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Global caregiver concerns of SARS-CoV-2 vaccination in children with cancer: a cross-sectional mixed-methods study
Pediatric Hematology and Oncology ( IF 1.7 ) Pub Date : 2022-07-25 , DOI: 10.1080/08880018.2022.2101724
Julia M Gumy 1 , Allison Silverstein 2 , Erica C Kaye 2 , Miguela A Caniza 3 , Maysam R Homsi 4 , Kathy Pritchard-Jones 5 , Jessica M Bate 6 ,
Affiliation  

Abstract

The objective of this study was to understand global caregiver concerns about SARS-CoV-2 vaccination for children with cancer and to provide healthcare providers with guidance to support parental decision-making. A co-designed cross-sectional mixed-methods survey was distributed to primary caregivers of children with cancer globally between April and May 2021 via several media. Caregivers were asked to rate the importance of vaccine-related questions and the median scores were ranked. Principal Component Analysis was conducted to identify underlying dimensions of caregiver concerns by World Bank income groups. Content analysis of free-text responses was conducted and triangulated with the quantitative findings. 627 caregivers from 22 countries responded to the survey with 5.3% (n = 67) responses from low-and-middle-income countries (LMIC). 184 caregivers (29%) provided free-text responses. Side effects and vaccine safety were caregivers’ primary concerns in all countries. Questions related to logistics were of concern for caregivers in LMIC. A small minority of caregivers (n = 17) did not consider the survey questions important; free-text analysis identified these parents as vaccine hesitant, some of them quoting safety and side effects as main reasons for hesitancy. Healthcare providers and other community organizations globally need to provide tailored information about vaccine safety and effectiveness in pediatric oncology settings. Importantly, continued efforts are imperative to reduce global inequities in logistical access to vaccines, particularly in LMIC.



中文翻译:

全球看护者对癌症儿童接种 SARS-CoV-2 疫苗的担忧:一项横断面混合方法研究

摘要

本研究的目的是了解全球看护者对癌症儿童接种 SARS-CoV-2 疫苗的担忧,并为医疗保健提供者提供指导以支持父母的决策。在 2021 年 4 月至 2021 年 5 月期间,通过多种媒体向全球癌症儿童的主要看护者分发了一项共同设计的横断面混合方法调查。护理人员被要求对疫苗相关问题的重要性进行评分,并对中位数分数进行排序。进行主成分分析以确定世界银行收入群体对看护人关注的潜在维度。对自由文本响应进行了内容分析,并根据定量结果进行了三角测量。来自 22 个国家的 627 名看护者以 5.3% ( n = 67) 来自中低收入国家 (LMIC) 的回应。184 名护理人员 (29%) 提供了自由文本回复。副作用和疫苗安全性是所有国家护理人员最关心的问题。与后勤相关的问题是中低收入国家的护理人员关心的问题。一小部分看护者(n  = 17)认为调查问题不重要;自由文本分析确定这些父母对疫苗犹豫不决,其中一些人将安全性和副作用作为犹豫的主要原因。全球的医疗保健提供者和其他社区组织需要提供有关疫苗在儿科肿瘤学环境中的安全性和有效性的定制信息。重要的是,必须继续努力减少全球在疫苗后勤获取方面的不平等,特别是在中低收入国家。

更新日期:2022-07-25
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