Attitude of Parents of Children with Cerebral Palsy Towards COVID-19 Vaccination

Ghazy, Ramy Mohamed; Sallam, Malik; Fadl, Noha; Raad, Etwal Bou; Youssef, Naglaa; Samy, Omnya

doi:10.3390/ijerph20031909

Cited by 10 publications

(12 citation statements)

References 51 publications

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“…The survey revealed that parents with a lower COVID-19 vaccine-related safety concerns had 37% lower odds of being high-hesitant than those with higher concern and those who delayed at least one shot of a recommended vaccine for their child were 2.33 times more likely to be high-hesitant. This finding is consistent with those observed in previously conducted surveys ( 49 , 51 ). Moreover, delayed of at least one shot of a recommended vaccine for their child underlined the need of targeted activities through a better parent-physician communication that may be crucial toward enhancing vaccination coverage.…”

Section: Discussionsupporting

confidence: 94%

Willingness and hesitancy of parents to vaccinate against COVID-19 their children ages 6 months to 4 years with frail conditions in Italy

Giudice

Polla

Postiglione

et al. 2023

Front. Public Health

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BackgroundIn Italy, on December 2022, COVID-19 vaccination was recommended for children aged 6 months-4 years with frail conditions and for those healthy. The purposes of the survey were to understand parental willingness and hesitancy toward COVID-19 vaccination of children with frail conditions in Italy and related influencing factors.MethodsA cross-sectional survey was performed among 445 parents with a child aged 6 months-4 years with frail conditions who attended a teaching hospital and a public hospital randomly selected in the city of Naples, Italy.ResultsAlmost one third (29.9%) were willing to vaccinate their frail children against COVID-19, whereas 21.3% were uncertain, and 48.8% did not intend to vaccinate. Parents with a higher level of perception that the vaccine is useful and safe and those who had received information by pediatrician were more likely to be willing to vaccinate their child. The mean Parent Attitudes About Childhood Vaccines (PACV-5) score was 3.4, with 13.5% of parents high-hesitant for the COVID-19 vaccination for their child. Parents with a higher COVID-19 vaccine-related safety concerns, those who have delayed at least one shot of a recommended vaccine for their child, and those who did not have received at least three doses of the vaccine against SARS-CoV-2 were more likely to be high-hesitant.ConclusionThe survey findings have important implications for designing interventions to increase willingness and to reduce hesitancy for COVID-19 vaccine among parents of frail children aged 6 months-4 years in Italy.

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Section: Discussionsupporting

confidence: 94%

Willingness and hesitancy of parents to vaccinate against COVID-19 their children ages 6 months to 4 years with frail conditions in Italy

Giudice

Polla

Postiglione

et al. 2023

Front. Public Health

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“…Due to declining vaccination rates and the rise of anti-vaccination campaigns, the world is currently dealing with a number of outbreaks of infectious diseases that represent a threat to children's health and can be prevented by vaccination (7). The anti-vaccine attitude has been extended to lowand middle-income countries (LMICs) of the EMR, specially against coronavirus disease 2019 (COVID-19) among adults (8)(9)(10), and parents (11,12).…”

Section: Introductionmentioning

confidence: 99%

“…In the EMR, parental VH toward routine immunization and COVID-19 has been investigated, but limited studies specifically addressed the influenza VH (12,(16)(17)(18). In the United Arabs of Emirates (UAE), only 12% of the caregivers were hesitant to give their children routine vaccines (17).…”

Section: Introductionmentioning

confidence: 99%

“…In the United Arabs of Emirates (UAE), only 12% of the caregivers were hesitant to give their children routine vaccines ( 17 ). Meanwhile, in Egypt and Saudi Arabia, 70.6 and 61.9% of the parents hesitated to vaccinate their children against COVID-19, respectively ( 12 , 16 ). Interestingly, high VH toward influenza was observed among Jordanian health care workers ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

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Determinants of parental seasonal influenza vaccine hesitancy in the Eastern Mediterranean region: A cross-sectional study

