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. 2023 Jul;12(3):240-248.
doi: 10.7774/cevr.2023.12.3.240. Epub 2023 Jul 31.

Factors associated with parental intention to vaccinate their preschool children against COVID-19: a cross-sectional survey in urban area of Jakarta, Indonesia

Theresia Santi  1 , Badriul Hegar  2 , Zakiudin Munasir  2 , Ari Prayitno  2 , Retno Asti Werdhani  3 , Ivo Novita Sah Bandar  4 , Juandy Jo  5   6 , Ruswati Uswa  7 , Ratna Widia  7 , Yvan Vandenplas  8
Affiliations

Factors associated with parental intention to vaccinate their preschool children against COVID-19: a cross-sectional survey in urban area of Jakarta, Indonesia

Theresia Santi et al. Clin Exp Vaccine Res. 2023 Jul.

Abstract

Purpose: We reported a survey-based study assessing the parental intention to vaccinate children of 5 to 7 years old against coronavirus disease 2019 (COVID-19). The aim of this study is to assess factors influencing the parental intention to vaccinate their children against COVID-19.

Materials and methods: This study adopted a cross-sectional design, held at the public health center of Senen district, Jakarta, Indonesia from November 1-30, 2022. The off-line questionnaires were distributed via the school administrator to all eligible parents. Factors associated with intention to vaccinate were analyzed with the regression logistic models.

Results: Of the 435 parents in this study, 215 had already vaccinated their children against COVID-19 (49.4%), and the overall intention of the participants to vaccinate was 69.7%. Factors associated with intention to vaccinate the children against COVID-19 were parental employment status, parental COVID-19 vaccine status and concern of contracting COVID-19. Parents who are employed, had completed vaccines with COVID-19 booster vaccine, and had concern of their children contracting COVID-19 were more likely to vaccinate their children (odds ratio [OR], 2.10; 95% confidence interval [CI], 1.22-3.69; p=0.011; OR, 2.15; 95% CI, 1.21-3.83; p=0.013; OR, 2.40; 95% CI, 1.34-4.30; p=0.004, respectively). Concern on the vaccine's side effects was negatively associated with the willingness to vaccinate.

Conclusion: This study showed that childhood COVID-19 vaccine only covered half of the population, with parental intentions for childhood COVID-19 vaccination being high, reaching almost two-thirds of the study participants. Factors influencing parental intentions were employment status, parental COVID-19 vaccine status, concerns about COVID-19 and concerns about vaccine side effects.

Keywords: COVID-19; Indonesia; Intention; Parents; Pediatrics; Vaccination.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Summary of the survey. The questionnaire was distributed directly to eligible parents who were having children at the corresponding preschool.
Fig. 2
Fig. 2. Reasons of the parents regarding their willingness to vaccinate their children against coronavirus disease 2019 (COVID-19) (n=128). A number on top of each bar indicates the number of subjects choosing a particular reason. The data was collected from 128 parents out of 220 subjects whose children had not been vaccinated against COVID-19. Reason 1: I want to protect my child from COVID-19. Reason 2: I’m worried of getting COVID-19. Reason 3: I’m worried about my child bringing the coronavirus from school and infecting the family. Reason 4: there are many COVID-19 cases in my neighborhood. Reason 5: my healthcare provider suggested to take COVID-19 vaccine.
Fig. 3
Fig. 3. Reasons of the parents who refuse to vaccinate their children against coronavirus disease 2019 (COVID-19) (n=92). A number on top of each bar indicates the number of subjects choosing a particular reason. The data was collected from 92 parents out of 220 subjects whose children had not been vaccinated against COVID-19. Reason 1: I’m worried about the vaccine’s side effects. Reason 2: its effectiveness is unknown. Reason 3: I avoid most vaccines. Reason 4: I do not think the vaccine will prevent infection. Reason 5: it’s inconvenient to take a vaccine that requires multiple doses. Reason 6: I do not think COVID-19 virus will cause serious illness.
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