BACKGROUND Little was known about US parental attitudes, beliefs, and intentions surrounding coronavirus disease 2019 (COVID-19) vaccines for children before their introduction. METHODS An online cross-sectional nationally representative survey of US parents/guardians of children < 18 years old via Ipsos KnowledgePanel, fielded from October 26, 2021 to November 30, 2021. RESULTS Response rate was 64.2% (3230/5034). For children ages 0-4 years, 51.5% of parents were likely to have their children vaccinated, and for ages 5-11 and 12-17, 54.0% and 69.7% of parents, respectively, reported they were likely to vaccinate or had already vaccinated their children. Among respondents with unvaccinated children, 25.2% (ages 0-4) and 22.0% (ages 5-11) reported they would seek COVID-19 vaccination for their children as soon as authorization occurred. Factors associated with willingness to have children receive a COVID-19 vaccine were: belief in benefits of COVID-19 vaccination (odds ratio [OR] = 6.44, 5.68, 4.57 in ages 0-4, 5-11, and 12-17 respectively), acceptance of routine childhood vaccines (OR = 6.42, 5.48, 1.76), parental COVID-19 vaccination (OR = 1.85, 3.70, 6.16), perceptions that pediatric COVID-19 is severe (OR = 1.89, 1.72, 1.35), Hispanic ethnicity (OR = 2.07, 2.29, 2.60), influenza vaccine acceptance (OR = 1.07, 0.88, 1.62), presence of children of another age group in the household (OR = 0.71, 0.71, 0.65), and attitudinal barriers to COVID-19 vaccination (OR = 0.30, 0.26, 0.49). CONCLUSIONS Belief in the benefits of COVID-19 vaccination and acceptance of routine childhood vaccines are the strongest predictors of intention to vaccinate children. Further research is needed to track how parental attitudes change as more data about pediatric COVID-19 vaccines become available and how intentions translate into pediatric vaccine uptake.

中文翻译：

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美国家长对 COVID-19 疫苗的接受程度：全国代表性调查。

背景 在推出 2019 年冠状病毒病 (COVID-19) 儿童疫苗之前，我们对美国家长的态度、信念和意图知之甚少。方法 通过 Ipsos KnowledgePanel 对 18 岁以下儿童的美国父母/监护人进行了一项在线横断面全国代表性调查，调查时间为 2021 年 10 月 26 日至 2021 年 11 月 30 日。 结果 答复率为 64.2% (3230/5034)。对于 0-4 岁儿童，51.5% 的父母可能会让孩子接种疫苗；对于 5-11 岁和 12-17 岁儿童，分别有 54.0% 和 69.7% 的父母表示他们可能接种疫苗或已经接种疫苗为他们的孩子接种了疫苗。在有未接种疫苗的儿童的受访者中，25.2%（0-4 岁）和 22.0%（5-11 岁）表示，一旦获得授权，他们就会为孩子寻求 COVID-19 疫苗接种。与儿童接种 COVID-19 疫苗意愿相关的因素包括： 相信 COVID-19 疫苗接种的益处（0-4 岁、5-11 岁和 12-17 岁的比值比 [OR] 分别 = 6.44、5.68、4.57） ）、接受常规儿童疫苗（OR = 6.42、5.48、1.76）、父母接种 COVID-19 疫苗（OR = 1.85、3.70、6.16）、认为儿童 COVID-19 病情严重（OR = 1.89、1.72、1.35）、西班牙裔（OR = 2.07、2.29、2.60）、流感疫苗接受度（OR = 1.07、0.88、1.62）、家庭中是否有其他年龄段的儿童（OR = 0.71、0.71、0.65）以及对新冠病毒的态度障碍-19 疫苗接种（OR = 0.30、0.26、0.49）。结论 相信 COVID-19 疫苗接种的好处和接受常规儿童疫苗是儿童接种疫苗意愿的最强预测因素。需要进一步研究来追踪随着更多有关儿科 COVID-19 疫苗的数据的出现，家长的态度如何变化，以及意图如何转化为儿科疫苗的使用。