Purpose

Recent studies have documented worrisome levels of hesitancy and resistance to the COVID-19 vaccine, including within the adolescent population. In this study, we examined attitudinal (perceived severity of COVID-19, vaccine-related concerns) and interpersonal (parent and peer norms) antecedents of adolescents' intentions to receive the COVID-19 vaccine.

Methods

Participants were 916 adolescents (aged 12–17 years) from across the United States (47.3% male) representing diverse ethnic and socioeconomic backgrounds (26% African-American, 22% Hispanic/Latinx, 35% white, 7% Asian American). They completed a survey on their experiences and attitudes surrounding COVID-19 and the COVID-19 vaccine.

Results

Parent and peer norms were distinct predictors of adolescent willingness to receive the vaccine. These norms were associated with vaccine intentions directly and indirectly through adolescents' beliefs about the vaccine's safety, efficacy, and necessity. Parent norms in particular displayed large effect sizes and explained considerable variance in adolescents' vaccine intentions.

Conclusions

Parents and friends—who figure as adolescents' most salient interpersonal relationships—are key leveraging points in promoting adolescents' uptake of the COVID-19 vaccine. Norm interventions and family-based interventions may be successful in this regard.

中文翻译：

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在美国青少年的不同样本中，父母和同伴规范是 COVID-19 疫苗意图的独特关联

目的

最近的研究记录了令人担忧的对 COVID-19 疫苗的犹豫和抵抗程度，包括青少年群体。在这项研究中，我们检查了青少年接种 COVID-19 疫苗意图的态度（感知到的 COVID-19 严重程度、疫苗相关问题）和人际关系（父母和同伴规范）的前因。

方法

参与者是来自美国各地的 916 名青少年（12-17 岁）（47.3% 男性），代表不同的种族和社会经济背景（26% 非洲裔美国人，22% 西班牙裔/拉丁裔美国人，35% 白人，7% 亚裔美国人）。他们完成了一项关于他们对 COVID-19 和 COVID-19 疫苗的经历和态度的调查。

结果

父母和同龄人的规范是青少年接受疫苗接种意愿的明显预测因素。这些规范通过青少年对疫苗安全性、有效性和必要性的信念直接或间接地与疫苗意图相关联。尤其是父母规范显示出很大的影响大小，并解释了青少年接种疫苗意图的相当大的差异。

结论

父母和朋友——被视为青少年最重要的人际关系——是促进青少年接种 COVID-19 疫苗的关键杠杆点。在这方面，规范干预和基于家庭的干预可能会取得成功。