The COVID-19 Pandemic and Parental Attitudes Toward Routine Childhood Vaccines

Angela F. D. Moss · Sean T. O’Leary

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Vaccine Coverage and Hesitancy Misinformation and Its Impacts COVID-19 and Mental Health

Abstract

BACKGROUND AND OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic may have impacted parental attitudes toward childhood vaccines. However, few data sources followed attitudes before and after onset of the pandemic. We used data from a parental survey to describe the effect of the pandemic on parental attitudes toward childhood vaccines. METHODS: Data were analyzed from the Health eMoms survey which randomly sampled birthing parents in Colorado from 2018 to 2021 on several health topics including vaccine hesitancy. Population weighted multivariable regression was used to measure the association between overall vaccine hesitancy and 5 individual hesitancy questions and different COVID-19 pandemic periods: prepandemic (April 2018-February 2020); pandemic prevaccine (April 2020-December 2020); and pandemic postvaccine (January 2021-August 2021), adjusting for demographic factors. RESULTS: Overall, 20.4% (726/3553) of respondents were vaccine hesitant. Vaccine hesitancy during pandemic time periods was not different from the prepandemic period (prevaccine adjusted odds ratio [aOR] = 0.82, 95% confidence interval [CI] = 0.65-1.04; postvaccine aOR = 1.07, 95% CI = 0.85-1.34). In analyses of individual hesitancy questions, parents were more likely to be unsure about trusting vaccine information in the pandemic postvaccine time period compared with the prepandemic period (aOR = 2.14; 95% CI = 1.55-2.96), and less likely to be unsure about their hesitancy toward childhood vaccines (aOR = 0.48; 95% CI = 0.27-0.84). CONCLUSIONS: The COVID-19 pandemic was not associated with changes in parental vaccine hesitancy overall, although there were changes in trust about vaccine information and a polarization of vaccination attitudes.

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References

2021Lack of Trust, Conspiracy Beliefs, and Social Media Use Predict COVID-19 Vaccine Hesitancy 2022The Vaccine-Hesitant Moment 2011Validity and reliability of a survey to identify vaccine-hesitant parents 2020Parental Hesitancy About Routine Childhood and Influenza Vaccinations: A National Survey 2013The Relationship Between Parent Attitudes About Childhood Vaccines Survey Scores and Future Child Immunization Status 2021Trust in scientists in times of pandemic: Panel evidence from 12 countries 2011Alternative Vaccination Schedule Preferences Among Parents of Young Children 2021Parental Perspectives on Immunizations: Impact of the COVID-19 Pandemic on Childhood Vaccine Hesitancy

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2024Parental hesitancy about COVID-19, influenza, HPV, and other childhood vaccines 2024A World without Measles and Rubella: Addressing the Challenge of Vaccine Hesitancy

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