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Canadian parents' perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a cross-sectional national survey.
Vaccine. 2021 12 20; 39(52):7669-7676.V

Abstract

BACKGROUND

Vaccinating children (≤17 years old) is important for controlling the COVID-19 pandemic. As parents are primary decision makers for their children, we aimed to assess parents' perceptions and intentions regarding COVID-19 vaccination for their children, including for some underserved populations (e.g., newcomers, Indigenous peoples, and visible minority groups).

METHODS

We conducted a cross-sectional national survey of Canadian parents in December 2020, just as COVID-19 vaccines were approved for adults, to assess intention to vaccinate their children (aged 0-17 years) against COVID-19, perceptions of COVID-19 disease and vaccines, previous uptake of influenza and routine vaccines, and sociodemographic characteristics. Binomial logistic regression was used to assess the association between parents' lack of COVID-19 vaccination intention for their children and various independent variables.

RESULTS

Sixty-three percent of parents (1074/1702) intended to vaccinate their children against COVID-19. Those employed part-time (compared to full-time) had lower intention to vaccinate their children (aOR = 1.73, 95% CI: 1.06-2.84), while those who spoke languages other than English, French, or Indigenous languages were less likely to have low intention (aOR = 0.55, 95% CI: 0.32-0.92). Low vaccination intention was also associated with children not receiving influenza vaccine pre-pandemic (aOR = 1.51, 95% CI: 1.04-2.21), parents having low intention to vaccinate themselves against COVID-19 (aOR = 9.22, 95% CI: 6.43-13.34), believing COVID-19 vaccination is unnecessary (aOR = 2.59, 95% CI: 1.72-3.91) or unsafe (aOR = 4.21, 95% CI: 2.96-5.99), and opposing COVID-19 vaccine use in children without prior testing (aOR = 3.09, 95% CI: 1.87-5.24).

INTERPRETATION

Parents' COVID-19 vaccination intentions for their children are better predicted by previous decisions regarding influenza vaccination than routine childhood vaccines, and other perceptions of COVID-19 vaccine-related factors. Public communication should highlight the safety and necessity of COVID-19 vaccination in children to support a return to normal activities. Further research should assess actual COVID-19 vaccination uptake in children, particularly for underserved populations.

Authors+Show Affiliations

Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; School of Public Health, University of Alberta, Edmonton, Alberta, Canada.Department of Anthropology, Laval University, Quebec City, Quebec, Canada.Department of Paediatrics, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.Vaccine Evaluation Center, BC Children's Hospital Research Institute; Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.School of Public Health Sciences, Faculty of Health, University of Waterloo, Waterloo, Ontario, Canada.Public Health Ontario, ICES, Dalla School of Public Health, University of Toronto, Toronto, Ontario, Canada.Faculty of Nursing, University of Calgary, Alberta, Canada.Centre de Recherche du CHUS, Sherbrooke, Québec, Canada.Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada. Electronic address: smacdon@ualberta.ca.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

34688500

Citation

Humble, Robin M., et al. "Canadian Parents' Perceptions of COVID-19 Vaccination and Intention to Vaccinate Their Children: Results From a Cross-sectional National Survey." Vaccine, vol. 39, no. 52, 2021, pp. 7669-7676.
Humble RM, Sell H, Dubé E, et al. Canadian parents' perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a cross-sectional national survey. Vaccine. 2021;39(52):7669-7676.
Humble, R. M., Sell, H., Dubé, E., MacDonald, N. E., Robinson, J., Driedger, S. M., Sadarangani, M., Meyer, S. B., Wilson, S., Benzies, K. M., Lemaire-Paquette, S., & MacDonald, S. E. (2021). Canadian parents' perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a cross-sectional national survey. Vaccine, 39(52), 7669-7676. https://doi.org/10.1016/j.vaccine.2021.10.002
Humble RM, et al. Canadian Parents' Perceptions of COVID-19 Vaccination and Intention to Vaccinate Their Children: Results From a Cross-sectional National Survey. Vaccine. 2021 12 20;39(52):7669-7676. PubMed PMID: 34688500.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Canadian parents' perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a cross-sectional national survey. AU - Humble,Robin M, AU - Sell,Hannah, AU - Dubé,Eve, AU - MacDonald,Noni E, AU - Robinson,Joan, AU - Driedger,S Michelle, AU - Sadarangani,Manish, AU - Meyer,Samantha B, AU - Wilson,Sarah, AU - Benzies,Karen M, AU - Lemaire-Paquette,Samuel, AU - MacDonald,Shannon E, Y1 - 2021/10/08/ PY - 2021/07/28/received PY - 2021/09/29/revised PY - 2021/10/04/accepted PY - 2021/10/25/pubmed PY - 2021/12/21/medline PY - 2021/10/24/entrez KW - COVID-19 KW - Immunization KW - Intention KW - Pandemic KW - Parent KW - Perceptions KW - Vaccination SP - 7669 EP - 7676 JF - Vaccine JO - Vaccine VL - 39 IS - 52 N2 - BACKGROUND: Vaccinating children (≤17 years old) is important for controlling the COVID-19 pandemic. As parents are primary decision makers for their children, we aimed to assess parents' perceptions and intentions regarding COVID-19 vaccination for their children, including for some underserved populations (e.g., newcomers, Indigenous peoples, and visible minority groups). METHODS: We conducted a cross-sectional national survey of Canadian parents in December 2020, just as COVID-19 vaccines were approved for adults, to assess intention to vaccinate their children (aged 0-17 years) against COVID-19, perceptions of COVID-19 disease and vaccines, previous uptake of influenza and routine vaccines, and sociodemographic characteristics. Binomial logistic regression was used to assess the association between parents' lack of COVID-19 vaccination intention for their children and various independent variables. RESULTS: Sixty-three percent of parents (1074/1702) intended to vaccinate their children against COVID-19. Those employed part-time (compared to full-time) had lower intention to vaccinate their children (aOR = 1.73, 95% CI: 1.06-2.84), while those who spoke languages other than English, French, or Indigenous languages were less likely to have low intention (aOR = 0.55, 95% CI: 0.32-0.92). Low vaccination intention was also associated with children not receiving influenza vaccine pre-pandemic (aOR = 1.51, 95% CI: 1.04-2.21), parents having low intention to vaccinate themselves against COVID-19 (aOR = 9.22, 95% CI: 6.43-13.34), believing COVID-19 vaccination is unnecessary (aOR = 2.59, 95% CI: 1.72-3.91) or unsafe (aOR = 4.21, 95% CI: 2.96-5.99), and opposing COVID-19 vaccine use in children without prior testing (aOR = 3.09, 95% CI: 1.87-5.24). INTERPRETATION: Parents' COVID-19 vaccination intentions for their children are better predicted by previous decisions regarding influenza vaccination than routine childhood vaccines, and other perceptions of COVID-19 vaccine-related factors. Public communication should highlight the safety and necessity of COVID-19 vaccination in children to support a return to normal activities. Further research should assess actual COVID-19 vaccination uptake in children, particularly for underserved populations. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/34688500/Canadian_parents'_perceptions_of_COVID_19_vaccination_and_intention_to_vaccinate_their_children:_Results_from_a_cross_sectional_national_survey_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(21)01309-8 DB - PRIME DP - Unbound Medicine ER -