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Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada.
Vaccine. 2021 12 03; 39(49):7140-7145.V

Abstract

BACKGROUND

The success of current and prospective COVID-19 vaccine campaigns for children and adolescents will in part depend on the willingness of parents to accept vaccination. This study examined social determinants of parental COVID-19 vaccine acceptance and uptake for children and adolescents.

METHODS

We used cross-sectional data from an ongoing COVID-19 cohort study in Montreal, Canada and included all parents of 2 to 18-year-olds who completed an online questionnaire between May 18 and June 26, 2021 (n = 809). We calculated child age-adjusted prevalence estimates of vaccine acceptance by parental education, race/ethnicity, birthplace, household income, and neighbourhood, and used multinomial logistic regression to estimate adjusted prevalence differences (aPD) and ratios (aPR). Social determinants of vaccine uptake were examined for the vaccine-eligible sample of 12 to 18 year-olds (n = 306).

RESULTS

Intention to vaccinate children against COVID-19 was high, with only 12.4% of parents unlikely to have their child vaccinated. Parents with younger children were less likely to accept vaccination, as were those from lower-income households, racialized groups, and those born outside Canada. Children from households with annual incomes <$100,000 had 18.4 percent lower prevalence of being vaccinated/very likely vaccinated compared to household incomes ≥$150,000 (95% CI: 10.1 to 26.7). Racialized parents reported greater unwillingness to vaccinate vs. White parents (aPD = 10.3; 95% CI: 1.5, 19.1). Vaccine-eligible adolescents from the most deprived neighbourhood were half as likely to be vaccinated compared to those from the least deprived neighbourhood (aPR = 0.48; 95% CI: 0.18 to 0.77).

INTERPRETATION

This study identified marked social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents. Efforts are needed to reach disadvantaged and marginalized populations with tailored strategies that promote informed decision making and facilitate access to vaccination.

Links

PMC Free PDF

Authors+Show Affiliations

McKinnon B
Centre for Public Health Research, University of Montreal, Pavillon 7101 avenue du Parc, Montreal, Quebec H3C 3J7, Canada; Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, Ontario M5T 3M7, Canada. Electronic address: britt.mckinnon@utoronto.ca.
Quach C
Department of Microbiology, Infectious Diseases, and Immunology, University of Montreal, Pavillon Roger-Gaudry, 2900 boul. Édouard-Montpetit, Montréal, Québec H3T 1J4, Canada.
Dubé È
Centre de recherche du CHU de Québec, Laval University, 2705, boulevard Laurier Quebec, Quebec G1V 4G2, Canada.
Tuong Nguyen C
Direction régionale de la santé publique de Montréal du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, 155 boulevard Saint-Joseph Est, Montréal, Quebec H2T 1H4, Canada.
Zinszer K
Centre for Public Health Research, University of Montreal, Pavillon 7101 avenue du Parc, Montreal, Quebec H3C 3J7, Canada; School of Public Health, University of Montreal, Pavillon 7101 avenue du Parc, Montreal, Quebec H3C 3J7, Canada.

MeSH

AdolescentCOVID-19COVID-19 VaccinesChildCohort StudiesCross-Sectional StudiesHealth Knowledge, Attitudes, PracticeHumansParentsSARS-CoV-2Socioeconomic FactorsVaccination

Pub Type(s)

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

Language

eng

PubMed ID

34763947

Citation

McKinnon, Britt, et al. "Social Inequalities in COVID-19 Vaccine Acceptance and Uptake for Children and Adolescents in Montreal, Canada." Vaccine, vol. 39, no. 49, 2021, pp. 7140-7145.
McKinnon B, Quach C, Dubé È, et al. Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada. Vaccine. 2021;39(49):7140-7145.
McKinnon, B., Quach, C., Dubé, È., Tuong Nguyen, C., & Zinszer, K. (2021). Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada. Vaccine, 39(49), 7140-7145. https://doi.org/10.1016/j.vaccine.2021.10.077
McKinnon B, et al. Social Inequalities in COVID-19 Vaccine Acceptance and Uptake for Children and Adolescents in Montreal, Canada. Vaccine. 2021 12 3;39(49):7140-7145. PubMed PMID: 34763947.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada. AU - McKinnon,Britt, AU - Quach,Caroline, AU - Dubé,Ève, AU - Tuong Nguyen,Cat, AU - Zinszer,Kate, Y1 - 2021/11/08/ PY - 2021/07/13/received PY - 2021/10/18/revised PY - 2021/10/28/accepted PY - 2021/11/13/pubmed PY - 2021/12/15/medline PY - 2021/11/12/entrez KW - COVID-19 KW - Child health KW - Social inequalities KW - Vaccination SP - 7140 EP - 7145 JF - Vaccine JO - Vaccine VL - 39 IS - 49 N2 - BACKGROUND: The success of current and prospective COVID-19 vaccine campaigns for children and adolescents will in part depend on the willingness of parents to accept vaccination. This study examined social determinants of parental COVID-19 vaccine acceptance and uptake for children and adolescents. METHODS: We used cross-sectional data from an ongoing COVID-19 cohort study in Montreal, Canada and included all parents of 2 to 18-year-olds who completed an online questionnaire between May 18 and June 26, 2021 (n = 809). We calculated child age-adjusted prevalence estimates of vaccine acceptance by parental education, race/ethnicity, birthplace, household income, and neighbourhood, and used multinomial logistic regression to estimate adjusted prevalence differences (aPD) and ratios (aPR). Social determinants of vaccine uptake were examined for the vaccine-eligible sample of 12 to 18 year-olds (n = 306). RESULTS: Intention to vaccinate children against COVID-19 was high, with only 12.4% of parents unlikely to have their child vaccinated. Parents with younger children were less likely to accept vaccination, as were those from lower-income households, racialized groups, and those born outside Canada. Children from households with annual incomes <$100,000 had 18.4 percent lower prevalence of being vaccinated/very likely vaccinated compared to household incomes ≥$150,000 (95% CI: 10.1 to 26.7). Racialized parents reported greater unwillingness to vaccinate vs. White parents (aPD = 10.3; 95% CI: 1.5, 19.1). Vaccine-eligible adolescents from the most deprived neighbourhood were half as likely to be vaccinated compared to those from the least deprived neighbourhood (aPR = 0.48; 95% CI: 0.18 to 0.77). INTERPRETATION: This study identified marked social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents. Efforts are needed to reach disadvantaged and marginalized populations with tailored strategies that promote informed decision making and facilitate access to vaccination. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/34763947/Social_inequalities_in_COVID_19_vaccine_acceptance_and_uptake_for_children_and_adolescents_in_Montreal_Canada_ DB - PRIME DP - Unbound Medicine ER -