Willingness of Brazilian caregivers in having their children and adolescents vaccinated against Covid-19

Nehab, Marcio Fernandes; Camacho, Karla Gonçalves; Reis, Adriana Teixeira; Junqueira-Marinho, Maria de Fátima; Abramov, Dimitri Marques; Azevedo, Zina Maria Almeida de; Salú, Margarida dos Santos; Vasconcelos, Zilton Farias Meira de; Gomes, Saint Clair; Filho, Orli Carvalho da Silva; Salvador, Petala Tuani Candida de Oliveira; Alves, Kisna Yasmin Andrade; Carvalho, Katiuscia Roseli Silva de; Moore, Daniella Campelo Batalha Cox

doi:10.1016/j.vaccine.2022.11.077

Cited by 8 publications

(7 citation statements)

References 27 publications

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“…Among those parents who were uncertain or did not intend to vaccinate their child, the most common reason was the parental concerns about the safety of the vaccination. This result is in accordance with those that have been observed in other recent studies worldwide examining immunization confidence among different groups of individuals ( 14 , 22 , 41–44 ). Therefore, it is of great importance targeting the interventions to address these concerns raised by the parents by a participatory approach and it is also necessary to stress the dangers of this vaccine-preventable disease.…”

Section: Discussionsupporting

confidence: 93%

“…This result was like that of 31.3% in the United States among parents of healthy children 2–4 years ( 15 ). This value was higher than those observed in other countries, in which the prevalence was 19.8 and 25.2% among parents of healthy children, respectively, aged <5 years ( 20 ) and 0–4 years ( 16 ) in the United States, but it was lower than the 71% in Brazil ( 14 ) and 50.6% in Ireland for children aged 0–4 years ( 23 ), 50% for 4 years in Australia ( 19 ), 45.1% for <5 years with few had an underlying disease in Malaysia ( 13 ), 42% for <2 years in the United States ( 12 ), and 41.9 and 45.4% for 2–4 years and 6–23 months in Canada ( 17 ). Furthermore, the value was also likewise lower as compared to the 36% found among parents of children 0 to 5 years with developmental disabilities in the United States ( 22 ), and to the 42.1% of children 0 to 4 years with neurodevelopmental disorders in Bangladesh ( 21 ).…”

Section: Discussioncontrasting

confidence: 55%

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Willingness and hesitancy of parents to vaccinate against COVID-19 their children ages 6 months to 4 years with frail conditions in Italy

Giudice

Polla

Postiglione

et al. 2023

Front. Public Health

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BackgroundIn Italy, on December 2022, COVID-19 vaccination was recommended for children aged 6 months-4 years with frail conditions and for those healthy. The purposes of the survey were to understand parental willingness and hesitancy toward COVID-19 vaccination of children with frail conditions in Italy and related influencing factors.MethodsA cross-sectional survey was performed among 445 parents with a child aged 6 months-4 years with frail conditions who attended a teaching hospital and a public hospital randomly selected in the city of Naples, Italy.ResultsAlmost one third (29.9%) were willing to vaccinate their frail children against COVID-19, whereas 21.3% were uncertain, and 48.8% did not intend to vaccinate. Parents with a higher level of perception that the vaccine is useful and safe and those who had received information by pediatrician were more likely to be willing to vaccinate their child. The mean Parent Attitudes About Childhood Vaccines (PACV-5) score was 3.4, with 13.5% of parents high-hesitant for the COVID-19 vaccination for their child. Parents with a higher COVID-19 vaccine-related safety concerns, those who have delayed at least one shot of a recommended vaccine for their child, and those who did not have received at least three doses of the vaccine against SARS-CoV-2 were more likely to be high-hesitant.ConclusionThe survey findings have important implications for designing interventions to increase willingness and to reduce hesitancy for COVID-19 vaccine among parents of frail children aged 6 months-4 years in Italy.

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Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 55%

Willingness and hesitancy of parents to vaccinate against COVID-19 their children ages 6 months to 4 years with frail conditions in Italy

Giudice

Polla

Postiglione

et al. 2023

Front. Public Health

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“…When assessing the parents’ willingness to vaccinate their children against COVID-19, only 14.4% intended to vaccinate. This value was considerably lower than the intention observed with a large variation among parents of similar-aged healthy children in other studies in different countries, like for example in Australia (77.2%) ( 22 ), Brazil (73%) ( 23 ), United States (51.5%) ( 24 ), Ireland (50.6%) ( 25 ), Thailand (45.1%) ( 9 ), and Canada (41.9–45.4%) ( 26 ). A possible explanation for the very low willingness toward COVID-19 vaccination is the fact that at the moment of this survey, the campaign for children aged 6 months–4 years had not yet started in Italy, and, therefore, parents are looking for more information before exposing their children.…”

