Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada

McKinnon, Britt; Quach, Caroline; Dubé, Ève; Nguyen, Cat Tuong; Zinszer, Kate

doi:10.1016/j.vaccine.2021.10.077

Cited by 77 publications

(102 citation statements)

References 17 publications

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“…The unemployment rate, however, does not offer the same qualitatively meaningful explanatory power as the other socioeconomic variables. Contrary to the findings in other studies (e.g., [3,6,8]), the unvaccinated population share tended to be lower in census tracts with relatively more seniors. This seemingly odd finding might be attributable to the local efforts aiming to help inoculate homebound residents in Corpus Christi.…”

Section: Ordinary Least Squares Regressionscontrasting

confidence: 99%

“…To enhance the progress of COVID-19 vaccination, the critical first step is to understand the underlying drivers behind unvaccinated individuals, particularly their hesitancy or skepticism about the service. Much of the fast-growing body of research on this topic emphasizes disparities in different sociodemographic groups’ attitudes or fears towards the available vaccines (e.g., [ 4 , 5 , 6 , 7 , 8 , 9 ]). It remains a challenge to effectively implement vaccine campaign strategies to target those population segments with under-vaccination rates.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 Vaccine Hesitancy: The Role of Socioeconomic Factors and Spatial Effects

Lee

Huang

2022

Vaccines

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This paper investigates the spatial dimension of socioeconomic and demographic factors behind COVID-19 vaccine hesitancy. With a focus on a county with considerable sociodemographic diversity in the state of Texas, USA, we apply regression models to census-tract-level data of the unvaccinated population. In addition to disparities in accessing the vaccination service, particularly for residents in rural areas, empirical results confirm under-vaccination among lower socioeconomic neighborhoods and communities with signs of distrust in government. The spatial model regressions further underscore the impact that vaccine hesitancy among residents in one community spread to its nearby communities. This observed spatial spillover effect is attributable to the geographic interactions of similar socioeconomic groups.

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Section: Ordinary Least Squares Regressionscontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy: The Role of Socioeconomic Factors and Spatial Effects

Lee

Huang

2022

Vaccines

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“…Other surveys among parents of healthy children of similar age have observed considerably higher prevalence. Indeed, the willingness towards the vaccination was 93.6% for children aged 5–8 years in Brazil [ 22 ], 87.9% among 9–11-year-olds in Canada [ 23 ], 86.75% for 3–6 years in China [ 24 ], 65.2% for children with a median age of 7.5 years in a multicenter survey in the United States, Canada, Israel, Spain, and Switzerland [ 25 ], 45.9% for those aged 5–10 years in the United States [ 26 ], and 42.9% for children with an average age of 7.4 years in Japan [ 27 ]. Moreover, prevalence of the participants that were found to be vaccine high-hesitant was higher than the value of 15.7%, reported in a study that used the PACV-15 tool in China [ 28 ], and 12.4% with the PACV-5 in Italy [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluating COVID-19 Vaccine Willingness and Hesitancy among Parents of Children Aged 5–11 Years with Chronic Conditions in Italy

et al. 2022

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COVID-19 vaccination has been extended to include children aged 5–11 years. This cross-sectional survey evaluated parental COVID-19 vaccine willingness and hesitancy, and associated factors, for their children aged 5–11 years with chronic conditions. A telephone survey was conducted from 14 December 2021 to 4 January 2022. The questionnaire assessed participants’ socio-demographic and health-related information, attitudes towards COVID-19 infection, hesitancy, by using the PACV-5 (Parent Attitudes About Childhood Vaccines Survey Tool), and sources of information. A total of 430 answers were collected anonymously. Respondents with no cohabitant who had been infected by SARS-CoV-2 and having been vaccinated against COVID-19 had a higher concern about the severity of COVID-19. The parents’ perceived risk that the child could be infected by SARS-CoV-2 was higher in those more concerned about the severity of COVID-19, with an older child, and who had at least one cohabitant positive for COVID-19. Only 38.8% parents were willing to vaccinate their children against COVID-19. Parents who did not need additional information, those with higher education, those who have been vaccinated against COVID-19, those whose child was older, who had received information on this vaccination from physicians, with higher self-reported concern about the severity of COVID-19, and who had a higher perceived risk that their child could be infected by SARS-CoV-2, expressed a greater willingness to vaccinate their child. Overall, 26.3% were high-hesitant, with a PACV-5 score ≥ 7. Respondents who did not get the COVID-19 vaccine, were less educated, with a lower concern about severity of COVID-19, and with a lower perceived risk that their child could be infected by SARS-CoV-2, were more likely to be high-hesitant. New policies and educational programs regarding COVID-19 vaccination for children with chronic conditions are needed to reduce hesitancy and increase vaccination uptake.

