Parent’s Perspective towards Child COVID-19 Vaccination: An Online Cross-Sectional Study in Mexico

COVID-19 vaccination programs continue in child populations. Thus, parents’ attitude towards COVID-19 vaccination of their children is crucial for these strategies to succeed. The present study derives from the application of an online COVID-19 Vaccine Acceptance & Hesitancy Questionnaire (COV-AHQ) in which we measure parent’s hesitancy towards children’s vaccination (section 4 of the COV-AHQ) and other significant factors. A logistic regression analysis with backward stepwise method was used to quantify the associations between factors and parent’s hesitancy. According to the correlation analysis, the most representative factors predicting vaccine hesitancy/acceptance were positive attitude towards vaccination, parents believing that the COVID-19 vaccine will enhance the economic situation of the country, parents actively researching information, having the willingness to obtain the COVID-19 vaccine themselves, and the possibility of their children developing adverse effects. Our findings also showed that parents are highly interested in having their children vaccinated. Nonetheless, parents expressed high levels of concern involving their children in developing adverse effects from the vaccine. In addition, obtaining influenza immunization prompted interest in obtaining the COVID-19 vaccine, and younger-aged parents are much more concerned with having their children vaccinated. Therefore, in order to ensure successful vaccination programs, policymakers and health authorities should design strategies to gain confidence and provide security amongst the population, including giving continuous information about the benefits of vaccination and presenting the frequency of side effects to bring parents on board with vaccinating their children.

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Early COVID-19 Vaccination of Romanian Medical and Social Personnel

Vaccines ◽

10.3390/vaccines9101127 ◽

2021 ◽

Vol 9 (10) ◽

pp. 1127

Author(s):

Loredana Sabina Cornelia Manolescu ◽

Corneliu Nicolae Zaharia ◽

Anca Irina Dumitrescu ◽

Irina Prasacu ◽

Mihaela Corina Radu ◽

...

Keyword(s):

General Population ◽

Medical Profession ◽

Geographic Area ◽

Cross Sectional Study ◽

Vaccine Virus ◽

Medical Doctor ◽

Vaccine Hesitancy ◽

Cross Sectional ◽

Vaccine Acceptance ◽

First Choice

Background: In December 2020, the first doses of COVID-19 vaccines arrived in Romania and were made available to medical and social staff. Vaccine hesitancy appeared as a barrier to effectively ending the pandemic. The opinions of medical and social staff influence the opinion of the general population. This study assesess the attitudes, knowledge, and opinion of medical and social personnel toward COVID-19 vaccines and vaccination and the influencing factors. Methods: 1025 persons participated in an online cross-sectional study from March until July 2021. Results: Out of 1021 eligible responders, 719 (70.42%) had been vaccinated: 227 with one dose (22.23%) and 492 with two doses (48.18%). There were 302 responders who were not vaccinated at all. Out of them, 188 refused vaccinations. The participants showed a good understanding and knowledge of SARScoV-2 transmission and treatment. Geographic area, medical profession, and medical experience influenced COVID-19 vaccination (p < 0.001). There were no associations between willingness to vaccinate and vaccine/virus knowledge. Most of the responders who were vaccinated or wanted to be vaccinated indicated an mRNA vaccine as their first choice. The variables that were significantly associated with reporting COVID-19 vaccine acceptance after logistic regression were: living in an urban area (Ora = 1.58, 95% CI: 0.98–2.56), being female (Ora = 1.59; 95% CI:1.03–2.44), and being a medical doctor (Ora = 3.40; 95% CI: 1.84–6.26). Conclusions: These findings show that vaccine hesitancy persists in medical and social personnel in Romania, and, hence, it may be reflected in the hesitancy of the general population toward vaccination.

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COVID-19 vaccine hesitancy among Algerian medical students: a cross-sectional study in five universities.