Section: Discussioncontrasting

confidence: 66%

Analysis of the COVID-19 vaccine willingness and hesitancy among parents of healthy children aged 6 months–4 years: a cross-sectional survey in Italy

Postiglione,

Miraglia del Giudice,

Della Polla

et al. 2023

Front. Public Health

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IntroductionIn Italy, since December 2022, the COVID-19 vaccination has been extended to children aged 6 months–4 years with conditions of fragility and to those healthy at the request of the parent. The purposes of the cross-sectional survey were to determine the willingness and hesitancy of the parents/guardians to have their healthy children vaccinated against COVID-19.MethodsThe survey was performed among 389 parents/guardians with a child aged 6 months–4 years randomly selected from seven kindergartens and eight nursery schools in the geographic area of Naples, Italy.ResultsOnly 10.5% were very concerned about the risk of infection, and the mean values regarding the perceived utility and safety of the COVID-19 vaccine were 3.3 and 3.2, respectively. Only 13.7% of participants were willing to consent to vaccinate the selected child against COVID-19, while 20.1% were uncertain and 66.2% did not intend. Parents/guardians of older children, those who received information about the COVID-19 vaccine from physicians or pediatricians, those who believed that the COVID-19 vaccine was useful, and those with lower hesitancy regarding the COVID-19 vaccine were more willing to vaccinate their child. The mean Parent Attitudes About Childhood Vaccines (PACV-5) score was 5.6, with 33.1% of respondents who were identified as highly hesitant toward COVID-19 vaccination (score ≥ 7). Parents/guardians with a lower perceived safety of the COVID-19 vaccine were more likely to be highly hesitant.DiscussionThe findings reveal the need to improve community-based education campaigns and effective promotion of the COVID-19 vaccination to increase willingness and address parental safety concerns.

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“…In Turkey, the youths wanted to be vaccinated to protect their health as well as the health of their families and relatives [ 96 ]. In Brazil, a recent study reported that 88.7% of caregivers wanted their children to be vaccinated while 77.6% of parents in China wanted their children to be vaccinated against COVID-19 [ 97 , 98 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine uptake and associated factors among adolescents and youths: Findings and implications for future vaccination programmes

Mudenda,

Meyer,

Fadare

et al. 2023

PLOS Glob Public Health

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Adolescents and youths are a key part of the population that needs to be protected against the coronavirus disease 2019 (COVID-19). This is because they are more likely to spread the virus to vulnerable individuals. In view of these concerns, this study investigated the uptake of COVID-19 vaccines and associated factors among adolescents and youths attending secondary schools in Zambia. This cross-sectional study was conducted among 1500 school-going adolescents in Lusaka from September 2022 to November 2022. Overall, 1409 participants took part giving a response rate of 94%. Only 29.2% (n = 411) of the participants were vaccinated against COVID-19 at the time of the study. Compared to their unvaccinated counterparts, vaccinated adolescents and youths scored higher for knowledge (66.2% vs 57.8%) and attitudes (76.7% vs 39.4%) regarding COVID-19 vaccines. Healthcare workers, family/friends and social media were key sources of information regarding the vaccine. Factors associated with increased vaccine uptake were positive attitudes (AOR = 33.62, 95% CI: 19.92–56.73), indicating it was stressful to follow COVID-19 preventive measures (AOR = 1.47, 95% CI: 1.09–1.99), participants in Grade 12 (AOR = 3.39, 95% CI: 1.94–5.91), Grade 11 (AOR = 2.59, 95% CI: 1.94–5.91), Grade 10 (AOR = 3.48, 95% CI: 1.98–6.11) and Grade 9 (AOR = 3.04, 95% CI: 1.74–5.32) compared to Grade 8. This study found a relatively low uptake of COVID-19 vaccines among adolescents and youths in Zambia. There is a need to provide adequate strategies to address knowledge and attitude gaps regarding COVID-19 vaccines to improve uptake and reduce future morbidity and mortality.

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Willingness of Brazilian caregivers in having their children and adolescents vaccinated against Covid-19

Cited by 8 publications

References 27 publications

Willingness and hesitancy of parents to vaccinate against COVID-19 their children ages 6 months to 4 years with frail conditions in Italy

Willingness and hesitancy of parents to vaccinate against COVID-19 their children ages 6 months to 4 years with frail conditions in Italy

Analysis of the COVID-19 vaccine willingness and hesitancy among parents of healthy children aged 6 months–4 years: a cross-sectional survey in Italy

COVID-19 vaccine uptake and associated factors among adolescents and youths: Findings and implications for future vaccination programmes

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