Medical factors associated with caregiver intention to vaccinate their children against COVID-19.

Authors

• Thao-Ly T Phan
• Paul T Enlow
• Michael K Wong
• Amanda M Lewis
• Anne E Kazak
• Jonathan M Miller

Publication/Presentation Date

4-1-2022

Abstract

OBJECTIVE: To describe medical factors that are associated with caregiver intention to vaccinate their children against COVID-19.

METHODS: We conducted a cross-sectional study of families receiving primary care in a mid-Atlantic pediatric healthcare system, linking caregiver-reported data from a survey completed March 19 to April 16, 2021 to comprehensive data from the child's EHR.

RESULTS: 513 families were included (28% Black, 16% Hispanic, 44% public insurance, 21% rural, child age range 0-21 years). 44% of caregivers intended to vaccinate their children against COVID-19, while 41% were not sure and 15% would not. After adjusting for socio-demographics, the only medical factors that were associated with caregiver COVID-19 vaccine hesitancy were caregiver COVID-19 vaccination status at the time of the survey (aOR 3.0 if the caregiver did not receive the vaccine compared to those who did, 95% CI 1.7-5.3) and child seasonal influenza immunization history (aOR 3.3 if the child had not received the influenza vaccine in the 2020-2021 season compared to those who did, 95% CI 2.0-5.4). Other medical factors, including family medical experiences with COVID-19, other child immunization history, child health conditions like obesity and asthma, and family engagement with the healthcare system were not associated with caregiver intention to vaccinate their children against COVID-19.

CONCLUSIONS: This study highlights important factors, such as general attitudes towards vaccines and understanding of COVID-19 morbidity risk factors, that healthcare providers should address when having conversations with families about the COVID-19 vaccine.

Volume

10

First Page

100144

Last Page

100144

ISSN

2590-1362

Published In/Presented At

Phan, T. T., Enlow, P. T., Wong, M. K., Lewis, A. M., Kazak, A. E., & Miller, J. M. (2022). Medical factors associated with caregiver intention to vaccinate their children against COVID-19. Vaccine: X, 10, 100144. https://doi.org/10.1016/j.jvacx.2022.100144

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

35128377

Department(s)

Administration and Leadership

Document Type

Article