Changes in parents' attitudes towards childhood vaccines during <scp>COVID</scp>‐19 pandemic

Duran, Sedef; Duran, Rıdvan; Acunaş, Betül; Şahin, Erkan Melih

doi:10.1111/ped.15520

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…The 15-item PACV survey contains three factors, including attitude, safety and efficacy, and analyzes behavior based on concepts that were developed based on the Health Belief Model [ 49 ]. The WHO’s Vaccine Hesitancy Scale has been also used to assess parental attitudes about childhood vaccines against COVID-19 [ 50 , 51 ]; however, its psychometric propensities in measuring parental attitudes about childhood vaccines against COVID-19 have not been examined. The P-MoVac-COVID19S has cognitive constructs similar to the original MoVac-COVID19S; therefore, parents’ motivations to vaccinate themselves and their children can be compared.…”

Section: Discussionmentioning

confidence: 99%

A Parent Version of the Motors of COVID-19 Vaccination Acceptance Scale for Assessing Parents’ Motivation to Have Their Children Vaccinated

et al. 2023

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Parents’ motivation to vaccinate their children against coronavirus disease 2019 (COVID-19) plays a crucial role in the uptake of COVID-19 vaccines among children. The Motors of COVID-19 Vaccination Acceptance Scale (MoVac-COVID19S) is a valuable tool for assessing individuals’ vaccination-related attitudes and the factors influencing their decision to be vaccinated against COVID-19. This study adapted the MoVac-COVID19S to create a parent version (P-MoVac-COVID19S) and examined the psychometric soundness of two P-MoVac-COVID19S versions (a 9-item version (P-MoVac-COVID19S-9) and a 12-item version (P-MoVac-COVID19S-12)) for assessing parents’ motivation to vaccinate their children. A total of 550 parents completed the P-MoVac-COVID19S and a questionnaire assessing the factors that impact parents’ intention to allow their children to receive the COVID-19 vaccine using a vaccine acceptance scale. We enquired about the level of parental worry regarding the adverse effects of COVID-19 vaccines on children’s health and the number of COVID-19 vaccine doses received by parents. The factor structures of the P-MoVac-COVID19S-9 and P-MoVac-COVID19S-12 were examined using confirmatory factor analysis. The internal consistency, test–retest reliability, and concurrent validity of the P-MoVac-COVID19S were also examined. The results revealed that the P-MoVac-COVID19S-12 has a four-factor structure, which aligns well with the theoretical framework of the cognitive model of empowerment; the P-MoVac-COVID19S-9 has a one-factor structure. Both the P-MoVac-COVID19S-9 and P-MoVac-COVID19S-12 had good internal consistency and test–retest reliability and acceptable concurrent validity. The results of this study demonstrated that the P-MoVac-COVID19S is a reliable and valid instrument for assessing parent’s motivation to vaccinate their children against COVID-19.

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Section: Discussionmentioning

confidence: 99%

A Parent Version of the Motors of COVID-19 Vaccination Acceptance Scale for Assessing Parents’ Motivation to Have Their Children Vaccinated

et al. 2023

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“…Thus, a crucial intervention for individuals with vaccination ambivalence may lie in early persuasion to vaccination. People who express hesitation about the COVID-19 vaccines are more likely to be reluctant towards other vaccines, like influenza or childhood vaccines [25,[59][60][61][62][63][64], so these results may also apply to other vaccines. More detailed examinations of patterns of vaccination attitudes may reveal additional avenues or potential intervention targets for encouraging early or eventual vaccination-especially among those initially 'Unsure' of their intentions.…”

Section: Implications For the Futurementioning

confidence: 99%

Factors Associated with COVID-19 Vaccination Promptness after Eligibility in a North Carolina Longitudinal Cohort Study

Neighbors,

Faldowski,

Pieper

et al. 2023

Vaccines

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Many studies identified factors associated with vaccination intention and hesitancy, but factors associated with vaccination promptness and the effect of vaccination intention on vaccination promptness are unknown. This study identified factors associated with COVID-19 vaccination promptness and evaluated the role of vaccination intention on vaccination promptness in 1223 participants in a community-based longitudinal cohort study (June 2020 to December 2021). Participants answered questions regarding COVID-19 vaccination intention, vaccination status, and reasons for not receiving a vaccine. The association of baseline vaccine hesitancy with vaccination was assessed by the Kaplan–Meier survival analysis. Follow-up analyses tested the importance of other variables predicting vaccination using the Cox proportional hazards model. Older age was associated with shorter time to vaccination (HR = 1.76 [1.37–2.25] 85-year-old versus 65-year-old). Lower education levels (HR = 0.80 [0.69–0.92]), household incomes (HR = 0.84 [0.72–0.98]), and baseline vaccination intention of ‘No’ (HR = 0.16 [0.11–0.23]) were associated with longer times to vaccination. The most common reasons for not being vaccinated (N = 58) were vaccine safety concerns (n = 33), side effects (n = 28), and vaccine effectiveness (n = 25). Vaccination campaigns that target populations prone to hesitancy and address vaccine safety and effectiveness could be helpful in future vaccination rollouts.

