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Parental Attitudes and Hesitancy About COVID-19 vs. Routine Childhood Vaccinations: A National Survey.
Front Public Health. 2021; 9:752323.FP

Abstract

Objectives: To quantify parental acceptance of the COVID-19 vaccine and assess the vaccine hesitancy (VH) for COVID-19 vs. childhood vaccines. Methods: Eight vaccine hesitancy scale (VHS) items, adopted from WHO's Strategic Advisory Group of Immunization (SAGE), were used to assess VH for COVID-19 vaccine vs. routine childhood vaccines. We distributed the online survey to parents with the commence of the national childhood COVID-19 vaccination program in Saudi Arabia. Results: Among 3,167 parents, 47.6% are decided to vaccinate their children against COVID-19. The most common reasons for refusal were inadequate safety information (69%) and worry about side effects (60.6%). Parents have a significantly greater positive attitudes toward children's routine vaccines vs. the COVID-19 vaccine, with higher mean VHS (±SD) = 2.98 ± 0.58 vs. 2.63 ± 0.73, respectively (p-value < 0.001). Parents agreed more that routine childhood vaccines are more essential and effective as compared to the COVID-19 vaccine (Cohen's D: 0.946, and 0.826, consecutively; T-test p-value < 0.00). There is more parental anxiety about serious side effects of the COVID-19 vaccine vs. routine childhood vaccines (Cohen's D = 0.706, p-value < 0.001). Parents who relied on the Ministry of Health information were more predicted (OR = 1.28, p-value = 0.035) to intend to vaccinate as opposed to those who used the WHO website (OR = 0.47, -53%, p-value < 0.001). In a multivariate logistic regression analysis, the factors associated with intention to vaccinate children were parents who received COVID-19 vaccine, older parents, having children aged 12-18, and parents with lower education levels. Conclusions: Significant proportion of parents are hesitant about the COVID-19 vaccine because they are less confident in its effectiveness, safety, and whether it is essential for their children. Relying on the national official healthcare authority's website for the source of information was associated with increased acceptance of childhood COVID-19 vaccination. As parental intention to vaccinate children against COVID-19 is suboptimal, healthcare authorities could boost vaccine uptake by campaigns targeting hesitant parents.

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Authors+Show Affiliations

Temsah MH
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Alhuzaimi AN
Division of Pediatric Cardiology, Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia. Division of Pediatric Cardiology, Department of Cardiac Sciences, King Saud University Medical City, Riyadh, Saudi Arabia.
Aljamaan F
Critical Care Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Bahkali F
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Al-Eyadhy A
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Alrabiaah A
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Alhaboob A
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Bashiri FA
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Alshaer A
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Temsah O
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Bassrawi R
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Alshahrani F
Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi Arabia.
Chaiah Y
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Alaraj A
Department of Medicine, College of Medicine, Qassim University, Qassim, Saudi Arabia. Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.
Assiri RA
Department of Basic Medical Sciences, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Jamal A
Department of Family and Community Medicine, King Saud University Medical City, Riyadh, Saudi Arabia. Evidence-Based Health Care & Knowledge Translation Research Chair, King Saud University, Riyadh, Saudi Arabia.
Batais MA
Department of Family and Community Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.
Saddik B
Sharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates. Department of Community and Family Medicine, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Halwani R
Sharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates. Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Alzamil F
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Memish ZA
Research and Innovation Center, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia. College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Barry M
Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi Arabia.
Al-Subaie S
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Al-Tawfiq JA
Specialty Internal Medicine and Quality Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia. Infectious Disease Division, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States. Infectious Disease Division, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Alhasan K
Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

MeSH

COVID-19COVID-19 VaccinesChildHumansParentsPatient Acceptance of Health CareSARS-CoV-2Vaccination

Pub Type(s)

