Psychosocial correlates of parents' willingness to vaccinate their children against COVID-19.

<h4>Background</h4>Public health guidance recommended that children who are 6 months or older be vaccinated against COVID-19 in June of 2022. In the U.S., 56% of children under 17 had not received the COVID-19 vaccination in 2023. We examine parents' willingness to vaccinate their c...

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Main Authors: Hyunmin Yu, Stephen Bonett, Ufuoma Oyiborhoro, Subhash Aryal, Andrew Kim, Melanie L Kornides, John B Jemmott, Karen Glanz, Antonia M Villarruel, José A Bauermeister
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0305877
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author Hyunmin Yu
Stephen Bonett
Ufuoma Oyiborhoro
Subhash Aryal
Andrew Kim
Melanie L Kornides
John B Jemmott
Karen Glanz
Antonia M Villarruel
José A Bauermeister
author_facet Hyunmin Yu
Stephen Bonett
Ufuoma Oyiborhoro
Subhash Aryal
Andrew Kim
Melanie L Kornides
John B Jemmott
Karen Glanz
Antonia M Villarruel
José A Bauermeister
author_sort Hyunmin Yu
collection DOAJ
description <h4>Background</h4>Public health guidance recommended that children who are 6 months or older be vaccinated against COVID-19 in June of 2022. In the U.S., 56% of children under 17 had not received the COVID-19 vaccination in 2023. We examine parents' willingness to vaccinate their children against COVID-19 using the theory of planned behavior in order to design effective strategies to promote vaccine uptake.<h4>Methods</h4>The Philadelphia Community Engagement Alliance is part of an NIH community-engaged consortium focused on addressing COVID-19 disparities across the U.S. We surveyed 1,008 Philadelphia parents (mean age 36.86, SD 6.55; 42.3% racial/ethnic minorities) between September 2021 and February 2022, a period when guidance for child vaccination was anticipated. Structural Equation Modeling analysis examined associations between parental willingness and vaccine-related attitudes, norms, and perceived control. Covariates included parents' COVID-19 vaccination status, race/ethnicity, gender, and survey completion post-CDC pediatric COVID-19 vaccination guidelines. Subgroup analyses by race/ethnicity and gender were conducted.<h4>Results</h4>Our model demonstrated good fit (χ2 = 907.37, df = 419, p<0.001; comparative fit index [CFI] = 0.951; non-normed fit index [NNFI] = 0.946; root mean square error of approximation [RMSEA] = 0.034 with 95% CI = 0.030-0.038). Attitudes ([Formula: see text] = 0.447, p<0.001) and subjective norms ([Formula: see text] = 0.309, p = 0.002) were predictors of intention. Racial/ethnic minority parents exhibited weaker vaccination intentions ([Formula: see text] = -0.053, p = 0.028) than non-Hispanic White parents.<h4>Conclusions</h4>Parents' attitudes and norms influence their vaccination intentions. Despite the survey predating widespread child vaccine availability, findings are pertinent given the need to increase and sustain pediatric vaccinations against COVID-19. Interventions promoting positive vaccine attitudes and prosocial norms are warranted. Tailored interventions and diverse communication strategies for parental subgroups may be useful to ensure comprehensive and effective vaccination initiatives.
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spelling doaj-art-a478cb93890f4187916b253efc8d82f82025-08-20T02:55:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01196e030587710.1371/journal.pone.0305877Psychosocial correlates of parents' willingness to vaccinate their children against COVID-19.Hyunmin YuStephen BonettUfuoma OyiborhoroSubhash AryalAndrew KimMelanie L KornidesJohn B JemmottKaren GlanzAntonia M VillarruelJosé A Bauermeister<h4>Background</h4>Public health guidance recommended that children who are 6 months or older be vaccinated against COVID-19 in June of 2022. In the U.S., 56% of children under 17 had not received the COVID-19 vaccination in 2023. We examine parents' willingness to vaccinate their children against COVID-19 using the theory of planned behavior in order to design effective strategies to promote vaccine uptake.<h4>Methods</h4>The Philadelphia Community Engagement Alliance is part of an NIH community-engaged consortium focused on addressing COVID-19 disparities across the U.S. We surveyed 1,008 Philadelphia parents (mean age 36.86, SD 6.55; 42.3% racial/ethnic minorities) between September 2021 and February 2022, a period when guidance for child vaccination was anticipated. Structural Equation Modeling analysis examined associations between parental willingness and vaccine-related attitudes, norms, and perceived control. Covariates included parents' COVID-19 vaccination status, race/ethnicity, gender, and survey completion post-CDC pediatric COVID-19 vaccination guidelines. Subgroup analyses by race/ethnicity and gender were conducted.<h4>Results</h4>Our model demonstrated good fit (χ2 = 907.37, df = 419, p<0.001; comparative fit index [CFI] = 0.951; non-normed fit index [NNFI] = 0.946; root mean square error of approximation [RMSEA] = 0.034 with 95% CI = 0.030-0.038). Attitudes ([Formula: see text] = 0.447, p<0.001) and subjective norms ([Formula: see text] = 0.309, p = 0.002) were predictors of intention. Racial/ethnic minority parents exhibited weaker vaccination intentions ([Formula: see text] = -0.053, p = 0.028) than non-Hispanic White parents.<h4>Conclusions</h4>Parents' attitudes and norms influence their vaccination intentions. Despite the survey predating widespread child vaccine availability, findings are pertinent given the need to increase and sustain pediatric vaccinations against COVID-19. Interventions promoting positive vaccine attitudes and prosocial norms are warranted. Tailored interventions and diverse communication strategies for parental subgroups may be useful to ensure comprehensive and effective vaccination initiatives.https://doi.org/10.1371/journal.pone.0305877
spellingShingle Hyunmin Yu
Stephen Bonett
Ufuoma Oyiborhoro
Subhash Aryal
Andrew Kim
Melanie L Kornides
John B Jemmott
Karen Glanz
Antonia M Villarruel
José A Bauermeister
Psychosocial correlates of parents' willingness to vaccinate their children against COVID-19.
PLoS ONE
title Psychosocial correlates of parents' willingness to vaccinate their children against COVID-19.
title_full Psychosocial correlates of parents' willingness to vaccinate their children against COVID-19.
title_fullStr Psychosocial correlates of parents' willingness to vaccinate their children against COVID-19.
title_full_unstemmed Psychosocial correlates of parents' willingness to vaccinate their children against COVID-19.
title_short Psychosocial correlates of parents' willingness to vaccinate their children against COVID-19.
title_sort psychosocial correlates of parents willingness to vaccinate their children against covid 19
url https://doi.org/10.1371/journal.pone.0305877
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