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“…In a study conducted in Israel, parental willingness to vaccinate children against COVID-19 was 60% for physicians, 55% for nurses, and 70% for the general population [2,19] . In a Canadian study of 380 parents, 61% responded that they were very likely to have their child vaccinated against COVID-19, and 25% said that they were somewhat likely [26] . In Germany, COVID-19 vaccine hesitancy was considerable among parents both personally (42%) and filially (49%) [27] .…”

Section: Discussionmentioning

confidence: 99%

Turkish Healthcare Workers’ Personal and Parental Attitudes to COVID-19 Vaccination From a Role Modeling Perspective

Öncel¹,

Alvur²,

Çakıcı³

2022

Cureus

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IntroductionAs in many other countries, healthcare workers (HCWs) have been identified as the priority group for vaccination in Turkey for they are in close contact with not only patients with COVID-19 to whom they provide treatment but also asymptomatic individuals with COVID-19 infection while inoculating COVID-19 vaccines. As a result of this prioritization, they will always be in the limelight and regarded as role models for personal and parental acceptance of COVID-19 vaccines. MethodsTurkish healthcare workers (n=1,808) were contacted and invited to fill out an online questionnaire between December 27, 2020, and January 14, 2021, in order to reveal their approaches to COVID-19 vaccines and vaccination. ResultsMost of the participants had moderate concerns of having severe COVID-19. Anxiety on the adverse effects of COVID-19 vaccines was more prevalent in females and among 36-to 50-year-old healthcare workers and less frequent in physicians, nurses, and midwives and in those with a higher level of knowledge about COVID-19 vaccines. Strict anti-vaccination tendency was higher in professional categories other than physicians, nurses, and midwives. Females, physicians, nurses, midwives, healthcare workers aged 51 and over, healthcare workers having children, married healthcare workers, and healthcare workers who use scientific journals and World Health Organization (WHO) announcements as sources of information were more inclined to accept COVID-19 vaccines. The elimination of COVID-19 vaccine hesitancy in healthcare workers would be possible if people around them, physicians, and ministers or high officials get vaccinated but will persist in 19% of the healthcare workers. More than half of the healthcare workers thought vaccination against COVID-19 should not be mandatory. The Pfizer-BioNTech vaccine was the most preferred COVID-19 vaccine (37.3%). The reasons for this preference were the trustworthiness of the country of origin, the manufacturer company, the Turkish origin of its developers, the vaccine's being the first to receive emergency validation, and its non-Indian, non-Russian, and non-Chinese origin. Parental vaccine refusal and hesitancy were present in 15.6% and 31.9% of the healthcare workers, respectively. The mistrust in COVID-19 vaccines among Turkish healthcare workers was directed toward not only pharmaceutical companies but also health authorities and academicians because of their unconvincing, conflicting, or vague statements and toward certain countries known for their production of low-quality merchandise in the past. ConclusionThe parental COVID-19 vaccine hesitancy of 32% of the healthcare workers is unacceptably high for role modeling against anti-vaccine movement and should be diminished by implementing necessary measures as soon as possible.

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Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada

Cited by 77 publications

References 17 publications

COVID-19 Vaccine Hesitancy: The Role of Socioeconomic Factors and Spatial Effects

COVID-19 Vaccine Hesitancy: The Role of Socioeconomic Factors and Spatial Effects

Evaluating COVID-19 Vaccine Willingness and Hesitancy among Parents of Children Aged 5–11 Years with Chronic Conditions in Italy

Turkish Healthcare Workers’ Personal and Parental Attitudes to COVID-19 Vaccination From a Role Modeling Perspective

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