Abstract

Objective: The study aimed to determine the attitudes of parents with children aged 0-5 years towards protecting their children from COVID-19, the rate of those who hesitated to have their children vaccinated, and the factors causing hesitation.

Methods: In this descriptive, cross-sectional study, we conducted a survey with parents of children aged 0-5 years from July 2021 to May 2022.

Results: Four hundred and sixty-four parents with children 0-5 years of age were analyzed. The mean age of the participants was 34.6 ± 7.3 years and the mean number of children was 1.79 ± 0.78, the majority (72%) of which were mothers. The main source of information for COVID-19 was television channels for the participants (68.5%). Parents most often chose to wash their hands (91%) to prevent their children from contracting COVID-19. Fifty-seven percent of parents, especially those whose source of information for COVID-19 was social media platforms (OR 1.45 [1-2.1], p= 0.048), distrusted the measures they took to prevent their children from contracting COVID-19. Fifty-one percent of parents distrusted hospital measures to prevent transmission of COVID-19, and 55% were hesitant to get their children vaccinated for COVID-19. Increasing parental age (OR 1.02 [1.01-1.05], p= 0.040), having a family member who has had COVID-19 (OR 1.47 [1.01-2.16], p= 0.043), and parents’ trust in hospital COVID-19 measures (OR 2.04 [1.41-2.91], p= 0.001) have increased the desire to vaccinate their children against COVID-19.

Conclusion: Considering that vaccination is the most important step in preventing infection, information provided to parents by reliable authorities can help increase vaccination acceptance rates.

Keywords: Attitude, child, COVID-19, parents, vaccination

Copyright and license

How to cite

1.
Çelik T, Başaran Tarhan B. Trust, distrust and skepticism: Parent’s perspective on COVID-19 prevention and vaccination in children aged 0-5 years. Trends in Pediatrics. 2023;4(2):120-126. https://doi.org/10.59213/TP.2023.97759

