Factors associated with parental intentions to vaccinate 0-4-year-old children against COVID-19 in Canada: a cross-sectional study using the Childhood COVID-19 Immunization Coverage Survey (CCICS).

Factors associated with parental intentions to vaccinate 0-4-year-old children against COVID-19 in Canada: a cross-sectional study using the Childhood COVID-19 Immunization Coverage Survey (CCICS).

Publication date: Dec 18, 2024

The objective of this study was to determine the factors associated with low or no parental intention to vaccinate children of 0-4-years in Canada with a COVID-19 vaccine through the 2022 Childhood COVID-19 Immunization Coverage Survey (CCICS). The CCICS was conducted prior to the introduction of a COVID-19 vaccine and a vaccine recommendation for this age group. Simple and multiple logistic regression models were used to determine associations between sociodemographic factors as well as knowledge, attitudes and beliefs and low/no intentions to vaccinate against COVID-19 among parents of children 0-4 years. Factors associated with low intentions to vaccinate children against COVID-19 included being male (aOR: 2. 0; 95% CI: 2. 0‒2. 1) compared to female; being 30-39 (aOR 1. 1; 95% CI: 1. 1‒1. 2) compared to 40+; being Black (aOR: 2. 3, 95% CI: 2. 2‒2. 5), East/Southeast Asian (aOR: 3. 6, 95% CI: 3. 3‒3. 8), or having multiple ethnicities (aOR: 1. 3, 95% CI: 1. 1‒1. 6) compared to White European ethnicity; living in a rural (aOR: 2. 0, 95% CI: 1. 9‒2. 1) compared to urban community; having a total 2021 household income of $60,000‒$79,999 CAD (aOR: 1. 4, 95% CI: 1. 3‒1. 5) compared to $150,000 CAD and above; and trusting government bodies (aOR: 2. 4; 95% CI: 1. 1‒1. 2), international bodies (aOR: 2. 4; 95% CI: 2. 2‒2. 5), or media (aOR: 2. 0, 95% CI: 1. 9‒2. 2) for information about COVID-19 vaccines compared to health care providers. The findings of this study demonstrate that several sociodemographic factors and parental beliefs impact the decision to vaccinate children 0-4 years of age against COVID-19. Future research should focus on sociodemographic barriers to vaccination and how to most appropriately tailor the delivery of vaccination programs to specific groups, in an effort to narrow the gap between intentions and uptake of COVID-19 vaccination in younger children. As well, messaging should specifically be targeted to parents who have lower confidence in the COVID-19 vaccine and the government to provide correct information and build trust.

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Concepts Keywords
Canada Adult
Parents Canada
Rural Canada
Vaccination Child, Preschool
Children
COVID-19
COVID-19
COVID-19 Vaccines
COVID-19 Vaccines
Cross-Sectional Studies
Female
Humans
Immunization
Infant
Infant, Newborn
Intention
Male
Middle Aged
Parents
Sociodemographic Factors
Surveys and Questionnaires
Vaccination
Vaccination
Vaccination Coverage
Vaccination Hesitancy
Young Adult

Semantics

Type Source Name
disease MESH COVID-19
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M
disease MESH morbidity
drug DRUGBANK Trestolone
disease MESH Syndrome
disease MESH influenza
disease MESH chronic condition
disease MESH education level
drug DRUGBANK Ilex paraguariensis leaf
disease MESH contraindications
disease MESH infection
disease MESH anemia
disease MESH thalassemia major
disease MESH neurodevelopmental disorder
disease MESH asthma
pathway KEGG Asthma
disease MESH lung disease
disease MESH kidney disease
disease MESH obesity
disease MESH cancer
drug DRUGBANK Ademetionine
disease IDO process
disease MESH Infectious Diseases

Original Article

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