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Author Notes:

R.D. Goldman, rgoldman@cw.bc.ca

Drs. Goldman, Baumer-Mouradian and Hart conceptualized and designed the study, drafted the initial manuscript, and reviewed and revised the manuscript. Dr. Bone carried out the initial analyses, and reviewed and revised the manuscript. All other authors collected data, reviewed and revised the manuscript, approved it and agree to be accountable for all aspects of the work.

List of members of the International COVID-19 Parental Attitude Study (COVIPAS) Group Information (alphabetical): Dr Sarah Ahmed, MD, Ta Department of Emergency Medicine, Mary Bridge Children's Hospital, Tacoma, WA. Dr Samina Ali, MDCM, FRCPC, Department of Pediatrics, Faculty of Medicine & Dentistry, Women and Children's Health Research Institute, University of Alberta, Edmonton, Alberta, Canada. Dr Julie C. Brown, MD, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, WA. Dr. Renana Gelernter, MD, Pediatric Emergency Unit, Shamir Medical Center, Zerifin and The Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel. Dr Mark Griffiths, MD, Division of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Emory School of Medicine, Atlanta, GA. Dr Jeanine E. Hall, MD, Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, USC Keck School of Medicine, Los Angeles, CA. Dr Matt Hansen, MD, MCR, Department of Emergency Medicine, Oregon Health and Sciences University, Portland, OR. Dr Thomas L. Hurt, MD, MED, Department of Emergency Medicine, Mary Bridge Children's Hospital, Tacoma, WA. Dr Christopher Kelly, MD, Department of Pediatric Emergency Medicine, New York Presbyterian Brooklyn Methodist Hospital, New York, NY. Dr Eileen J. Klein, MD, MPH Seattle Children's Hospital and University of Washington School of Medicine, Seattle, WA. Dr Eran Kozer, MD, Sackler Faculty of Medicine, Tel Aviv University, Be'er Yakov, Israel. Dr Shashidhar Marneni, MD, Department of Pediatric Emergency Medicine, Children's Medical Center of Dallas, UT Southwestern Medical Center, Dallas, TX. Dr Ahmed Mater, MD, FRCPC, FAAP, Pediatric Emergency Medicine, Jim Pattison Children's Hospital, and University of Saskatchewan, Saskatoon, Saskatchewan, Canada. Dr Rakesh Mistry, MD, MS, Department of Emergency Medicine, Children's Hospital Colorado Anschutz Medical Campus, Aurora, CO. Dr Cristina Parra, PhD, Hospital Sant Joan de Déu Barcelona, Pediatric Emergency Department, Barcelona, Spain. Dr David Sheridan, MD, MCR, Department of Emergency Medicine, Oregon Health and Sciences University, Portland, OR. Dr Naoki Shimizu, MD, PhD, Department of Pediatrics, St. Marianna University School of Medicine, Tokyo, Japan. Dr Esther L. Yue, MD, Department of Emergency Medicine, Oregon Health and Sciences University, Portland, OR.

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Subject:

Keywords:

  • COVID-19
  • Emergency medicine
  • Sars-cov-2
  • Vaccination
  • Vaccine hesitancy
  • Adult
  • Humans
  • Child
  • Adolescent
  • COVID-19
  • COVID-19 Vaccines
  • Pandemics
  • Cross-Sectional Studies
  • Vaccination
  • Parents

Willingness to vaccinate children against COVID-19 declined during the pandemic

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Tools:

Journal Title:

Vaccine

Volume:

Volume 41, Number 15

Publisher:

, Pages 2495-2502

Type of Work:

Article | Final Publisher PDF

Abstract:

Objectives: To document the level of vaccine hesitancy in caregivers’ of children younger than 12 years of age over the course of the pandemic in Pediatric Emergency Departments (ED). Study design Ongoing multicenter, cross-sectional survey of caregivers presenting to 19 pediatric EDs in the USA, Canada, Israel, and Switzerland during first months of the pandemic (phase1), when vaccines were approved for adults (phase2) and most recently when vaccines were approved for children (phase3). Results: Willingness to vaccinate rate declined over the study period (59.7%, 56.1% and 52.1% in the three phases). Caregivers who are fully vaccinated, who have higher education, and those worried their child had COVID-19 upon arrival to the ED, were more likely to plan to vaccinate in all three phases. Mothers were less likely to vaccinate early in the pandemic, but this hesitancy attenuated in later phases. Older caregivers were more willing to vaccinate, and caregivers of older children were less likely to vaccinate their children in phase 3. During the last phase, willingness to vaccinate was lowest in those who had a primary care provider but did not rely on their advice for medical decisions (34%). Those with no primary care provider and those who do and rely on their medical advice, had similar rates of willingness to vaccinate (55.1% and 52.1%, respectively). Conclusions: COVID-19 vaccine hesitancy is widespread and growing over time, and public health measures should further try to leverage identified factors associated with hesitancy in order to enhance vaccination rates among children.

Copyright information:

© 2023 Elsevier Ltd. All rights reserved.

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