A qualitative study exploring the relationship between mothers' vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic months.

Vaccine hesitancy is a top ten global health threat that can negatively impact COVID-19 vaccine uptake. It is assumed that vaccine refusers hold deep, negative beliefs, while acceptors hold strong, positive beliefs. However, vaccine hesitancy exists along a continuum and is multidimensional, varying by time, place, vaccine, subgroup, and person. Guided by the Health Belief Model and vaccine hesitancy frameworks, the study purpose was to qualitatively explore maternal COVID-19 threat perceptions and willingness to accept a COVID-19 vaccine in light of their expressed vaccine hesitancy toward past school required and routinely recommended vaccines and the HPV vaccine for their children. Researchers conducted twenty-five interviews with US Midwestern mothers during the early COVID-19 pandemic months. Mothers were grouped by vaccine hesitancy categories and thematic analysis was used to analyze the data within and across categories. Results showed that prior vaccine hesitancy attitudes and behavior did not fully capture maternal acceptance of COVID-19 vaccine or perception of COVID-19 threat. Perceptions of COVID-19 threat did influence mothers' decisions about COVID-19 protective behaviors (e.g., handwashing, mask wearing, and distancing). However, mothers were hesitant to accept the COVID-19 vaccine across vaccine hesitancy categories, primarily citing concerns about safety, efficacy, and confusion over conflicting information as barriers to immediate COVID-19 vaccine acceptance. Findings indicate that mothers cannot be grouped together based on hesitancy about, or acceptance of, other vaccines for purposes of assuming COVID-19 preventive behavior adherence or anticipated COVID-19 vaccine acceptance.

Mothers’ Sources and Strategies for Managing COVID-19 Uncertainties during the Early Pandemic Months

The COVID-19 pandemic presents unprecedented challenges and uncertainties for families. Guided by uncertainty management theory, this study qualitatively explored mothers’ sources of COVID-related uncertainties for their older children and the strategies used to manage their uncertainties. Twenty-five mothers in the U.S. Midwest were interviewed by telephone between March-May 2020 during the early pandemic months. Data indicated four sources of uncertainty: adjustment, threat of COVID-19, COVID-19 information, and social interaction. Protective behaviors used to manage threat of COVID-19 uncertainties (e.g., social distancing and isolation) sometimes unleashed further uncertainties about social interactions with others that mothers were still attempting to manage. The findings suggest theoretical implications of uncertainty management theory as it applies to COVID-19 and practical implications for empowering mothers with tools for support and health literacy skills to understand and act on credible COVID-19 information. [ABSTRACT FROM AUTHOR] Copyright of Journal of Family Communication is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)