10.1101/2021.08.29.21261803 ◽

2021 ◽

Author(s):

Mohamed amine Kerdoun ◽

Hamza Abdellah Henni ◽

Assia Yamoun ◽

Amine Rahmani ◽

Rym Messaouda Kerdoun ◽

...

Keyword(s):

Medical Students ◽

Cross Sectional Study ◽

Vaccine Hesitancy ◽

Limiting Factor ◽

Educational Strategy ◽

Sectional Study ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Vaccine Refusal ◽

Available Information

Vaccine hesitancy is a limiting factor in global efforts to contain the current pandemic, wreaking havoc on public health. As today's students are tomorrow's doctors, it is critical to understand their attitudes toward the COVID-19 vaccine. To our knowledge, this study was the first national one to look into the attitudes of Algerian medical students toward the SARS-CoV-2 vaccine using an electronic convenience survey. 383 medical students from five Algerian universities were included, with a mean age of 21.02. 85.37% (n=327) of respondents had not taken the COVID-19 vaccine yet and were divided into three groups; the vaccine acceptance group (n=175, 53.51%), the vaccine-hesitant group (n=75, 22.93%), and the vaccine refusal group (n=77, 23.54%). Gender, age, education level, university, and previous experience with COVID-19 were not significant predictors for vaccine acceptance. The confirmed barriers to the COVID-19 vaccine concern available information, effectiveness, safety, and adverse effects. This work highlights the need for an educational strategy about the safety and effectiveness of the COVID-19 vaccine. Medical students should be educated about the benefits of vaccination for themselves and their families and friends. The Vaccine acceptant students' influence should not be neglected with a possible ambassador role to hesitant and resistant students.

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Lack of lockdown, open borders, and no vaccination in sight: is Bosnia and Herzegovina a control group?

10.1101/2021.03.01.21252700 ◽

2021 ◽

Author(s):

Adnan Fojnica ◽

Ahmed Osmanovic ◽

Nermin Đuzic ◽

Armin Fejzic ◽

Ensar Mekic ◽

...

Keyword(s):

Mortality Rate ◽

Bosnia And Herzegovina ◽

Health Care Professionals ◽

Herd Immunity ◽

Cross Sectional Study ◽

Vaccine Hesitancy ◽

Control Group ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Open Borders

AbstractBosnia and Herzegovina is among ten countries in the world with the highest mortality rate due to COVID-19 infection. Lack of lockdown, open borders, high mortality rate, no herd immunity, no vaccination plan, and strong domestic anti-vaccination movement present serious COVID-19 concerns in Bosnia and Herzegovina. In such circumstances, we set out to study if the population is willing to receive the vaccine.A cross-sectional study was conducted among 10,471 adults in Bosnia and Herzegovina to assess the attitude of participants toward COVID-19 vaccination. Using a logistic regression model, we assessed the associations of sociodemographic characteristics with vaccine rejection, reasons for vaccine hesitancy, preferred vaccine manufacturer, and information sources.Surprisingly, only 25.7% of respondents indicated they would like to get a COVID-19 vaccine, while 74.3% of respondents were either hesitant or completely rejected vaccination. The vaccine acceptance increased with increasing age, education, and income level. Major motivation of pro-vaccination behaviour was intention to achieve collective immunity (30.1%), while the leading incentive for vaccine refusal was deficiency of clinical data (30.2%). The Pfizer-BioNTech vaccine is shown to be eightfold more preferred vaccine compared to the other manufacturers. For the first time, vaccine acceptance among health care professionals has been reported, where only 39.4% of healthcare professionals expressed willingness to get vaccinated.With the high share of the population unwilling to vaccinate, governmental impotence in securing the vaccines supplies, combined with the lack of any lockdown measures suggests that Bosnia and Herzegovina is unlikely to put COVID-19 pandemic under control in near future.

