COVID-19 Vaccine Hesitancy Among Parents: A Qualitative Study

Aubree C. Honcoop · James R. Roberts · Boyd H. Davis · Charlene A. Pope · Erin H. Dawley · Russell J. McCulloh +12 more

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

Abstract

OBJECTIVES: Addressing parental/caregivers' coronavirus disease 2019 (COVID-19) vaccine hesitancy is critical to improving vaccine uptake in children. Common concerns have been previously reported through online surveys, but qualitative data from KII and focus groups may add much-needed context. Our objective was to examine factors impacting pediatric COVID-19 vaccine decision-making in Black, Spanish-speaking, and rural white parents/caregivers to inform the content design of a mobile application to improve pediatric COVID-19 vaccine uptake. METHODS: Parents/caregivers of children aged 2 to 17 years from groups disproportionately affected by COVID-19-related vaccine hesitancy (rural-dwelling persons of any race/ethnicity, urban Black persons, and Spanish-speaking persons) were included on the basis of their self-reported vaccine hesitancy and stratified by race/ethnicity. Those expressing vaccine acceptance or refusal participated in KII, and those expressing hesitancy in focus groups. Deidentified transcripts underwent discourse analysis and thematic analysis, both individually and as a collection. Themes were revised until coders reached consensus. RESULTS: Overall, 36 participants completed the study: 4 vaccine acceptors and 4 refusers via KIIs, and the remaining 28 participated in focus groups. Participants from all focus groups expressed that they would listen to their doctor for information about COVID-19 vaccines. Infertility was a common concern, along with general concerns about vaccines. Vaccine decision-making was informed by the amount of information available to parents/caregivers, including scientific research; possible positive and negative long-term effects; and potential impacts of vaccination on preexisting medical conditions. CONCLUSIONS: Parents/caregivers report numerous addressable vaccine concerns. Our results will inform specific, targeted interventions for improving COVID-19 vaccine confidence.

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2005Three Approaches to Qualitative Content Analysis 2015Vaccine hesitancy: Definition, scope and determinants 2021COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment 2021Predictors of intention to vaccinate against COVID-19: Results of a nationwide survey 2022The Vaccine-Hesitant Moment 2017Metadiscourse: What is it and where is it going?2021Parents’ Intentions and Perceptions About COVID-19 Vaccination for Their Children: Results From a National Survey 2018“In this paper we suggest”: Changing patterns of disciplinary metadiscourse

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