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Changing parental perceptions to childhood immunisations during the Covid-19 pandemic in the UK: evidence from three cross-sectional surveys between 2020 and 2022

Thistlethwayte,

de Figueiredo

2024

Preprint

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OBJECTIVE Childhood immunisation rates in the UK have recently fallen to their lowest level in 14 years. There is currently a lack of temporal evidence on parental attitudes to childhood immunisations and how they have evolved in response to the Covid-19 pandemic, limiting our ability to assess the impact of the pandemic on population-level attitudes to non-Covid vaccines. This study aims to assess trends in parental confidence in childhood immunisations between 2020 and 2022 at varying spatial scales in the UK, while also identifying the socio-demographic factors associated with vaccine perceptions and how these have shifted over time. DESIGN Three cross-sectional surveys in 2020, 2021, and 2022. SETTING United Kingdom. PARTICIPANTS 14,720 adults responsible for decisions surrounding the vaccination of children. MAIN OUTCOME MEASURES The percentage of parents indicating past or future refusal for the MMR, HPV, and influenza vaccines for their child in 2020, 2021, and 2022 as well as Covid-19 vaccine refusal for their child in 2022. A combined metric (refusal) is created to measure parental refusal for any childhood vaccine. Associations between these primary outcome measures and socio-demographic variables are investigated via multiple logistic regression, with effects reported via odds ratios. Additionally, the extent to which parental and caregiver perceptions in giving children immunisations since the start of the pandemic is examined using data from 2022. RESULTS Across the UK overall refusal decreased from 16.2% in 2020 to 14.0% in 2021 (p<0.001) before increasing to 20.8% in 2022 (p<0.001 compared to 2020). This loss was driven by relatively high rates of parental refusal of the Covid-19 vaccine for their children in 2022, rather than perceptions towards other childhood vaccines. A marked negative change in perceptions towards giving childhood vaccines is found among parents who had not themselves received at least three doses of a Covid-19 vaccine, signalling a strong spillover effect of Covid-19 vaccine hesitancy onto routine childhood vaccines. Many parental socio-demographic factors were found to be informative of vaccine refusal, with younger age groups, individuals living in Greater London, Hindus, and Muslims exhibiting higher rates of refusal. Interestingly, however, 18-34-year-olds, Hindus, Muslims, and Black / Black British respondents report becoming more positive towards giving about giving their children vaccines in 2022 compared to the start of the pandemic. CONCLUSIONS The available evidence suggests that parental refusal of routine childhood immunisations has decreased between 2020 and 2022 and remains low across the UK. Encouragingly, many socio-demographic groups with historically low confidence in childhood immunisations appear to be more positive about giving their children vaccines in 2022 compared to the beginning of the pandemic. While these findings are cautiously optimistic, there is still a mismatch between these reported increases in vaccine confidence and uptake rates of routine immunisations across the UK. Parents who did not receive at least three doses of a Covid-19 vaccine feel much less positive about giving their children vaccines since the start of the pandemic compared to those who did receive at least three doses. This group represents an important cohort for targeted outreach and tailored interventions to address lingering concerns and support vaccine uptake.

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Changes in parents' attitudes towards childhood vaccines during COVID‐19 pandemic

Cited by 3 publications

References 30 publications

A Parent Version of the Motors of COVID-19 Vaccination Acceptance Scale for Assessing Parents’ Motivation to Have Their Children Vaccinated

A Parent Version of the Motors of COVID-19 Vaccination Acceptance Scale for Assessing Parents’ Motivation to Have Their Children Vaccinated

Factors Associated with COVID-19 Vaccination Promptness after Eligibility in a North Carolina Longitudinal Cohort Study

Changing parental perceptions to childhood immunisations during the Covid-19 pandemic in the UK: evidence from three cross-sectional surveys between 2020 and 2022

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