Trends in adolescent COVID-19 vaccination receipt and parental intent to vaccinate their adolescent children, United States, July to October, 2021

Abstract

Introduction There was a five-fold increase in COVID-19 hospitalization case counts among children and adolescents between June and October 2021. However, polls suggest that adolescent COVID-19 vaccination coverage has plateaued in the United States. Methods Using the Census Bureau’s Household Pulse Survey, we assessed trends in COVID-19 vaccination among adolescents ages 12–17 years, parents’ intention to vaccinate their adolescent children, and their reasons for not intending to vaccinate their children from July to October 2021 using a large, nationally representative survey of U.S. households ( n = 59,424). Trends in COVID-19 adolescent vaccination coverage, nationally and by sociodemographic characteristics, factors associated with adolescent vaccination status and parental intent to vaccinate their adolescent children, as well as changes in reasons for non-vaccination were examined using regression models. Results Receipt of ≥1 dose of a COVID-19 vaccine among adolescents ages 12–17 years increased five percentage points, from 56% (July) to 61% (October), with significant increases across most sociodemographic variables. However, there were no significant changes in parental intention to vaccinate their adolescent children during the same time period. Approximately one-quarter of parents were unsure about or reluctant to vaccinate their children, which remained consistent from July to October. Among those who had not vaccinated their children, lack of trust in the government and vaccines, and the belief that the COVID-19 vaccine is not needed or effective, was higher in October compared to July. Conclusions Parental intention to vaccinate their children has remained relatively stable throughout the late summer and early fall of 2021. Encouraging paediatricians to discuss the importance and safety of COVID-19 vaccines, addressing concerns and misinformation, as well as recommending and offering vaccines are important for increasing parental confidence in vaccines as well as vaccination uptake among adolescents. KEY MESSAGE Receipt of ≥1 dose of a COVID-19 vaccine among adolescents ages 12–17 years increased five percentage points, from 56% (July) to 61% (October), with significant increases across most sociodemographic variables. Approximately one quarter of parents were unsure about or reluctant to vaccinate their children, which remained consistent from July to October. Encouraging paediatricians to discuss the importance and safety of COVID-19 vaccines, addressing concerns and misinformation, as well as recommending and offering vaccines is important for increasing parental confidence in vaccines as well as vaccination uptake among adolescents.

Assessment of Efficacy and Safety of mRNA COVID-19 Vaccines in Children Aged 5 to 11 Years

“…Despite the accumulating evidence, vaccine hesitancy still remains a global issue . The low uptake of vaccines among children and unwillingness of parents to vaccinate their children have been reported . According to surveys in the US, 25% to 46% of parents were unsure or reluctant to vaccinate their children .…”

“…21,60,61 The low uptake of vaccines among children and unwillingness of parents to vaccinate their children have been reported. 21,22,62,63 According to surveys in the US, 25% to 46% of parents were unsure or reluctant to vaccinate their children. 22,63,64 While 83% of parents acknowledged that "it would be bad if children got COVID-19," 63 26% did not believe that vaccines would protect their children from COVID-19.…”

Trends in Vaccine Refusal and Acceptance Using Electronic Health Records from a Large Pediatric Hospital Network, 2013–2020: Strategies for Change

“…Concerns are often centered around vaccine side effects, disease severity, and vaccine effectiveness [ 6 , 7 ]. Similar concerns have been expressed about COVID-19 vaccines [ 8 , 9 , 10 ].…”

COVID-19 vaccination dynamics in the US: coverage velocity and carrying capacity based on socio-demographic vulnerability indices in California's pediatric population

“…As for the estimated maximum proportion of individuals vaccinated in the 12–17 year old age group, previous literature appears to be aligned with our finding that highly vulnerable counties are on pace to achieve higher vaccination numbers than low and moderate vulnerable counties in Themes 1 and 2. A study conducted on vaccination coverage among adolescents from July to October 2021 reported a large increase in vaccination uptake when parents had an income of <$35,000 ( 31 ). While this study focuses on the U.S. population at large, we nonetheless observe a similar trend in the present study as our snapshot analysis reveals that the disparity between highly vulnerable counties and moderate and low vulnerable counties pertaining to socioeconomic status becomes ameliorated throughout July to October 2021.…”