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Association Between Risk Perception and Acceptance for a Booster Dose of COVID-19 Vaccine to Children Among Child Caregivers in China.
Front Public Health. 2022; 10:834572.FP

Abstract

Background

At present, the widespread variants and the weakened immunity provided by vaccines over time have further emphasized the importance of vaccination, boosters, and prevention efforts against COVID-19. Here, this study intends to investigate the acceptability of a booster dose of COVID-19 vaccine among child caregivers, aiming to explore the association between risk perception and child vaccine acceptance.

Methods

This anonymous, national, cross-sectional survey was conducted for one week from November 12, 2021 in mainland China. The risk perception among child caregivers was assessed based on the Health Belief Model (HBM) and the individuals was equally divided into three levels according to the total preset scores of each perception dimension. Pearson χ2 test was used to compare the differences among participants stratified by sociodemographic characteristics, health status, knowledge factors and risk perception. Univariate and multivariate logistic regression models were performed to explore the associations between risk perception and the acceptance of a booster dose of COVID-19 vaccine.

Results

A total of 88.46% of 1,724 participants were willing to accept the booster dose of the COVID-19 vaccine for their children. People who lived in central China (91.93%), had a high school or polytechnic school level education (93.98%), and had a history of COVID-19 vaccination (88.80%) were more likely to accept a booster dose of the COVID-19 vaccine for their children. The complicated vaccination process (24.5%) and uncertainty about the safety (16.5%) and efficacy (21.3%) of vaccines were the three main reasons for vaccine hesitancy among child caregivers. The acceptance of the booster dose of the COVID-19 vaccine was closely related to a higher level of perceived susceptibility (moderate: aOR = 1.56, 95% CI: 1.07-2.29, P = 0.022; high: aOR = 1.75, 95% CI: 1.06-2.89, P = 0.029) and high perceived benefit (high: aOR = 7.22, 95% CI: 2.63-19.79, P < 0.001). The results were stable in the sensitivity analysis.

Conclusions

88.46% of child caregivers were willing to have a booster dose of COVID-19 vaccine to children, and the acceptance was closely associated with a higher level of perceived susceptibility and perceived benefit. The complicated vaccination process, uncertainty about the safety and effectiveness of COVID-19 vaccines were the main reasons for their hesitancy. Therefore, targeted public health measures to increase perceived susceptibility and benefit are still needed to meet the requirements of higher-level immunization coverage.

Authors+Show Affiliations

Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China. Institute for Global Health and Development, Peking University, Beijing, China. National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing, China.

Pub Type(s)

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

Language

eng

PubMed ID

35372197

Citation

Qin, Chenyuan, et al. "Association Between Risk Perception and Acceptance for a Booster Dose of COVID-19 Vaccine to Children Among Child Caregivers in China." Frontiers in Public Health, vol. 10, 2022, p. 834572.
Qin C, Wang R, Tao L, et al. Association Between Risk Perception and Acceptance for a Booster Dose of COVID-19 Vaccine to Children Among Child Caregivers in China. Front Public Health. 2022;10:834572.
Qin, C., Wang, R., Tao, L., Liu, M., & Liu, J. (2022). Association Between Risk Perception and Acceptance for a Booster Dose of COVID-19 Vaccine to Children Among Child Caregivers in China. Frontiers in Public Health, 10, 834572. https://doi.org/10.3389/fpubh.2022.834572
Qin C, et al. Association Between Risk Perception and Acceptance for a Booster Dose of COVID-19 Vaccine to Children Among Child Caregivers in China. Front Public Health. 2022;10:834572. PubMed PMID: 35372197.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association Between Risk Perception and Acceptance for a Booster Dose of COVID-19 Vaccine to Children Among Child Caregivers in China. AU - Qin,Chenyuan, AU - Wang,Ruitong, AU - Tao,Liyuan, AU - Liu,Min, AU - Liu,Jue, Y1 - 2022/03/16/ PY - 2021/12/14/received PY - 2022/02/21/accepted PY - 2022/4/4/entrez PY - 2022/4/5/pubmed PY - 2022/4/6/medline KW - COVID-19 vaccine KW - China KW - booster dose KW - children KW - risk perception SP - 834572 EP - 834572 JF - Frontiers in public health JO - Front Public Health VL - 10 N2 - Background: At present, the widespread variants and the weakened immunity provided by vaccines over time have further emphasized the importance of vaccination, boosters, and prevention efforts against COVID-19. Here, this study intends to investigate the acceptability of a booster dose of COVID-19 vaccine among child caregivers, aiming to explore the association between risk perception and child vaccine acceptance. Methods: This anonymous, national, cross-sectional survey was conducted for one week from November 12, 2021 in mainland China. The risk perception among child caregivers was assessed based on the Health Belief Model (HBM) and the individuals was equally divided into three levels according to the total preset scores of each perception dimension. Pearson χ2 test was used to compare the differences among participants stratified by sociodemographic characteristics, health status, knowledge factors and risk perception. Univariate and multivariate logistic regression models were performed to explore the associations between risk perception and the acceptance of a booster dose of COVID-19 vaccine. Results: A total of 88.46% of 1,724 participants were willing to accept the booster dose of the COVID-19 vaccine for their children. People who lived in central China (91.93%), had a high school or polytechnic school level education (93.98%), and had a history of COVID-19 vaccination (88.80%) were more likely to accept a booster dose of the COVID-19 vaccine for their children. The complicated vaccination process (24.5%) and uncertainty about the safety (16.5%) and efficacy (21.3%) of vaccines were the three main reasons for vaccine hesitancy among child caregivers. The acceptance of the booster dose of the COVID-19 vaccine was closely related to a higher level of perceived susceptibility (moderate: aOR = 1.56, 95% CI: 1.07-2.29, P = 0.022; high: aOR = 1.75, 95% CI: 1.06-2.89, P = 0.029) and high perceived benefit (high: aOR = 7.22, 95% CI: 2.63-19.79, P < 0.001). The results were stable in the sensitivity analysis. Conclusions: 88.46% of child caregivers were willing to have a booster dose of COVID-19 vaccine to children, and the acceptance was closely associated with a higher level of perceived susceptibility and perceived benefit. The complicated vaccination process, uncertainty about the safety and effectiveness of COVID-19 vaccines were the main reasons for their hesitancy. Therefore, targeted public health measures to increase perceived susceptibility and benefit are still needed to meet the requirements of higher-level immunization coverage. SN - 2296-2565 UR - https://www.unboundmedicine.com/medline/citation/35372197/Association_Between_Risk_Perception_and_Acceptance_for_a_Booster_Dose_of_COVID_19_Vaccine_to_Children_Among_Child_Caregivers_in_China_ DB - PRIME DP - Unbound Medicine ER -