Factors associated with US caregivers' uptake of pediatric COVID-19 vaccine by race and ethnicity.

Autor: Hart RJ; Department of Pediatrics, Norton Children's and University of Louisville School of Medicine, Louisville, KY, USA. Electronic address: Becca.hart@louisville.edu., Baumer-Mouradian S; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA., Bone JN; Department of Pediatrics, University of British Columbia, Children's Hospital Vancouver, Canada., Olson P; Department of Pediatrics, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA, USA., Schroter S; Department of Pediatrics, Rady Children's Hospital San Diego and University of California, San Diego, San Diego, CA, USA., Weigert RM; Depatrment of Pediatric Emergency Medicine, Children's Minnesota, Minneapolis, MN, USA., Chung S; Department of Emergency Medicine, Oregon Health and Science University, Portland, OR, USA., Shah P; Department of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA., Lunoe MM; Department of Pediatrics, University of Pittsburgh and UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA., Evers M; Department of Pediatrics, University Hospitals Cleveland Medical Center, Rainbow Babies and Children's Hospital, Cleveland, OH, USA., Nelson CE; Department of Pediatrics, Nemours Children's Hospital - Delaware Wilmington, DE, USA., Goldman RD; The Pediatric Research in Emergency Therapeutics (PRETx) Program, Division of Emergency Medicine, Department of Pediatrics, University of British Columbia and BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Jazyk: angličtina
Zdroj: Vaccine [Vaccine] 2023 Apr 06; Vol. 41 (15), pp. 2546-2552. Date of Electronic Publication: 2023 Mar 06.
DOI: 10.1016/j.vaccine.2023.02.080
Abstrakt: Objectives: To assess differences in willingness to vaccinate children against COVID-19, and factors that may be associated with increased acceptance, among US caregivers of various racial and ethnic identities who presented with their child to the Emergency Department (ED) after emergency use authorization of vaccines for children ages 5-11.
Study Design: A multicenter, cross-sectional survey of caregivers presenting to 11 pediatric EDs in the United States in November-December 2021. Caregivers were asked about their identified race and ethnicity and if they planned to vaccinate their child. We collected demographic data and inquired about caregiver concerns related to COVID-19. We compared responses by race/ethnicity. Multivariable logistic regression models served to determine factors that were independently associated with increased vaccine acceptance overall and among racial/ethnic groups.
Results: Among 1916 caregivers responding, 54.67% planned to vaccinate their child against COVID-19. Large differences in acceptance were noted by race/ethnicity, with highest acceptance among Asian caregivers (61.1%) and those who did not specify a listed racial identity (61.1%); caregivers identifying as Black (44.7%) or Multi-racial (44.4%) had lower acceptance rates. Factors associated with intent to vaccinate differed by racial/ethnic group, and included caregiver COVID-19 vaccine receipt (all groups), caregiver concerns about COVID-19 (White caregivers), and having a trusted primary provider (Black caregivers).
Conclusions: Caregiver intent to vaccinate children against COVID-19 varied by race/ethnicity, but race/ethnicity did not independently account for these differences. Caregiver COVID-19 vaccination status, concerns about COVID-19, and presence of a trusted primary provider are important in vaccination decisions.
Competing Interests: Declaration of Competing Interest 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.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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