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COVID-19 Vaccine Hesitancy in a Representative Education Sector Population in Qatar

Vaccines ◽

10.3390/vaccines9060665 ◽

2021 ◽

Vol 9 (6) ◽

pp. 665

Author(s):

Reem Al-Mulla ◽

Marawan Abu-Madi ◽

Qusai M. Talafha ◽

Reema F. Tayyem ◽

Atiyeh M. Abdallah

Keyword(s):

Side Effects ◽

Undergraduate Students ◽

Vaccine Development ◽

Cross Sectional Study ◽

Vaccine Virus ◽

International Travel ◽

Vaccine Hesitancy ◽

Health Campaigns ◽

Cross Sectional ◽

Vaccination Programs

Even though vaccination programs have now started in earnest across the globe and in Qatar, vaccine hesitancy remains a barrier to effectively tackling the pandemic. Many factors influence willingness to take vaccines including safety, efficacy, and side effects. Given their proximity to research and education, university students and employees represent an interesting cohort in which to investigate vaccine hesitancy. The aim of this study was to assess the attitudes of Qatar University employees and students towards the COVID-19 vaccine. In total, 231 employees and 231 students participated in an online cross-sectional study in February 2021. Of the sample, 62.6% were willing to take a vaccine against COVID-19. Participants with or taking postgraduate degrees were more willing to take the vaccine compared to participants with or taking a diploma or bachelor’s degree (p < 0.001). Males had a higher rate of vaccine acceptance (p < 0.001). In the group that regarded flu vaccination as important, 13% were unwilling to take COVID-19 vaccine. There were no associations between willingness to vaccinate and vaccine/virus knowledge and social media use. Participants showed a high level of concern regarding vaccine side effects in themselves or their children. Two-thirds agreed or strongly agreed that they would take the vaccine if it was mandatory for international travel. Our participants were neutral to the origin of vaccine development. These findings, which represent data collected after the start of the national vaccination program, show that vaccine hesitancy persists in the Qatari population and that some groups, such as undergraduate students, could benefit from specific, targeted public health campaigns.

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Confidence, Acceptance and Willingness to Pay for the COVID-19 Vaccine among Migrants in Shanghai, China: A Cross-Sectional Study

Vaccines ◽

10.3390/vaccines9050443 ◽

2021 ◽

Vol 9 (5) ◽

pp. 443

Author(s):

Kaiyi Han ◽

Mark R. Francis ◽

Ruiyun Zhang ◽

Qian Wang ◽

Aichen Xia ◽

...

Keyword(s):

Willingness To Pay ◽

Migrant Workers ◽

Vaccine Safety ◽

Cross Sectional Study ◽

Vaccine Hesitancy ◽

Sectional Study ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Vaccine Information ◽

Socio Demographic Factors

Understanding the public’s attitude towards COVID-19 vaccination and their acceptance could help facilitate the COVID-19 rollout. This study aimed to assess the acceptance and willingness to pay (WTP) for the COVID-19 vaccine among migrants in Shanghai, China. A cross-sectional study was conducted among 2126 migrants in Shanghai for the period 1–20 November 2020. Convenience sampling was used to recruit respondents in workplaces with large numbers of migrant workers. Multivariable (ordered) logistic regressions were used to examine factors associated with acceptance and WTP of the COVID-19 vaccine. Most (89.1%) migrants would accept COVID-19 vaccination. Over 90.0% perceived the COVID-19 vaccine as important, while only 75.0% and 77.7% perceived vaccines safe and effective. Socio-demographic factors were not significantly associated with vaccine acceptance, but confidence in the importance (OR 8.71, 95% CI 5.89–12.89), safety (OR 1.80, 95% CI 1.24–2.61) and effectiveness (OR 2.66, 95% CI 1.83–3.87) of COVID-19 vaccine was significantly positively associated with vaccine acceptance. The top reasons for vaccine hesitancy were lack of vaccine information and confidence. The proportion of those definitely willing to get the COVID-19 vaccine was 20% lower if paid by themselves than free vaccination. Migrants were willing to pay a median amount of USD 46 for the COVID-19 vaccine. Results show that a high acceptance of the COVID-19 vaccine was universal among migrants in Shanghai. Concerns about vaccine safety, effectiveness and high costs of the COVID-19 vaccine may hinder their uptake. Effective health communication to build confidence in the COVID-19 vaccine and subsidies toward the costs of these vaccines are needed to improve uptake.

