The Status and Influencing Factors of COVID-19 Vaccination for 3–7-Year-Old Children Born Prematurely

Abstract

Objective To explore the status and influencing factors of COVID-19 vaccination for 3–7-year-old children born prematurely. Methods A questionnaire was administered to parents of preterm infants born between 1 January 2016 and 31 December 2019 in Gansu Maternal and Child Health Hospital using convenience sampling. Results It was found that 96.81% of 282 parents had known about COVID-19 vaccines and acquired COVID-19- and vaccine-related knowledge primarily through WeChat (104/282, 36.88%) and TikTok (91/282, 32.27%). Most parents of the group whose children were vaccinated with a COVID-19 vaccine believed that this approach was effective in preventing COVID-19 (49.75%), whereas most parents of the group whose children were not vaccinated were worried about the adverse reaction and safety of the vaccine (45.88%). According to the regression analysis, the risk factors of children born prematurely receiving a COVID-19 vaccine were no vaccination against COVID-19 in the mothers (odds ratio [ OR ]=48.489, 95% CI : 6.524–360.406) and in younger children ( OR =12.157, 95% CI : 6.388–23.139). Previous history of referral ( OR =0.229, 95% CI : 0.057–0.920), history of diseases ( OR =0.130, 95% CI : 0.034–0.503) and high educational level of guardians ( OR =0.142, 95% CI : 0.112–0.557) were protective factors for children born prematurely to receive COVID-19 vaccination. Conclusion There is a relatively high proportion of children born prematurely receiving COVID-19 vaccination, but some people still have concerns. Publicity in the later stage can be conducted through WeChat, TikTok and other social media platforms, with special attention paid to the populations with lower education levels.

The Status and Influencing Factors of COVID-19 Vaccination for 3–7-Year-Old Children Born Prematurely [Letter]

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I have read a research article entitled "The Status and Influencing Factors of COVID-19 Vaccination for 3-7-Year-Old Children Born Prematurely" by Shi et al 1 I congratulate the authors on this successful article and make some contributions. There are three strengths of this research: 1) highlighting the unique challenges and considerations in vaccinating against COVID-19 in children born prematurely to groups that may have increased vulnerability to severe outcomes due to this virus.

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