Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada.
Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada.
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DOI：
10.1016/j.vaccine.2021.10.077
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发表时间：
2021-12-03
期刊：
影响因子：
5.5
通讯作者：
Zinszer K
中科院分区：
文献类型：
--
作者：
McKinnon B;Quach C;Dubé È;Tuong Nguyen C;Zinszer K
当前和未来针对儿童和青少年的COVID-19疫苗运动的成功在一定程度上取决于父母接受疫苗接种的意愿。本研究调查了儿童和青少年父母接受和接种COVID-19疫苗的社会决定因素。我们使用了加拿大蒙特利尔正在进行的一项COVID-19队列研究的横断面数据，并纳入了所有2至18岁儿童的父母，他们在2021年5月18日至6月26日期间完成了一份在线问卷（n = 809）。我们根据父母教育程度、种族/民族、出生地、家庭收入和社区计算了儿童年龄调整后的疫苗接受率估计值，并使用多项逻辑回归来估计调整后的患病率差异（aPD）和比率（aPR）。对12至18岁的疫苗合格样本（n = 306）进行了疫苗接种的社会决定因素检查。儿童接种COVID-19疫苗的意愿很高，只有12.4%的父母不太可能让孩子接种疫苗。孩子年龄较小的父母不太可能接受疫苗接种，来自低收入家庭、种族化群体和出生在加拿大以外的人也是如此。与年收入≥15万美元的家庭相比，来自年收入< 10万美元家庭的儿童接种疫苗/很可能接种疫苗的患病率低18.4% （95% CI: 10.1至26.7）。与白人父母相比，种族化的父母更不愿意接种疫苗（aPD = 10.3; 95% CI: 1.5, 19.1）。来自最贫困社区的符合疫苗条件的青少年接种疫苗的可能性是来自最贫困社区的青少年的一半（aPR = 0.48; 95% CI: 0.18至0.77）。解释。该研究发现，儿童和青少年在接受和接种COVID-19疫苗方面存在明显的社会不平等。需要努力为弱势和边缘化人群提供量身定制的战略，以促进知情决策和便利获得疫苗接种。
The success of current and prospective COVID-19 vaccine campaigns for children and adolescents will in part depend on the willingness of parents to accept vaccination. This study examined social determinants of parental COVID-19 vaccine acceptance and uptake for children and adolescents. We used cross-sectional data from an ongoing COVID-19 cohort study in Montreal, Canada and included all parents of 2 to 18-year-olds who completed an online questionnaire between May 18 and June 26, 2021 (n = 809). We calculated child age-adjusted prevalence estimates of vaccine acceptance by parental education, race/ethnicity, birthplace, household income, and neighbourhood, and used multinomial logistic regression to estimate adjusted prevalence differences (aPD) and ratios (aPR). Social determinants of vaccine uptake were examined for the vaccine-eligible sample of 12 to 18 year-olds (n = 306). Intention to vaccinate children against COVID-19 was high, with only 12.4% of parents unlikely to have their child vaccinated. Parents with younger children were less likely to accept vaccination, as were those from lower-income households, racialized groups, and those born outside Canada. Children from households with annual incomes <$100,000 had 18.4 percent lower prevalence of being vaccinated/very likely vaccinated compared to household incomes ≥$150,000 (95% CI: 10.1 to 26.7). Racialized parents reported greater unwillingness to vaccinate vs. White parents (aPD = 10.3; 95% CI: 1.5, 19.1). Vaccine-eligible adolescents from the most deprived neighbourhood were half as likely to be vaccinated compared to those from the least deprived neighbourhood (aPR = 0.48; 95% CI: 0.18 to 0.77). Interpretation. This study identified marked social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents. Efforts are needed to reach disadvantaged and marginalized populations with tailored strategies that promote informed decision making and facilitate access to vaccination.
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影响因子：
2.9
作者：
Zinszer K;McKinnon B;Bourque N;Zahreddine M;Charland K;Papenburg J;Fortin G;Hamelin MÈ;Saucier A;Apostolatos A;Pierce L;Savard-Lamothe A;Carbonneau J;Conrod P;Haley N;Laurin I;Boivin G;De Serres G;Quach C
通讯作者：
Quach C
影响因子：
4.8
作者：
Norton, Edward C.;Miller, Morgen M.;Kleinman, Lawrence C.
通讯作者：
Kleinman, Lawrence C.
影响因子：
4.8
作者：
Guay, Maryse;Gosselin, Virginie;Gagneur, Arnaud
通讯作者：
Gagneur, Arnaud
DOI：
10.1016/j.jpeds.2020.11.002
发表时间：
2021-04
期刊：
The Journal of pediatrics
影响因子：
--
作者：
Zimet GD;Silverman RD;Fortenberry JD
通讯作者：
Fortenberry JD
影响因子：
6.3
作者：
Marlow LA;Wardle J;Forster AS;Waller J
通讯作者：
Waller J