
文献类型：
--
作者：
Humble RM;Sell H;Dubé E;MacDonald NE;Robinson J;Driedger SM;Sadarangani M;Meyer SB;Wilson S;Benzies KM;Lemaire-Paquette S;MacDonald SE
为儿童（≤ 17 岁）接种疫苗对于控制 COVID-19 大流行非常重要。由于父母是孩子的主要决策者，我们旨在评估父母对孩子接种 COVID-19 疫苗的看法和意图，包括一些服务不足的人群（例如新移民、原住民和明显少数群体）。 2020 年 12 月，正当 COVID-19 疫苗被批准用于成人时，我们对加拿大家长进行了一项横断面全国调查，以评估为孩子（0-17 岁）接种 COVID-19 疫苗的意愿、对 COVID-19 疾病和疫苗的看法、之前接种流感和常规疫苗的情况以及社会人口特征。使用二项式逻辑回归来评估父母缺乏为孩子接种 COVID-19 疫苗的意愿与各种自变量之间的关联。 63% 的家长 (1074/1702) 打算为孩子接种 COVID-19 疫苗。那些兼职工作的人（与全职相比）为孩子接种疫苗的意愿较低（aOR = 1.73，95% CI：1.06–2.84），而那些说英语、法语或土著语言以外语言的人的意愿较低的可能性较小（aOR = 0.55，95% CI：0.32–0.92）。低疫苗接种意愿还与大流行前未接种流感疫苗的儿童有关（aOR = 1.51，95% CI：1.04–2.21），父母对自己接种 COVID-19 疫苗的意愿低（aOR = 9.22，95% CI：6.43–13.34），认为没有必要接种 COVID-19（aOR = 2.59，95% CI： 1.72–3.91）或不安全（aOR = 4.21，95% CI：2.96–5.99），并反对未经事先测试就在儿童中使用 COVID-19 疫苗（aOR = 3.09，95% CI：1.87–5.24）。与常规儿童疫苗相比，通过之前有关流感疫苗接种的决定以及对 COVID-19 疫苗相关因素的其他看法，可以更好地预测父母为其孩子接种 COVID-19 疫苗的意愿。公共宣传应强调儿童接种 COVID-19 疫苗的安全性和必要性，以支持恢复正常活动。进一步的研究应评估儿童（尤其是服务不足的人群）实际接种 COVID-19 疫苗的情况。
Vaccinating children (≤17 years old) is important for controlling the COVID-19 pandemic. As parents are primary decision makers for their children, we aimed to assess parents’ perceptions and intentions regarding COVID-19 vaccination for their children, including for some underserved populations (e.g., newcomers, Indigenous peoples, and visible minority groups). We conducted a cross-sectional national survey of Canadian parents in December 2020, just as COVID-19 vaccines were approved for adults, to assess intention to vaccinate their children (aged 0–17 years) against COVID-19, perceptions of COVID-19 disease and vaccines, previous uptake of influenza and routine vaccines, and sociodemographic characteristics. Binomial logistic regression was used to assess the association between parents' lack of COVID-19 vaccination intention for their children and various independent variables. Sixty-three percent of parents (1074/1702) intended to vaccinate their children against COVID-19. Those employed part-time (compared to full-time) had lower intention to vaccinate their children (aOR = 1.73, 95% CI: 1.06–2.84), while those who spoke languages other than English, French, or Indigenous languages were less likely to have low intention (aOR = 0.55, 95% CI: 0.32–0.92). Low vaccination intention was also associated with children not receiving influenza vaccine pre-pandemic (aOR = 1.51, 95% CI: 1.04–2.21), parents having low intention to vaccinate themselves against COVID-19 (aOR = 9.22, 95% CI: 6.43–13.34), believing COVID-19 vaccination is unnecessary (aOR = 2.59, 95% CI: 1.72–3.91) or unsafe (aOR = 4.21, 95% CI: 2.96–5.99), and opposing COVID-19 vaccine use in children without prior testing (aOR = 3.09, 95% CI: 1.87–5.24). Parents’ COVID-19 vaccination intentions for their children are better predicted by previous decisions regarding influenza vaccination than routine childhood vaccines, and other perceptions of COVID-19 vaccine-related factors. Public communication should highlight the safety and necessity of COVID-19 vaccination in children to support a return to normal activities. Further research should assess actual COVID-19 vaccination uptake in children, particularly for underserved populations.
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