Fadl

Awaidy

Elshabrawy

et al. 2023

Front. Public Health

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BackgroundSeasonal influenza vaccine can reduce the risk of influenza-associated hospitalizations and deaths among children. Given that parents are the primary decision makers, this study examined the parental attitude toward childhood influenza vaccine and identified determinants of vaccine hesitancy (VH) in the Eastern Mediterranean region (EMR).MethodsA cross-sectional study was conducted using an anonymous online survey in 14 EMR countries. Parents of children aged 6 months to 18 years were included. The Parent Attitude about Childhood Vaccines (PACV) was used to assess VH. Chi square test and independent t-test were used to test for association of qualitative and quantitative variables, respectively. A structural equations model (SEM) was used to identify direct and indirect determinants of parental VH.ResultsAlmost half of the parents were hesitant about vaccinating their children against influenza (50.8%). Parental VH was significantly higher among older mothers (37.06 ± 8.8 years, p = 0.006), rural residents (53.6%, p < 0.001), high-income countries residents (50.6%, p < 0.001), and mothers with higher educational levels (52.1%, p < 0.001). Parents of school-aged children (5–9 years) (55.6%, p < 0.001), children free from any comorbidities (52.5%, p < 0.001), children who did not receive routine vaccination at all (51.5%, p = 0.03), children who were not vaccinated against COVID-19 (54.3%, p < 0.001), in addition to parents who were not vaccinated against influenza (57.1%, p < 0.001) were significantly associated with increased likelihood of VH. Parents who were depending on healthcare provider as a source of information regarding vaccines were less likely to report VH (47.9%, p < 0.001), meanwhile those who used social media as their source of health information showed a significantly higher VH (57.2%, p < 0.001). The SEM suggested that mother’s age, residence, country income level, child gender, total number of children and source of information regarding vaccines had a direct effect on VH. Meanwhile, parents vaccinated against influenza, children completely or partially vaccinated with routine vaccines and children vaccinated against Coronavirus disease 2019 (COVID-19) had an indirect effect on VH.ConclusionA high proportion of included parents were hesitant to vaccinate their children against seasonal influenza. This attitude is due to many modifiable and non-modifiable factors that can be targeted to improve vaccination coverage.

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“…Many studies have reported high rates of vaccine hesitancy and rejection in the region either towards the primary series of vaccination [ 31 – 34 ] or the booster dose [ 35 , 36 ]. This negative attitude towards COVID-19 vaccination has also affected parents’ willing to vaccinate both healthy and diseased children against COVID-19 [ 37 , 38 ]. The negative attitude towards COVID-19 vaccination may be due to different reasons such as lack of trust in safety, effectiveness, and efficacy of the vaccine or mistrust in health care system itself [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Combining the COVID-19 Vaccine with the Seasonal Influenza Vaccine on Reducing COVID-19 Vaccine Rejection Among Libyans

Ghazy

Sallam

Abdullah

et al. 2023

J Epidemiol Glob Health

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Background Coronavirus disease 2019 (COVID-19) vaccine coverage remains low in Libya compared to other countries in the Eastern Mediterranean Region. This study aimed to evaluate the willingness of the general public in Libya to receive COVID-19 and seasonal influenza vaccines. Additionally, the study aimed to investigate the potential effect of combining the two vaccines to reduce COVID-19 vaccine rejection. Methods An anonymous nationwide online cross-sectional survey was carried out from 1st September to 16th October 2022. Libyans aged 18 years or older were recruited using convenience and snowball sampling approaches. The participants were surveyed for sociodemographic information, health status, and vaccination attitude towards COVID-19 and seasonal influenza vaccines. Results A total of 2484 participants formed the final study sample: 68.7% were females, 39.4% were aged 18–25 years, 50.4% were single, 32.5% had previous COVID-19 infection, and 47.2% experienced COVID-19 death among relatives. Three-fourths of the respondents showed COVID-19 vaccine rejection: 57.3% did not receive COVID-19 vaccination, 10.1% would not complete the primary vaccination series, and 7.8% refused booster doses. About 55.0% rejected seasonal influenza vaccination, while 1.9% reported influenza vaccine uptake and 21.2% were willing to get the influenza vaccine for the first time. Additionally, 18.8% had already received influenza vaccination in the last year and intended to get the vaccine this season, while 3.3% were unwilling to get influenza vaccination this year despite receiving it in the last influenza season. Age, sex, and occupation were significantly associated with COVID-19 and influenza vaccine rejection. Rejection of COVID-19 vaccination decreased if its combination with influenza vaccine as a single dose was suggested, with 28.2% of the COVID-19 vaccine rejector group accepting the combined vaccine as it would be safer (50.9%), needing fewer injections (24.0%), would be more effective (19.1%), and would be less expensive (3%). Approximately 73.0% of the COVID-19 vaccine rejector group refused this combination due to fear of side effects (48.7%), absence of published studies on this combination (29.8%), and considering this combination as useless (11.2%). Conclusion In Libya, the prevalence of COVID-19 vaccine rejection was high, while the rejection of seasonal influenza vaccination was relatively lower. If influenza and COVID-19 vaccines are administered simultaneously as a single injection, this may reduce the rejection of the COVID-19 vaccine due to better-perceived vaccine safety and efficacy besides being more convenient in terms of the number of injections and cost.

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Attitude of Parents of Children with Cerebral Palsy Towards COVID-19 Vaccination

Cited by 10 publications

References 51 publications

Willingness and hesitancy of parents to vaccinate against COVID-19 their children ages 6 months to 4 years with frail conditions in Italy

Willingness and hesitancy of parents to vaccinate against COVID-19 their children ages 6 months to 4 years with frail conditions in Italy

Determinants of parental seasonal influenza vaccine hesitancy in the Eastern Mediterranean region: A cross-sectional study

The Effect of Combining the COVID-19 Vaccine with the Seasonal Influenza Vaccine on Reducing COVID-19 Vaccine Rejection Among Libyans

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