tetano
Editor, Senior Moderator
Pediatrics
. 2023 Oct 23:e2023062466.
doi: 10.1542/peds.2023-062466. Online ahead of print. COVID-19 Vaccine Hesitancy Among Parents: A Qualitative Study
Aubree Honcoop[SUP] 1 [/SUP], James R Roberts[SUP] 2 [/SUP], Boyd Davis[SUP] 3 [/SUP], Charlene Pope[SUP] 2 [/SUP], Erin Dawley[SUP] 2 [/SUP], Russell J McCulloh[SUP] 1 [/SUP], Maryam Y Garza[SUP] 4 [/SUP], Melody L Greer[SUP] 4 [/SUP], Jessica Snowden[SUP] 4 [/SUP], Linda Y Fu[SUP] 5 [/SUP], Heather Young[SUP] 4 [/SUP], Walter Dehority[SUP] 6 [/SUP], Paul T Enlow[SUP] 7 [/SUP], Delma-Jean Watts[SUP] 8 [/SUP], Katie Queen[SUP] 9 [/SUP], Lisa M Costello[SUP] 10 [/SUP], Zain Alamarat[SUP] 4 [/SUP], Paul M Darden[SUP] 4 [/SUP]
Affiliations
Objectives: Addressing parental/caregivers' coronavirus disease 2019 (COVID-19) vaccine hesitancy is critical to improving vaccine uptake in children. Common concerns have been previously reported through online surveys, but qualitative data from KII and focus groups may add much-needed context. Our objective was to examine factors impacting pediatric COVID-19 vaccine decision-making in Black, Spanish-speaking, and rural white parents/caregivers to inform the content design of a mobile application to improve pediatric COVID-19 vaccine uptake.
Methods: Parents/caregivers of children aged 2 to 17 years from groups disproportionately affected by COVID-19-related vaccine hesitancy (rural-dwelling persons of any race/ethnicity, urban Black persons, and Spanish-speaking persons) were included on the basis of their self-reported vaccine hesitancy and stratified by race/ethnicity. Those expressing vaccine acceptance or refusal participated in KII, and those expressing hesitancy in focus groups. Deidentified transcripts underwent discourse analysis and thematic analysis, both individually and as a collection. Themes were revised until coders reached consensus.
Results: Overall, 36 participants completed the study: 4 vaccine acceptors and 4 refusers via KIIs, and the remaining 28 participated in focus groups. Participants from all focus groups expressed that they would listen to their doctor for information about COVID-19 vaccines. Infertility was a common concern, along with general concerns about vaccines. Vaccine decision-making was informed by the amount of information available to parents/caregivers, including scientific research; possible positive and negative long-term effects; and potential impacts of vaccination on preexisting medical conditions.
Conclusions: Parents/caregivers report numerous addressable vaccine concerns. Our results will inform specific, targeted interventions for improving COVID-19 vaccine confidence.
. 2023 Oct 23:e2023062466.
doi: 10.1542/peds.2023-062466. Online ahead of print. COVID-19 Vaccine Hesitancy Among Parents: A Qualitative Study
Aubree Honcoop[SUP] 1 [/SUP], James R Roberts[SUP] 2 [/SUP], Boyd Davis[SUP] 3 [/SUP], Charlene Pope[SUP] 2 [/SUP], Erin Dawley[SUP] 2 [/SUP], Russell J McCulloh[SUP] 1 [/SUP], Maryam Y Garza[SUP] 4 [/SUP], Melody L Greer[SUP] 4 [/SUP], Jessica Snowden[SUP] 4 [/SUP], Linda Y Fu[SUP] 5 [/SUP], Heather Young[SUP] 4 [/SUP], Walter Dehority[SUP] 6 [/SUP], Paul T Enlow[SUP] 7 [/SUP], Delma-Jean Watts[SUP] 8 [/SUP], Katie Queen[SUP] 9 [/SUP], Lisa M Costello[SUP] 10 [/SUP], Zain Alamarat[SUP] 4 [/SUP], Paul M Darden[SUP] 4 [/SUP]
Affiliations
- PMID: 37867449
- DOI: 10.1542/peds.2023-062466
Objectives: Addressing parental/caregivers' coronavirus disease 2019 (COVID-19) vaccine hesitancy is critical to improving vaccine uptake in children. Common concerns have been previously reported through online surveys, but qualitative data from KII and focus groups may add much-needed context. Our objective was to examine factors impacting pediatric COVID-19 vaccine decision-making in Black, Spanish-speaking, and rural white parents/caregivers to inform the content design of a mobile application to improve pediatric COVID-19 vaccine uptake.
Methods: Parents/caregivers of children aged 2 to 17 years from groups disproportionately affected by COVID-19-related vaccine hesitancy (rural-dwelling persons of any race/ethnicity, urban Black persons, and Spanish-speaking persons) were included on the basis of their self-reported vaccine hesitancy and stratified by race/ethnicity. Those expressing vaccine acceptance or refusal participated in KII, and those expressing hesitancy in focus groups. Deidentified transcripts underwent discourse analysis and thematic analysis, both individually and as a collection. Themes were revised until coders reached consensus.
Results: Overall, 36 participants completed the study: 4 vaccine acceptors and 4 refusers via KIIs, and the remaining 28 participated in focus groups. Participants from all focus groups expressed that they would listen to their doctor for information about COVID-19 vaccines. Infertility was a common concern, along with general concerns about vaccines. Vaccine decision-making was informed by the amount of information available to parents/caregivers, including scientific research; possible positive and negative long-term effects; and potential impacts of vaccination on preexisting medical conditions.
Conclusions: Parents/caregivers report numerous addressable vaccine concerns. Our results will inform specific, targeted interventions for improving COVID-19 vaccine confidence.