The COVID-19 pandemic led to increased mental health concerns among parents. Emerging studies have shown links between COVID-19 vaccine hesitancy and psychological distress, including among parents. The primary aim of this study was to extend these emerging findings by examining the role of COVID-19 vaccine hesitancy in mental health functioning in a national sample of U.S. parents, accounting for the effects of COVID-19 vaccination status and underlying medical conditions increasing COVID-19 risk. A nationally representative sample of U.S. parents (N = 796) completed a cross-sectional survey between February-April 2021, including measures of depressive, anxiety, and COVID-19 acute stress symptoms; COVID-19 vaccination status; underlying medical conditions increasing COVID-19 risk; and COVID-19 vaccine hesitancy. The sample consisted of 51.8% fathers, M_age=38.87 years, 60.3% Non-Hispanic white, 18.1% Hispanic/Latinx, 13.2% Non-Hispanic Black/African American, 5.7% Asian, and 2.8% Other Race. Hierarchical regression models adjusted for demographic covariates revealed that greater COVID-19 vaccination hesitancy and presence of an underlying medical condition were consistently associated with higher levels of depressive, anxiety, and COVID-19 acute stress symptoms among parents. Having had at least one COVID-19 vaccination dose was associated with greater levels of COVID-19 acute stress, but was not associated with depressive or anxiety symptoms. Results add new evidence from the U.S. in support of the link between COVID-19 vaccine hesitancy and psychological distress, point to the potential utility of behavioral health care workers in helping reduce vaccine hesitancy, and provide tentative data suggesting that COVID-19 vaccination for parents alone may not have provided mental health relief.

COVID-19 大流行导致家长对心理健康的担忧增加。最新研究表明，对 COVID-19 疫苗犹豫不决与心理困扰（包括父母之间的心理困扰）之间存在联系。本研究的主要目的是通过研究美国父母全国样本中 COVID-19 疫苗犹豫对心理健康功能的影响，并考虑到 COVID-19 疫苗接种状态和潜在医疗状况对增加 COVID 的影响，来扩展这些新发现。 -19 风险。具有全国代表性的美国家长样本 ( N  = 796) 在 2021 年 2 月至 4 月期间完成了一项横断面调查，包括抑郁、焦虑和 COVID-19 急性应激症状的测量；COVID-19 疫苗接种状况；潜在的医疗状况会增加 COVID-19 风险；以及对 COVID-19 疫苗的犹豫。样本包括 51.8% 的父亲、男性_年龄= 38.87 岁、60.3% 非西班牙裔白人、18.1% 西班牙裔/拉丁裔、13.2% 非西班牙裔黑人/非裔美国人、5.7% 亚洲人和 2.8% 其他种族。根据人口统计协变量调整的分层回归模型显示，对 COVID-19 疫苗接种的更大犹豫和存在潜在健康状况始终与父母中较高水平的抑郁、焦虑和 COVID-19 急性应激症状相关。至少接种一剂 COVID-19 疫苗与更高水平的 COVID-19 急性应激相关，但与抑郁或焦虑症状无关。研究结果增加了来自美国的新证据，支持 COVID-19 疫苗犹豫与心理困扰之间的联系，指出行为卫生保健工作者在帮助减少疫苗犹豫方面的潜在效用，并提供初步数据表明父母应接种 COVID-19 疫苗仅凭这一点可能无法缓解心理健康问题。