Changes in parents’ COVID-19 vaccine hesitancy for children aged 3–17 years before and after the rollout of the national childhood COVID-19 vaccination program in China: Repeated cross-sectional surveys

Xiaofeng ZHOU, Shiyu WANG, Kechun ZHANG, Siyu CHEN, Paul Shing-fong CHAN, Yuan Josephine FANG, He CAO, Hongbiao CHEN, Tian HU, Yaqi CHEN, Zixin WANG

Research output: Contribution to journalArticlespeer-review

Abstract

China started to implement COVID-19 vaccination programs for children in July 2021. This study investigated the changes in parents’ COVID-19 vaccine hesitancy for children before and after the vaccination program rollout. Repeated cross-sectional online surveys among full-time adult factory workers were conducted in Shenzhen, China. This analysis was based on 844 (first round) and 1213 parents (second round) who had at least one child aged 3–17 years. The prevalence of vaccine hesitancy for children aged 3–11 years dropped from 25.9% (first round) to 17.4% (second round), while such a prevalence for children aged 12–17 years dropped from 26.0% (first round) to 3.5% (second round) (p < 0.001). Positive attitudes, a perceived subjective norm, and perceived behavioral control related to children’s COVID-19 vaccination were associated with lower vaccine hesitancy in both rounds. In the second round and among parents with children aged 3–11 years, negative attitudes and exposure to information on SARS-CoV-2 infection after receiving a primary vaccine series were associated with higher vaccine hesitancy, while exposure to experiences shared by vaccine recipients and infectiousness of variants of concern were associated with lower vaccine hesitancy. Regular monitoring of vaccine hesitancy and its associated factors among parents should be conducted to guide health promotion. Copyright © 2022 by the authors.
Original languageEnglish
Article number1478
JournalVaccines
Volume10
Issue number9
Early online date06 Sep 2022
DOIs
Publication statusPublished - Sep 2022

Citation

Zhou, X., Wang, S., Zhang, K., Chen, S., Chan, P. S.-F., Fang, Y., . . . Wang, Z. (2022). Changes in parents’ COVID-19 vaccine hesitancy for children aged 3–17 years before and after the rollout of the national childhood COVID-19 vaccination program in China: Repeated cross-sectional surveys. Vaccines, 10(9). Retrieved from https://doi.org/10.3390/vaccines10091478

Keywords

  • COVID-19 vaccine hesitancy for children
  • Changes
  • Parents
  • Repeated cross-sectional surveys
  • China

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