Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey,Vaccine

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Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey
Vaccine ( IF 4.5 ) Pub Date : 2020-10-10 , DOI: 10.1016/j.vaccine.2020.09.084
Ran D Goldman ₁ , Tyler D Yan ₁ , Michelle Seiler ₂ , Cristina Parra Cotanda ₃ , Julie C Brown ₄ , Eileen J Klein ₄ , Julia Hoeffe ₅ , Renana Gelernter ₆ , Jeanine E Hall ₇ , Adrienne L Davis ₈ , Mark A Griffiths ₉ , Ahmed Mater ₁₀ , Sergio Manzano ₁₁ , Gianluca Gualco ₁₂ , Naoki Shimizu ₁₃ , Thomas L Hurt ₁₄ , Sara Ahmed ₁₄ , Matt Hansen ₁₅ , David Sheridan ₁₆ , Samina Ali ₁₇ , Graham C Thompson ₁₈ , Nathalie Gaucher ₁₉ , Georg Staubli ₂ ,

Affiliation

The Pediatric Research in Emergency Therapeutics (PRETx) Program, Division of Emergency Medicine, Department of Pediatrics, University of British Columbia, and BC Children's Hospital Research Institute, Vancouver, BC, Canada.
Emergency Department, University Children's Hospital Zurich, Zurich, Switzerland.
Hospital Sant Joan de Déu Barcelona, Pediatric Emergency Department, Barcelona, Spain.
Seattle Children's Hospital and University of Washington School of Medicine, Seattle, WA, USA.
Pediatric Emergency Medicine, Inselspital University Hospital of Bern, Bern, Switzerland.
Pediatric Emergency Medicine Unit, Assaf Harofeh Medical Center, and Sackler Faculty of Medicine, Tel Aviv University, Israel.
Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, USC Keck School of Medicine, Los Angeles, CA, USA.
Pediatric Emergency Medicine, Hospital for Sick Children and University of Toronto, ON, Canada.
Division of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Emory School of Medicine, Atlanta, GA, USA.
Pediatric Emergency Medicine, Jim Pattison Children's Hospital, and University of Saskatchewan, Saskatoon, SK, Canada.
Department of Pediatric Emergency Medicine, Geneva Children's Hospital, Geneva University Hospitals, and Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Pediatric Emergency Department, Pediatric Institute of Italian part of Switzerland, Ticino, Switzerland.
Department of Pediatrics, St. Marianna University School of Medicine, Kawasaki, Japan.
Department of Emergency Medicine, Mary Bridge Children's Hospital, Tacoma, WA, USA.
Emergency Medicine, Oregon Health and Science University, Doernbecher Children's Hospital, Portland, OR, USA.
Emergency Medicine, Oregon Health & Science University, Doernbecher Children's Hospital, Portland, OR, USA.
Departments of Pediatrics, Faculty of Medicine & Dentistry, Women and Children's Health Research Institute, University of Alberta, Edmonton, AB, Canada.
Pediatrics and Emergency Medicine, Alberta Children's Hospital and University of Calgary, Calgary, AB, Canada.
Pediatric Emergency Medicine CHU Sainte-Justine, Université de Montréal, Montréal, Quebec, Canada.

Background

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.

Purpose

To investigate predictors associated with global caregivers’ intent to vaccinate their children against COVID-19, when the vaccine becomes available.

Method

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.

Results

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%).

Conclusions

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.

中文翻译：

看护者为孩子接种 COVID-19 疫苗的意愿：横断面调查

背景

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 疫苗将有助于限制该疾病的传播，因为群体免疫可能会增强免疫力。要求疫苗覆盖率高达 80% 的人口。 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%。

目的

旨在调查与全球护理人员在疫苗可用时为孩子接种 COVID-19 疫苗的意愿相关的预测因素。

方法

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 个儿科急诊科 (ED) 的 1541 名护理人员。

结果

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。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、无慢性疾病的儿童、父亲完成调查时、儿童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担心他们的孩子在急诊室完成调查时感染了 COVID-19。打算接种疫苗的看护者报告的最常见原因是保护他们的孩子（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%）。