Attitude and Acceptance of COVID-19 Vaccine in Parents and Adolescents: A Nationwide Survey

Hyunju Lee · Young June Choe · Shinkyeong Kim · Hye‐Kyung Cho · Eun Hwa Choi · Jia Lee +3 more

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research COVID-19 and Mental Health

Abstract

PURPOSE: Coronavirus disease 2019 (COVID-19) vaccines are currently authorized for emergency use in adolescents aged 12-17 years; however, there is concern and uncertainty regarding the safety and necessity of COVID-19 vaccination. A survey was carried out to assess the attitudes and acceptance towards vaccination in adolescents. METHODS: A nationwide web-based survey was conducted among adolescents aged 12-17 years and their parents between June 29 and July 8, 2021 on a platform provided by the Ministry of Education. RESULTS: A total of 341,326 parents and 272,914 adolescents participated in this study. Intention for vaccination was 69.1% for adolescents, and 72.2% of parents reported they would recommend vaccination for their child. Among adolescents, perception of safety (odds ratio [OR] 4.09, 95% confidence interval [CI] 3.95-4.22), effectiveness (OR 2.24, 95% CI 2.17-2.32), and risk-benefit (OR 1.75, 95% CI 1.72-1.78) had the highest impact on intention for vaccination. Also, perceived risk (OR 1.14, 95% CI 1.12-1.17), severity (OR 1.12, 95% CI 1.10-1.13) for COVID-19 infection, self-health perception (OR 1.12, 95%, CI 1.10-1.14) and recent vaccination of childhood vaccines (OR 1.25, 95% CI 1.19-1.32) were related to intention for COVID-19 vaccination. On the other hand, self-perceived knowledge (OR 0.96, 95% 0.95-0.98) was related to vaccine hesitancy. Gender or school district did not influence intention for COVID-19 vaccination in adolescents. DISCUSSION: Decisions on COVID-19 vaccination for adolescents should be a shared process between adolescents, parents, and physicians based on updated information on safety and effectiveness.

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References

2017Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016 2021COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries 2020Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications 2020Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China 2021Parents’ Intentions and Perceptions About COVID-19 Vaccination for Their Children: Results From a National Survey 2021Acceptance of a COVID-19 Vaccine in Japan during the COVID-19 Pandemic 2020Intention to vaccinate against COVID-19 in Australia 2021Evaluation of COVID-19 Vaccine Refusal in Parents

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2022Knowledge, Attitudes, and Acceptance of COVID-19 Vaccines among Secondary School Pupils in Zambia: Implications for Future Educational and Sensitisation Programmes 2022Parental COVID-19 vaccination hesitancy among parents of children aged 5–18 years in Thailand: a cross-sectional survey study 2022Parental concerns about COVID-19 vaccine safety and hesitancy in Korea: implications for vaccine communication 2023Intention to Vaccinate against COVID-19 in Adolescents: A Systematic Review

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