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

Language

eng

PubMed ID

34722451

Citation

Temsah, Mohamad-Hani, et al. "Parental Attitudes and Hesitancy About COVID-19 Vs. Routine Childhood Vaccinations: a National Survey." Frontiers in Public Health, vol. 9, 2021, p. 752323.
Temsah MH, Alhuzaimi AN, Aljamaan F, et al. Parental Attitudes and Hesitancy About COVID-19 vs. Routine Childhood Vaccinations: A National Survey. Front Public Health. 2021;9:752323.
Temsah, M. H., Alhuzaimi, A. N., Aljamaan, F., Bahkali, F., Al-Eyadhy, A., Alrabiaah, A., Alhaboob, A., Bashiri, F. A., Alshaer, A., Temsah, O., Bassrawi, R., Alshahrani, F., Chaiah, Y., Alaraj, A., Assiri, R. A., Jamal, A., Batais, M. A., Saddik, B., Halwani, R., ... Alhasan, K. (2021). Parental Attitudes and Hesitancy About COVID-19 vs. Routine Childhood Vaccinations: A National Survey. Frontiers in Public Health, 9, 752323. https://doi.org/10.3389/fpubh.2021.752323
Temsah MH, et al. Parental Attitudes and Hesitancy About COVID-19 Vs. Routine Childhood Vaccinations: a National Survey. Front Public Health. 2021;9:752323. PubMed PMID: 34722451.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parental Attitudes and Hesitancy About COVID-19 vs. Routine Childhood Vaccinations: A National Survey. AU - Temsah,Mohamad-Hani, AU - Alhuzaimi,Abdullah N, AU - Aljamaan,Fadi, AU - Bahkali,Feras, AU - Al-Eyadhy,Ayman, AU - Alrabiaah,Abdulkarim, AU - Alhaboob,Ali, AU - Bashiri,Fahad A, AU - Alshaer,Ahmad, AU - Temsah,Omar, AU - Bassrawi,Rolan, AU - Alshahrani,Fatimah, AU - Chaiah,Yazan, AU - Alaraj,Ali, AU - Assiri,Rasha Assad, AU - Jamal,Amr, AU - Batais,Mohammed A, AU - Saddik,Basema, AU - Halwani,Rabih, AU - Alzamil,Fahad, AU - Memish,Ziad A, AU - Barry,Mazin, AU - Al-Subaie,Sarah, AU - Al-Tawfiq,Jaffar A, AU - Alhasan,Khalid, Y1 - 2021/10/13/ PY - 2021/08/02/received PY - 2021/09/15/accepted PY - 2021/11/1/entrez PY - 2021/11/2/pubmed PY - 2021/11/4/medline KW - COVID-19 Vaccine KW - childhood vaccines KW - national survey data KW - parental vaccination intention KW - parental vaccine acceptance KW - parental vaccine concerns KW - vaccine hesitancy scale SP - 752323 EP - 752323 JF - Frontiers in public health JO - Front Public Health VL - 9 N2 - Objectives: To quantify parental acceptance of the COVID-19 vaccine and assess the vaccine hesitancy (VH) for COVID-19 vs. childhood vaccines. Methods: Eight vaccine hesitancy scale (VHS) items, adopted from WHO's Strategic Advisory Group of Immunization (SAGE), were used to assess VH for COVID-19 vaccine vs. routine childhood vaccines. We distributed the online survey to parents with the commence of the national childhood COVID-19 vaccination program in Saudi Arabia. Results: Among 3,167 parents, 47.6% are decided to vaccinate their children against COVID-19. The most common reasons for refusal were inadequate safety information (69%) and worry about side effects (60.6%). Parents have a significantly greater positive attitudes toward children's routine vaccines vs. the COVID-19 vaccine, with higher mean VHS (±SD) = 2.98 ± 0.58 vs. 2.63 ± 0.73, respectively (p-value < 0.001). Parents agreed more that routine childhood vaccines are more essential and effective as compared to the COVID-19 vaccine (Cohen's D: 0.946, and 0.826, consecutively; T-test p-value < 0.00). There is more parental anxiety about serious side effects of the COVID-19 vaccine vs. routine childhood vaccines (Cohen's D = 0.706, p-value < 0.001). Parents who relied on the Ministry of Health information were more predicted (OR = 1.28, p-value = 0.035) to intend to vaccinate as opposed to those who used the WHO website (OR = 0.47, -53%, p-value < 0.001). In a multivariate logistic regression analysis, the factors associated with intention to vaccinate children were parents who received COVID-19 vaccine, older parents, having children aged 12-18, and parents with lower education levels. Conclusions: Significant proportion of parents are hesitant about the COVID-19 vaccine because they are less confident in its effectiveness, safety, and whether it is essential for their children. Relying on the national official healthcare authority's website for the source of information was associated with increased acceptance of childhood COVID-19 vaccination. As parental intention to vaccinate children against COVID-19 is suboptimal, healthcare authorities could boost vaccine uptake by campaigns targeting hesitant parents. SN - 2296-2565 UR - https://www.unboundmedicine.com/medline/citation/34722451/Parental_Attitudes_and_Hesitancy_About_COVID_19_vs__Routine_Childhood_Vaccinations:_A_National_Survey_ DB - PRIME DP - Unbound Medicine ER -