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Determinants of COVID-19 Vaccine Hesitancy: A Cross-Sectional Study on a Mexican Population Using an Online Questionnaire (COV-AHQ)

Frontiers in Public Health ◽

10.3389/fpubh.2021.728690 ◽

2021 ◽

Vol 9 ◽

Author(s):

Juan Luis Delgado-Gallegos ◽

Gerardo R. Padilla-Rivas ◽

Erika Zúñiga-Violante ◽

Gener Avilés-Rodríguez ◽

Daniel Arellanos-Soto ◽

...

Keyword(s):

Adverse Effects ◽

Economic Status ◽

Adult Population ◽

Statistical Correlation ◽

Mexican Population ◽

Vaccine Hesitancy ◽

Online Questionnaire ◽

Cross Sectional ◽

Vaccination Programs ◽

Depth Analysis

Mexico has become one of the most highly affected countries by coronavirus disease 2019 (COVID-19) pandemic in Latin America. Therefore, efficient vaccination programs are needed to address COVID-19 pandemic. Although recent advances around the world have made it possible to develop vaccines in record time, there has been increasing fear and misinformation around the vaccines. Hence, understanding vaccine hesitancy is imperative for modeling successful vaccination strategies. In this study, we analyzed the attitude and perceptions toward COVID-19 vaccination, in a Mexican population (n = 1,512), using the proposed COVID-19 Vaccine Acceptance and Hesitancy Questionnaire (COV-AHQ) (Cronbach's alpha > 0.8), which evaluates a mild perception of danger and contamination with respect to COVID-19, a moderate perception of xenophobia generated throughout COVID-19 quarantine, fear of adverse effects of COVID-19 vaccination, and hesitancy of parent toward vaccination of children; furthermore, a section including sociodemographic variables was included. According to the results of this study, the statistical correlation analysis of the general vaccination posture seems to correlate significantly (p < 0.05) with a mild perception of danger and contamination with respect to COVID-19, a moderate perception of xenophobia generated throughout COVID-19 quarantine, hesitancy of parent toward vaccination of children, willingness to get COVID-19 vaccine, previous influenza vaccination, perception of the vaccine that could help the economy of country, occupation, gender, age, and participants actively researching COVID-19 vaccine information. An in-depth analysis assisted by binary logistic regression concluded that the young adult population around ages 18–34 years are the most likely to get vaccinated. This posture seems to be highly influenced by a mild perception of danger and contamination with respect to COVID-19, a moderate perception of xenophobia generated throughout COVID-19 quarantine, fear of adverse effects of COVID-19 vaccination, and hesitancy of parents toward vaccination of children. While their own personal religious beliefs and economic status, the level of education does not seem to have an effect on the willingness to get vaccinated neither did having a previous COVID-19 diagnosis or even knowing someone with a positive COVID-19 diagnosis. Health authorities and policymakers could use the results of this study to aid in modeling vaccination programs and strategies and identify population groups with high vaccine hesitancy prevalence and assess significant public health issues.

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Attitude towards childhood vaccination among parents in a rural area of Trivandrum district

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210808 ◽

2021 ◽

Vol 8 (3) ◽

pp. 1247

Author(s):

Nithya Girija ◽

Deena Divakaran Sreelatha ◽

Benny Purandaran Vasanthamani ◽

Anil Bindhu Sukumaran ◽

Regi Jose ◽

...

