Racial and Ethnic Differences in COVID-19 Vaccination Coverage Among Children and Adolescents Aged 5–17 Years and Parental Intent to Vaccinate Their Children — National Immunization Survey–Child COVID Module, United States, December 2020–September 2022

Valier, Madeleine R; Elam–Evans, Laurie D.; Mu, Yi; Santibanez, Tammy A.; Yankey, David; Zhou, Tianyi; Pingali, Cassandra; Singleton, James A.

doi:10.15585/mmwr.mm7201a1

Cited by 47 publications

(31 citation statements)

References 7 publications

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“…In addition, significant health disparities exist in COVID-19 vaccine uptake, with the lowest vaccination rates observed for Black and Latino children. 25 The embrace of vaccine misinformation has profoundly impacted parental compliance in vaccinating their children against COVID-19. From a public policy perspective, it is vital that pediatricians work to find strategies to address these fonts of vaccine misinformation.…”

Section: “Long Covid” In Children: the Intersection Between Covid-19 ...mentioning

confidence: 99%

What are the key pediatric public policy priorities as the COVID-19 pandemic persists?

2023

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Impact The COVID-19 pandemic is not over, and its impact is just beginning to be felt on children. COVID-19 vaccines protect both the pregnant patient and newborns, and breastfeeding provides a key component of passive protective immunity. “Long COVID” has contributed to the current crisis in pediatric mental health, and vaccines confer protection against this long-term complication of COVID-19 disease. Vaccine misinformation is not only impacting compliance with maternal and pediatric COVID-19 immunization efforts, but also other routine childhood vaccinations. As a public health priority, we must improve our response to vaccine misinformation and find novel strategies to improve vaccine compliance.

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Section: “Long Covid” In Children: the Intersection Between Covid-19 ...mentioning

confidence: 99%

What are the key pediatric public policy priorities as the COVID-19 pandemic persists?

2023

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“…Even though COVID-19 vaccines are highly effective at reducing risk of severe disease and mortality for adults and children, vaccine uptake among Latinos adults in the U.S. has been slower compared to other groups, and Latino children continue to be underrepresented among vaccinated populations for some age groups (12)(13)(14)(15)(16). As of March 15, 2023, 57.1% of Latino adults had completed a primary vaccine series, and 8.5% had received a bivalent booster dose, which was the lowest booster dose coverage across all racial/ethnic subgroups (noting incomplete data on race/ethnicity for 20.3% of individuals) (17).…”

Section: Introductionmentioning

confidence: 99%

“…As of March 15, 2023, 57.1% of Latino adults had completed a primary vaccine series, and 8.5% had received a bivalent booster dose, which was the lowest booster dose coverage across all racial/ethnic subgroups (noting incomplete data on race/ethnicity for 20.3% of individuals) (17). Among Latino children and adolescents, as of August 31, 2022, coverage with the 2-dose COVID-19 vaccine series was 28.8% for ages 5-11 years, 57.8% for ages 12-15 years; 70.4% for ages 16-17 years (15). Coverage with a booster dose for Latino children was low at 4.6% for ages 5-11 years, 20.7% for ages 12-15, and 32.3% for ages 16-17 (15).…”

Section: Introductionmentioning

confidence: 99%

“…Among Latino children and adolescents, as of August 31, 2022, coverage with the 2-dose COVID-19 vaccine series was 28.8% for ages 5-11 years, 57.8% for ages 12-15 years; 70.4% for ages 16-17 years (15). Coverage with a booster dose for Latino children was low at 4.6% for ages 5-11 years, 20.7% for ages 12-15, and 32.3% for ages 16-17 (15). The youngest children continue to be the most under-vaccinated, with 10.1% of children aged 6 months-4 years having received at least 1 dose, and 5.1% having completed the primary vaccine series as of December 21, 2022.…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that vaccine hesitancy has been an important barrier among U.S. Latinos (4,12,14,(19)(20)(21) and among Latino parents with regards to vaccinating their children (15,16,(22)(23)(24)(25).…”

Section: Introductionmentioning

confidence: 99%

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Feasibility and Acceptability of Spanish-language Facebook Group on Latino Parents’ COVID-19 Vaccine Beliefs: Case study of the Brigada Digital de Salud

Andrade,

Gonzalez,

Wysota

et al. 2023

Preprint

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Background COVID-19 vaccine uptake among U.S. Latino adults has been slower than other groups, and younger Latino children continue to be underrepresented among vaccinated populations. Parental vaccine hesitancy has been an important barrier, often stemming from concerns about safety, effectiveness, side effects, and exposure to social media misinformation. The Brigada Digital de Salud was established in May 2021 to address misinformation by disseminating credible, science-based, and culturally-appropriate COVID-19 information in Spanish on social media platforms. Methods We conducted a 5-week randomized controlled trial in August-September, 2022 using two private Facebook groups (n = 55 intervention and n = 65 control) to test intervention feasibility and acceptability of COVID-19 vaccine promotion among Spanish-speaking Latino parents. Also of interest were the effects of Brigada Digital content on vaccine beliefs, intentions, and uptake. Intervention participants received daily COVID-19 prevention and vaccination posts with prompts for interaction. All study participants completed baseline and follow-up surveys. Participant engagement was assessed using Facebook analytics. Results Feedback from intervention participants regarding content, moderators, and group experience was positive. Participants agreed that posts were informative (4.3/5), trustworthy (4.2/4), and addressed their COVID-19 vaccine concerns (4.2/5). Participants also agreed that moderators were well-informed (4.3/5) and helpful (4.2/5), and they would recommend the group to a friend (4.4/5). Participants remained engaged in the group for the 5-week period, and had, on average, 36.4 post views, 10.6 post reactions, and 3 post comments per participant. Both intervention and control group participants reported greater COVID-19 vaccine-supportive beliefs for adults and children at follow-up; these beliefs increased more among intervention participants, though differences were not statistically significant. When asked about why parent participants had not yet vaccinated their children across all ages, reasons mirrored those reported nationally, with principal concerns being related to potential side effects, safety, and that the vaccine was developed too quickly Conclusions This intervention approach shows considerable promise for Latino parents in terms of feasibility, appeal, and appropriateness, and preliminary evidence suggest potential to improve parent COVID-19 vaccine beliefs for adults and children. This intervention approach and content should be further tested with groups of parents who express less supportive COVID-19 vaccine views or have unvaccinated children.

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Cost-Related Barriers and Ensuring Equitable Access to Vaccines in the US

Essien,

Dusetzina

2023

JAMA Pediatr

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Racial and Ethnic Differences in COVID-19 Vaccination Coverage Among Children and Adolescents Aged 5–17 Years and Parental Intent to Vaccinate Their Children — National Immunization Survey–Child COVID Module, United States, December 2020–September 2022

Cited by 47 publications

References 7 publications

What are the key pediatric public policy priorities as the COVID-19 pandemic persists?

What are the key pediatric public policy priorities as the COVID-19 pandemic persists?

Feasibility and Acceptability of Spanish-language Facebook Group on Latino Parents’ COVID-19 Vaccine Beliefs: Case study of the Brigada Digital de Salud

Cost-Related Barriers and Ensuring Equitable Access to Vaccines in the US

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