Purpose

Coronavirus disease 2019 (COVID-19) vaccines are currently authorized for emergency use in adolescents aged 12–17 years; however, there is concern and uncertainty regarding the safety and necessity of COVID-19 vaccination. A survey was carried out to assess the attitudes and acceptance towards vaccination in adolescents.

Methods

A nationwide web-based survey was conducted among adolescents aged 12–17 years and their parents between June 29 and July 8, 2021 on a platform provided by the Ministry of Education.

Results

A total of 341,326 parents and 272,914 adolescents participated in this study. Intention for vaccination was 69.1% for adolescents, and 72.2% of parents reported they would recommend vaccination for their child. Among adolescents, perception of safety (odds ratio [OR] 4.09, 95% confidence interval [CI] 3.95–4.22), effectiveness (OR 2.24, 95% CI 2.17–2.32), and risk-benefit (OR 1.75, 95% CI 1.72–1.78) had the highest impact on intention for vaccination. Also, perceived risk (OR 1.14, 95% CI 1.12–1.17), severity (OR 1.12, 95% CI 1.10–1.13) for COVID-19 infection, self-health perception (OR 1.12, 95%, CI 1.10–1.14) and recent vaccination of childhood vaccines (OR 1.25, 95% CI 1.19–1.32) were related to intention for COVID-19 vaccination. On the other hand, self-perceived knowledge (OR 0.96, 95% 0.95–0.98) was related to vaccine hesitancy. Gender or school district did not influence intention for COVID-19 vaccination in adolescents.

Discussion

Decisions on COVID-19 vaccination for adolescents should be a shared process between adolescents, parents, and physicians based on updated information on safety and effectiveness.

中文翻译：

---

父母和青少年对 COVID-19 疫苗的态度和接受度：一项全国性调查

目的

2019 年冠状病毒病 (COVID-19) 疫苗目前已获准在 12-17 岁的青少年中紧急使用；但是，人们对 COVID-19 疫苗接种的安全性和必要性存在担忧和不确定性。进行了一项调查，以评估青少年对疫苗接种的态度和接受程度。

方法

2021 年 6 月 29 日至 7 月 8 日，在教育部提供的平台上，对 12 至 17 岁的青少年及其父母进行了全国网络调查。

结果

共有 341,326 名家长和 272,914 名青少年参加了这项研究。青少年的疫苗接种意愿为 69.1%，72.2% 的父母表示他们会建议孩子接种疫苗。在青少年中，安全感（优势比 [OR] 4.09, 95% 置信区间 [CI] 3.95–4.22）、有效性（OR 2.24, 95% CI 2.17–2.32）和风险收益（OR 1.75, 95% CI 1.72-1.78）对疫苗接种意向的影响最大。此外，COVID-19 感染的感知风险 (OR 1.14, 95% CI 1.12–1.17)、严重程度 (OR 1.12, 95% CI 1.10–1.13)、自我健康感知 (OR 1.12, 95%, CI 1.10–1.14)最近接种的儿童疫苗（OR 1.25, 95% CI 1.19–1.32）与接种 COVID-19 的意向有关。另一方面，自我认知知识（OR 0.96，95% 0.95-0.98）与疫苗犹豫有关。

讨论

青少年 COVID-19 疫苗接种的决定应该是青少年、父母和医生根据有关安全性和有效性的最新信息的共同过程。