Keyword(s):

Rural Area ◽

Vaccine Coverage ◽

Economic Status ◽

Cross Sectional Study ◽

Childhood Vaccination ◽

Vaccine Hesitancy ◽

Modern World ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Maximum Score

Background: Vaccines are simple and widely accepted as one of the most important medical strategy of modern world in the prevention of morbidity and mortality. In order to ensure the protective benefits of vaccines, it is essential that the vaccine coverage should reach between 80-100% of a population, with required coverage dependent on the concerned vaccine and the illness that it is designed to prevent. Vaccine hesitancy is defined as the reluctance to be vaccinated or have one's children vaccinated. In this study, we assess the attitude of parents towards childhood vaccinations and the prevalence of vaccine hesitancy among parents in a rural area in Thiruvananthapuram district.Methods: A cross-sectional study was carried out among parents of children below the age of 15 years, who are residents of a rural area in Thiruvananthapuram district. Data was collected using the parents’ attitude about childhood vaccination (PACV) survey, with the consent of the participants. The collected data entered into MS Excel and analysis was carried out using SPSS 20.Results: Out of 100 participating parents, 14 (14%) parents were concerned about the adverse events following immunization (AEFI). At the same time, the maximum score obtained on the PACV scale was just 24 out of 100. Further, vaccine hesitancy among the parents was found to be only 2 (2%).Conclusions: There is good vaccine acceptance among the parents residing in a rural area, even though many are from low socio-economic status.

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Understanding COVID-19 vaccine hesitancy in Pakistan: The paradigm of Confidence, Convenience and Complacency; A Cross-sectional study.

10.1101/2021.07.12.21260409 ◽

2021 ◽

Author(s):

Naveen Siddique Sheikh ◽

Mumtaz Touseef ◽

Riddah Sultan ◽

Kanwal Hassan Cheema ◽

Sidra Shafiq Cheema ◽

...

Keyword(s):

General Population ◽

Healthcare Workers ◽

Herd Immunity ◽

Population Data ◽

Cross Sectional Study ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Sectional Study ◽

Cross Sectional ◽

Vaccination Programs

Background and objectives: Vaccine hesitancy is a big obstacle for vaccination programs, as is anticipated for the COVID-19 vaccination program, resulting in low uptake of vaccines thereby hindering the process of reaching herd immunity. Bearing this in mind the current study was aimed to explore the determinants of vaccine hesitancy amongst the Pakistani population. Methodology: A cross-sectional study was carried out from the 23rd-31st January 2021. The conceptual framework of the study was based on the 3Cs (Confidence, Convenience, Complacency) model. Google-forms-based questionnaire was disseminated amongst the general population. Data collected were entered into SPSS version 26 and analyzed. Results: Of the 421 participants, 68.4% were females. Non-healthcare workers were 55.8% of respondents. Vaccine hesitant individuals, 26.13% reported they were very unlikely to get vaccinated. Vaccine was not safe as it came out too fast was agreed upon by 12.6% individuals, 50.6% were worried about experiencing side-effects, 18% believed vaccine will not offer protection and 5.9% believed vaccine would cause death. Low Practice of SOP in non-Healthcare workers was the strongest contributor to vaccine hesitancy (OR: 5.338, p=0.040, 95% CI: 1.082-26.330) followed by High complacency (p=0.026) and Moderate Complacency (OR: 0.212, p=0.007, 95% CI: 0.069-0.654) towards COVID-19 vaccination. In Healthcare workers the strongest contributor to vaccine hesitancy was having a Moderate Confidence (OR: 0.323, p=0.042, 95% CI: 0.109-0.958) in the vaccine followed by Moderate Convenience (OR: 0.304, p=0.049, 95% CI: 0.093-0.993) for vaccination Conclusion: Campaigning and communication strategies to reaffirm confidence in the COVID-19 vaccine and educating the general population about the vaccine could lead to increased perception of vaccine safety and effectiveness thereby restoring confidence in vaccine and decreasing vaccine hesitancy. Likewise, working to increase vaccine convenience and decreasing complacency towards the COVID-19 vaccine would translate into high vaccine uptake.

