COVID-19 Vaccine for Children: Determinants and Beliefs Contributing to Vaccination Decision of Parents in Germany 2021/2022.

COVID-19 Vaccine for Children: Determinants and Beliefs Contributing to Vaccination Decision of Parents in Germany 2021/2022.

Publication date: Dec 23, 2023

To reduce the number of COVID-19 cases, vaccines were rapidly made available worldwide. For a strategically targeted response to the COVID-19 pandemic, population vaccination coverage was to be maximized. The target groups also included healthy children. In this context, it is important to understand the determinants and beliefs that lead parents to favor or oppose COVID-19 immunization in children. This study aimed to investigate parents’ COVID-19 vaccination willingness in Germany for children aged 5-11 years in 2021/2022. For this purpose, the determinants and beliefs behind parents’ vaccination decisions were examined. Descriptive analysis and bivariate correlations were performed on COVID-19 vaccination willingness and parents’ mental health status, general vaccination attitudes, and SARS-CoV-2 politics perceptions. In total, 2401 participants fully participated in this cross-sectional study. The COVID-19 vaccination uptake (71. 4%) outweighed the vaccination refusal (19. 4%). Correlations revealed higher vaccine acceptance in parents presenting full vaccination certificates (90. 9%), COVID-19 immunizations (99. 9%), or increased COVID-19 fear (93. 6%). Vaccination-refusal was associated with higher perceived pressure by COVID-19 vaccination campaigns (87. 7%), higher experienced restrictions due to COVID-19 protective measures in parents’ social environment (83. 6%), and engagement against COVID-19 protective measures (51. 6%). Besides general anxiety, no significant correlations were observed between parents’ mental health variables and vaccination willingness. Although several factors are ultimately associated with vaccination willingness, future vaccination campaigns should prioritize reducing pressure, increasing trust, and considering parents’ differentiation between familiar and unfamiliar pathogens during their vaccination decision-making process.

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Concepts Keywords
Germany associated factors
Pathogens childhood vaccines
Vaccination COVID-19
mental health


Type Source Name
disease VO COVID-19 vaccine
disease VO vaccination
disease MESH COVID-19
disease VO population
disease VO vaccination coverage
disease VO immunization
disease VO vaccine
disease IDO process
disease MESH infections
disease MESH syndrome
drug DRUGBANK Coenzyme M
disease VO effective
disease MESH death
disease VO organization
disease VO Comirnaty
disease IDO infection
disease MESH pediatric inflammatory multisystem syndrome
disease MESH long COVID
disease MESH measles
pathway KEGG Measles
disease VO time
disease MESH psychological distress
disease MESH Anxiety Disorder
disease VO frequency
disease MESH German measles
disease VO vaccinated
disease MESH Chronically ill
disease VO allergy vaccine
disease MESH thrombosis
disease MESH thrombocytopenia
disease MESH capillary leak syndrome
disease VO USA
disease VO Rho
disease MESH Marital Status

Original Article

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