Chinese parents' intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences

Lin, Yulan and Hu, Zhijian and Zhao, Qinjian and Alias, Haridah and Danaee, Mahmoud and Wong, Li Ping (2021) Chinese parents' intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences. Human Vaccines & Immunotherapeutics, 17 (12). pp. 4806-4815. ISSN 2164-5515, DOI

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This study aims to determine the intention of Chinese parents to vaccinate their children against SARS-CoV-2. Secondly, preferences for foreign- or domestically made COVID-19 vaccines were also explored. A nationwide, cross-sectional, self-administered online survey based on the Health Belief Model (HBM) and new vaccine concerns was used. Participants were eligible if they were residents of China with children aged 12 years old or younger. A total of 2,026 parents responded to the survey. Half reported a probable intent (50.7%) and 26.9% reported a definite intent. The results of the data analysis of partial least squares structural equation modeling (PLS-SEM) found that perceived cost barriers (B = -0.210, p < .001) and new vaccine concerns (B = -0.201, p < .001) had major effects in vaccination intent. Important constructs of vaccine concerns that predict vaccination intent were efficacy (B = 0.898, p < .001), followed by safety (B = 0.861, p < .001), side-effect (B = 0.806, p < .001) and faulty/fake vaccine (B = 0.579, p < .001). Perceived benefits (B = 1.81, p < .001), self-efficacy (B = 0.159, p < .001) and severity (B = 0.083, p < .01) were also significant predictors in vaccination intent. Almost two-thirds (62.0%; 95%CI 59.8 to 64.1) reported a preference for domestically made and 19.1% (95%CI 17.2 to 20.7) preferred foreign-made COVID-19 vaccines. Multivariable logistic regression analysis revealed that higher incomes and concern of side-effects of the new COVID-19 vaccine were two of the most important influencing factors of preference for a foreign-made vaccine. This study sheds light on the importance of addressing concerns of new vaccines and the helpfulness of HBM in understanding parental decisions toward their children being vaccinated against SARS-CoV-2.

Item Type: Article
Funders: Pilot Project of the Fujian Provincial Department of Science and Technology[2020Y0005], Fujian Medical University's Rapid Response Funding Call for COVID-19 Related Research[2020YJ003], Special Projects of the Central Government Guiding Local Science and Technology Development[2021L3018]
Uncontrolled Keywords: Parents' intentions to vaccinate;Coronavirus disease;Children
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 17 Oct 2022 01:56
Last Modified: 17 Oct 2022 01:56

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