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COVID-19 Vaccine Acceptance, Hesitancy, and Resistancy among University Students in France

Vaccines ◽

10.3390/vaccines9060654 ◽

2021 ◽

Vol 9 (6) ◽

pp. 654

Author(s):

Marie Pierre Tavolacci ◽

Pierre Dechelotte ◽

Joel Ladner

Keyword(s):

College Students ◽

University Students ◽

Female Gender ◽

Cross Sectional Study ◽

Vaccine Hesitancy ◽

Cross Sectional ◽

Convenience Sample ◽

Vaccine Acceptance ◽

Vaccination Decision ◽

To Receive

The objectives were to explore, among university students, the level of COVID-19 vaccine acceptance, hesitancy, and resistancy and to determine the motivations and barriers, and the reasons that may change student vaccination decision making. An online observational cross-sectional study was conducted among students of a French university in January 2021 with questions about the intention to be vaccinated against COVID-19, the motivations and the barriers. The convenience sample included 3089 students, with a mean of age of 20.3 (SD = 1.9). To the question on the intention to vaccinate against the COVID-19, 58.0% of students reported that they would choose to have a vaccination, 17.0% reported that they would not and 25.0% were not sure. The main motivations for vaccine acceptance were “I don′t want to transmit COVID-19 to others”, the main barriers for vaccine resistance or hesitancy were “I prefer to wait until I have more experience with these new vaccines”. Age, female gender, being in first three years of study, studied sciences courses and neither sciences nor healthcare courses of study were significantly associated with a higher risk of vaccine hesitancy or resistancy. Self-estimated knowledge of conventional vaccines and COVID-19 vaccines, and confidence in efficiency and safety of conventional vaccination were associated with a lower risk of vaccine hesitancy or resistancy. It is relevant to disseminate evidence-based interventions to promote COVID-19 vaccine acceptability for college students, especially for the students in neither sciences nor healthcare courses of study, as college students will soon be eligible to receive a COVID-19 vaccine.

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Psychological factors affecting COVID-19 vaccine acceptance in Indonesia

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-021-00436-8 ◽

2021 ◽

Vol 57 (1) ◽

Author(s):

Theo Audi Yanto ◽

Gilbert Sterling Octavius ◽

Rivaldo Steven Heriyanto ◽

Catherine Ienawi ◽

Haviza Nisa ◽

...

Keyword(s):

Psychological Factors ◽

Smoking Status ◽

Demographic Data ◽

Cross Sectional Study ◽

Vaccination Rate ◽

Vaccine Hesitancy ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Factors Affecting ◽

The Government

Abstract Introduction Increasing the rate of vaccination is crucial in combating the COVID-19 pandemic. However, a survey of 112,888 Indonesians found that only 64.8% Indonesians were willing to be vaccinated, with 7.6% refusing all vaccines and 27.6% are unsure. Several factors were related to this vaccine hesitancy and refusal, such as cognitive reflection, trust in authoritative figures, and personality traits. This study aims to identify psychological determinants and other factors associated with vaccine hesitancy and vaccine refusal. This was a cross-sectional study with data collection done in March 2021 using a questionnaire. We collected demographic data, respondents' stance on vaccination, as well as their psychology measurement. IBM SPSS 26.0 (Statistical Package for the Social Sciences, IBM Corp., Armonk, NY, USA) was used for statistical analysis. Results The data of 190 respondents were collected for this study. There are 165 respondents (86.8%) who belong to “vaccine acceptance”, while 25 are “vaccine hesitance” or “vaccine resistance.” Multivariate analysis shows that frequency of COVID-19 tests (p = 0.03), smoking status (p = 0.035), agreeableness trait (p = 0.001), trust in government (p = 0.04) and trust in scientist (p = 0.049) are significantly associated with the two population. Conclusion Several demographic and psychological factors affect the COVID-19 vaccine acceptance. The government and other related parties should consider these factors when adjusting for future policies controlling the COVID-19 pandemic and increasing the vaccination rate.

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