References

  1. World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) dashboard. 2022. Available at: https://covid19.who.int
  2. Zhou J, Li Z, Meng H, Chang Y-C, Peng N-H, Wei B. Chinese Parental Awareness of Children’s COVID-19 Protective Measures. Am J Health Behav. 2021;45:657-64. https://doi.org/10.5993/AJHB.45.4.5
  3. Aedh AI. Parents'attitudes, their acceptance of the COVID-19 vaccines for children and the contributing factors in Najran, Saudi Arabia: A cross-sectional survey. Vaccines (Basel). 2022;10:1264. https://doi.org/10.3390/vaccines10081264
  4. Mangat C, Rich J, Sanghavi D, et al. Parents' perspective on COVID-19 vaccine in children 6 months through 4 years: a cross-sectional study from Northwest Wisconsin. BMJ Open. 2022;12(9):e065453. https://doi.org/10.1136/bmjopen-2022-065453
  5. Deville JG, Song E, Ouellette CP. COVID-19: Clinical manifestations and diagnosis in children. In: Edwards MS, Blake D, editors. UpToDate (updated: Feb 24, 2023; literature review: Mar 2023). Available at: https://www.uptodate.com/contents/covid-19-clinical-manifestations-and-diagnosis-in-children (Accessed on Apr 28, 2023).
  6. Abuhammad S. Parents' knowledge and attitude towards COVID-19 in children: a Jordanian study. Int J Clin Pract. 2021;75:e13671. https://doi.org/10.1111/ijcp.13671
  7. Sun J, Xu Y, Qu Q, Luo W. Knowledge of and attitudes toward COVID-19 among parents of child dental patients during the outbreak. Braz Oral Res. 2020;34:e066. https://doi.org/10.1590/1807-3107bor-2020.vol34.0066
  8. Talukder A, Islam MN, Sarker M, et al. Knowledge and practices related to COVID-19 among mothers of under-2 children and adult males: a cross-sectional study in Bangladesh. BMJ Open. 2022;12:e059091. https://doi.org/10.1136/bmjopen-2021-059091
  9. Gerçeker GÖ, Özdemir EZ, Özdemir B, Bektaş M. Development of the parental attitude scale-protecting children during COVID-19 and the relationship between parental attitudes and fear of COVID-19. J Pediatr Nurs. 2022;62:113-20. https://doi.org/10.1016/j.pedn.2021.09.007
  10. Hou Z, Song S, Du F, et al. The Influence of the COVID-19 Epidemic on Prevention and Vaccination Behaviors Among Chinese Children and Adolescents: Cross-sectional Online Survey Study. JMIR Public Health Surveill. 2021;7:e26372. https://doi.org/10.2196/26372
  11. Coroiu A, Moran C, Lindsay BL, Geller AC. Parent-for-child mask behavior during the COVID-19 pandemic in Canada and the United States: An investigation of attitudes, norms, and perceived control using the theory of planned behavior. Prev Med Rep. 2021;24:101533. https://doi.org/10.1016/j.pmedr.2021.101533
  12. Committee on Infectious Diseases. COVID-19 vaccines in infants, children, and adolescents. Pediatrics. 2022;150:e2022058700. https://doi.org/10.1542/peds.2022-058700
  13. Humble RM, Sell H, Wilson S, et al. Parents’ perceptions on COVID-19 vaccination as the new routine for their children ≤ 11 years old. Prev Med. 2022;161:107125. https://doi.org/10.1016/j.ypmed.2022.107125
  14. Prosopari A, Adamakidou T, Mastrogiannis D, et al. Perceptions, Attitudes and Intentions of Greek Parents Toward their Underaged Children Vaccination Against Covid 19. Mater Sociomed. 2022;34:197-203. https://doi.org/10.5455/msm.2022.34.197-203
  15. Zhang X, Guo Y, Zhou Q, Tan Z, Cao J. The Mediating Roles of Medical Mistrust, Knowledge, Confidence and Complacency of Vaccines in the Pathways from Conspiracy Beliefs to Vaccine Hesitancy. Vaccines (Basel). 2021;9:1342. https://doi.org/10.3390/vaccines9111342
  16. Galanis P, Vraka I, Siskou O, Konstantakopoulou O, Katsiroumpa A, Kaitelidou D. Willingness, refusal and influential factors of parents to vaccinate their children against the COVID-19: A systematic review and meta-analysis. Prev Med. 2022;157:106994. https://doi.org/10.1016/j.ypmed.2022.106994
  17. Tal O, Ne’eman Y, Sadia R, Shmuel R, Schejter E, Bitan M. Parents’ attitudes toward children’s vaccination as a marker of trust in health systems. Hum Vaccin Immunother. 2021;17:4518-28. https://doi.org/10.1080/21645515.2021.1971472
  18. Nowak SA, Gidengil CA, Parker AM, Matthews LJ. Association among trust in health care providers, friends, and family, and vaccine hesitancy. Vaccine. 2021;39:5737-40. https://doi.org/10.1016/j.vaccine.2021.08.035
  19. Yılmaz M, Sahin MK. Parents' willingness and attitudes concerning the COVID-19 vaccine: a cross-sectional study. Int J Clin Pract 2021;75:e14364. https://doi.org/10.1111/ijcp.14364
