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. 2021 Jan:228:87-93.e2.
doi: 10.1016/j.jpeds.2020.08.005. Epub 2020 Aug 7.

Willingness to Vaccinate Children against Influenza after the Coronavirus Disease 2019 Pandemic

Collaborators, Affiliations

Willingness to Vaccinate Children against Influenza after the Coronavirus Disease 2019 Pandemic

Ran D Goldman et al. J Pediatr. 2021 Jan.

Abstract

Objectives: To determine factors associated with parents who plan to vaccinate their children against influenza next year, especially those who did not vaccinate against influenza last year using a global survey.

Study design: A survey of caregivers accompanying their children aged 1-19 years old in 17 pediatric emergency departments in 6 countries at the peak of the coronavirus disease 2019 (COVID-19) pandemic. Anonymous online survey included caregiver and child demographic information, vaccination history and future intentions, and concern about the child and caregiver having COVID-19 at the time of emergency department visit.

Results: Of 2422 surveys, 1314 (54.2%) caregivers stated they plan to vaccinate their child against influenza next year, an increase of 15.8% from the previous year. Of 1459 caregivers who did not vaccinate their children last year, 418 (28.6%) plan to do so next year. Factors predicting willingness to change and vaccinate included child's up-to-date vaccination status (aOR 2.03, 95% CI 1.29-3.32, P = .003); caregivers' influenza vaccine history (aOR 3.26, 95% CI 2.41-4.40, P < .010), and level of concern their child had COVID-19 (aOR 1.09, 95% CI 1.01-1.17, P = .022).

Conclusions: Changes in risk perception due to COVID-19, and previous vaccination, may serve to influence decision-making among caregivers regarding influenza vaccination in the coming season. To promote influenza vaccination among children, public health programs can leverage this information.

Keywords: parental attitudes; vaccine hesitancy.

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Figures

Figure 1
Figure 1
Flowchart of caregivers' decision to plan to vaccinate their children against influenza next year grouped by their decision to vaccinate themselves and their children against influenza last year. Fourteen surveys were excluded for incomplete responses or surveys filled out by children; 349 surveys excluded of children younger than 1 year old (n = 343), older than 19 years old (n = 3), or did not specify their age (n = 3) at time of survey completion. Unknown are children whose vaccination plan was unspecified.
Figure 2
Figure 2
Percent of caregivers who did not vaccinate their child against influenza last year but plan on having their child vaccinated next year by worry that child has COVID-19. Percentages are based on respondents who disclosed their vaccination plan and their level of COVID-19 worry (n = 1437). χ2 test used for frequencies; χ2 = 19.3, df = 10, P = .037.

Comment in

References

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