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Medical factors associated with caregiver intention to vaccinate their children against COVID-19.
Phan, Thao-Ly T; Enlow, Paul T; Wong, Michael K; Lewis, Amanda M; Kazak, Anne E; Miller, Jonathan M.
  • Phan TT; Nemours Center for Healthcare Delivery Science, 1600 Rockland Rd, Wilmington, DE 19803, USA.
  • Enlow PT; Sidney Kimmel Medical College at Thomas Jefferson University, 833 Chestnut St, Philadelphia, PA 19107, USA.
  • Wong MK; Nemours Center for Healthcare Delivery Science, 1600 Rockland Rd, Wilmington, DE 19803, USA.
  • Lewis AM; Sidney Kimmel Medical College at Thomas Jefferson University, 833 Chestnut St, Philadelphia, PA 19107, USA.
  • Kazak AE; Sidney Kimmel Medical College at Thomas Jefferson University, 833 Chestnut St, Philadelphia, PA 19107, USA.
  • Miller JM; Nemours Center for Healthcare Delivery Science, 1600 Rockland Rd, Wilmington, DE 19803, USA.
Vaccine X ; 10: 100144, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1702383
ABSTRACT

OBJECTIVE:

To describe medical factors that are associated with caregiver intention to vaccinate their children against COVID-19.

METHODS:

We conducted a cross-sectional study of families receiving primary care in a mid-Atlantic pediatric healthcare system, linking caregiver-reported data from a survey completed March 19 to April 16, 2021 to comprehensive data from the child's EHR.

RESULTS:

513 families were included (28% Black, 16% Hispanic, 44% public insurance, 21% rural, child age range 0-21 years). 44% of caregivers intended to vaccinate their children against COVID-19, while 41% were not sure and 15% would not. After adjusting for socio-demographics, the only medical factors that were associated with caregiver COVID-19 vaccine hesitancy were caregiver COVID-19 vaccination status at the time of the survey (aOR 3.0 if the caregiver did not receive the vaccine compared to those who did, 95% CI 1.7-5.3) and child seasonal influenza immunization history (aOR 3.3 if the child had not received the influenza vaccine in the 2020-2021 season compared to those who did, 95% CI 2.0-5.4). Other medical factors, including family medical experiences with COVID-19, other child immunization history, child health conditions like obesity and asthma, and family engagement with the healthcare system were not associated with caregiver intention to vaccinate their children against COVID-19.

CONCLUSIONS:

This study highlights important factors, such as general attitudes towards vaccines and understanding of COVID-19 morbidity risk factors, that healthcare providers should address when having conversations with families about the COVID-19 vaccine.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Vaccines Language: English Journal: Vaccine X Year: 2022 Document Type: Article Affiliation country: J.jvacx.2022.100144

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Vaccines Language: English Journal: Vaccine X Year: 2022 Document Type: Article Affiliation country: J.jvacx.2022.100144