  20. Sabra HK, Bakr MA, Rageh OESM, Khaled A, Elbakliesh OM, Kabbash IA. Parents’ perception of COVID-19 risk of infection and intention to vaccinate their children. Vacunas. 2023;24:37-44. https://doi.org/10.1016/j.vacun.2022.07.004
  21. Wan X, Huang H, Shang J, et al. Willingness and influential factors of parents of 3-6-year-old children to vaccinate their children with the COVID-19 vaccine in China. Hum Vaccin Immunother. 2021;17:3969-74. https://doi.org/10.1080/21645515.2021.1955606
  22. Akarsu B, Canbay Özdemir D, Ayhan Baser D, Aksoy H, Fidancı İ, Cankurtaran M. While studies on COVID-19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID-19 vaccine. Int J Clin Pract. 2021;75:e13891. https://doi.org/10.1111/ijcp.13891
  23. Vranic A, Hromatko I, Tonković M. “I Did My Own Research”: Overconfidence, (Dis)trust in Science, and Endorsement of Conspiracy Theories. Front Psychol. 2022;13:931865. https://doi.org/10.3389/fpsyg.2022.931865
  24. Allen JD, Fu Q, Shrestha S, et al. Medical mistrust, discrimination, and COVID-19 vaccine behaviors among a national sample U.S. adults. SSM Popul Health. 2022;20:101278. https://doi.org/10.1016/j.ssmph.2022.101278
  25. Jennings W, Stoker G, Bunting H, et al. Lack of Trust, Conspiracy Beliefs, and Social Media Use Predict COVID-19 Vaccine Hesitancy. Vaccines (Basel). 2021;9:593. https://doi.org/10.3390/vaccines9060593
  26. Lamot M, Kerman K, Kirbiš A. Distrustful, Dissatisfied, and Conspiratorial: A Latent Profile Analysis of COVID-19 Vaccination Rejection. Int J Environ Res Public Health. 2022;19:10096. https://doi.org/10.3390/ijerph191610096
  27. Soveri A, Karlsson LC, Mäki O, et al. Trait reactance and trust in doctors as predictors of vaccination behavior, vaccine attitudes, and use of complementary and alternative medicine in parents of young children. PLoS One. 2020;15:e0236527. https://doi.org/10.1371/journal.pone.0236527
  28. Dayton L, Miller J, Strickland J, Davey-Rothwell M, Latkin C. A socio-ecological perspective on parents’ intentions to vaccinate their children against COVID-19. Vaccine. 2022;40:4432-9. https://doi.org/10.1016/j.vaccine.2022.05.089
  29. Bajos N, Spire A, Silberzan L, et al. When Lack of Trust in the Government and in Scientists Reinforces Social Inequalities in Vaccination Against COVID-19. Front Public Health. 2022;10:908152. https://doi.org/10.3389/fpubh.2022.908152
  30. Kreuter MW, Garg R, Marsh A, et al. Intention to vaccinate children for COVID-19: A segmentation analysis among Medicaid parents in Florida. Prev Med. 2022;156:106959. https://doi.org/10.1016/j.ypmed.2022.106959
  31. Marron L, Ferenczi A, O’Brien KM, et al. Views on COVID-19 vaccination of young children in Ireland, results from a cross-sectional survey of parents. Vaccine. 2022;40:5716-25. https://doi.org/10.1016/j.vaccine.2022.08.030
  32. Fedele F, Aria M, Esposito V, et al. COVID-19 vaccine hesitancy: a survey in a population highly compliant to common vaccinations. Hum Vaccin Immunother. 2021;17:3348-54. https://doi.org/10.1080/21645515.2021.1928460
  33. Neumann-Böhme S, Varghese NE, Sabat I, et al. Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. Eur J Health Econ. 2020;21:977-82. https://doi.org/10.1007/s10198-020-01208-6
  34. Seddig D, Maskileyson D, Davidov E, Ajzen I, Schmidt P. Correlates of COVID-19 vaccination intentions: Attitudes, institutional trust, fear, conspiracy beliefs, and vaccine skepticism. Soc Sci Med. 2022;302:114981. https://doi.org/10.1016/j.socscimed.2022.114981
  35. Soveri A, Karlsson LC, Antfolk J, Lindfelt M, Lewandowsky S. Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine. BMC Public Health. 2021;21:684. https://doi.org/10.1186/s12889-021-10643-w
  36. Gjini E, Moramarco S, Carestia MC, et al. Parents' and caregivers' role toward childhood vaccination in Albania: assessment of predictors of vaccine hesitancy. Ann Ig. 2023;35:75-83. https://doi.org/10.7416/ai.2022.2521
  37. Almalki OS, Alfayez OM, Al Yami MS, Asiri YA, Almohammed OA. Corrigendum: Parents’ Hesitancy to Vaccinate Their 5-11-Year-Old Children Against COVID-19 in Saudi Arabia: Predictors From the Health Belief Model. Front Public Health. 2022;10:914691. https://doi.org/10.3389/fpubh.2022.914691
  38. Napoli A, Miraglia Del Giudice G, Corea F, Folcarelli L, Angelillo IF. Parents’ reasons to vaccinate their children aged 5-11 years against COVID-19 in Italy. Front Med (Lausanne). 2022;9:949693. https://doi.org/10.3389/fmed.2022.949693