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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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16 - 30 of 353
Parental attitudes, intentions, decisions, and psychological wellbeing regarding COVID-19 vaccination: preschool, school-age, and adolescent caregivers

AUTHOR(S)
Liang-Jen Wang; Kuang-Che Kou; Kuo-Shu Tang (et al.)

Published: December 2022   Journal: Vaccines
The vaccination of all children may be one of the most important public health measures for preventing a wider spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the community. Therefore, the purpose of this study was to investigate the attitude, intention, decision making, and psychological well-being among the caregivers of children who received SARS-CoV-2 vaccination in Taiwan. The caregivers of children (98 preschool children, 191 school-age children, and 154 adolescents) who received COVID-19 vaccination were invited to fill in the following questionnaires: Adopting Self-Protective Behavior Scale, Drivers of COVID-19 Vaccination Acceptance Scale, Impact of Event Scale, Chinese Health Questionnaire, and Parental Bonding Instrument. Compared to the caregivers of adolescents, the caregivers of preschool children exhibited more protective behaviors toward the COVID-19 pandemic. The caregivers of preschool children also displayed a higher emotional impact than those of adolescents and took a greater interest in the family’s opinion about vaccination. Finally, we found that COVID-19 ideological invasion and protective parenting style were significantly related to the prevalence of mental illness among caregivers.
Chinese parents' willingness to vaccinate their children against COVID-19: a systematic review and meta-analysis

AUTHOR(S)
Yundi Ma; Jingjing Ren; Yang Zheng (et al.)

Published: December 2022   Journal: Frontiers in Public Health

To evaluate Chinese parents' willingness to vaccinate their children against COVID-19, identify its predictors, and provide a reference for raising the COVID-19 vaccination rate for children. PubMed, Cochrane Library, Embase, and the databases in Chinese, including CNKI, WanFang, VIP, CBM, were searched from December 2019 to June 2022, and citation tracking was used to identify relevant studies. To calculate the rate with 95% confidence intervals (CI), a random-effects model was used. To explore sources of heterogeneity, sensitivity analysis and subgroup analysis were conducted. This analysis was registered on PROSPERO (CRD42022346866) and reported in compliance with the PRISMA guidelines.

Assessing parents' knowledge, attitudes, and practices toward vaccinating children (five to 15 years old) against COVID-19 in the United Arab Emirates

AUTHOR(S)
Aicha Bourguiba; Shahd AbuHijleh; Yasmin Nached

Published: December 2022   Journal: Cureus
Since the approval of the Coronavirus disease 2019 (COVID-19) vaccine for children in 2021, there had been ongoing debates about the necessity of vaccinating children, owing to the seemingly mild nature of the infection in children, despite causing significant morbidity and mortality in the 5-11 age group in 2020-2021, and its association with complications such as Multisystem Inflammatory Syndrome in Children (MIS-C). This sparked the need to evaluate parents’ perceptions, knowledge, and the effect of information sources on their decision-making. It is important to understand the various drivers and concerns expressed by parents locally, to shape vaccination campaigns to address such issues. While numerous studies across the world have extensively investigated parental willingness and intention to vaccinate children against COVID-19, it is important to acknowledge that these studies have been conducted before COVID-19 vaccines became approved for children in the respective countries. There is an obvious scarcity of data on the parental knowledge, attitudes, and acceptance of the vaccine for children after the respective countries have approved and provided the vaccine. The present study aims to provide data that could reveal possible barriers to vaccine uptake such as deficits in knowledge, negative attitudes, and poor practices towards the COVID-19 pandemic, and hence address these factors to make the ongoing COVID-19 vaccination campaign, as well as future childhood vaccination campaigns, more successful.
COVID-19 impact on disparity in childhood immunization in low- and middle-income countries through the lens of historical pandemics

AUTHOR(S)
Harriet Itiakorit; Abhilash Sathyamoorthi; Brigid E. O’Brien (et al.)

Published: December 2022   Journal: Current Tropical Medicine Reports
This review provides an overview of childhood immunizations and discusses past pandemics particularly in LMIC, factors contributing to disparities in childhood immunizations, and reviews potential lessons to be learned from past pandemics. Vaccine hesitancy, social determinants of health, and best practices to help lessen the pandemic’s influence are also further elaborated. To address current challenges that hindered the progress made in prevention of childhood illnesses through vaccination campaigns and increased vaccine availability, lessons learned through best practices explored from past pandemics must be examined to mitigate impact of COVID-19 on childhood immunization and in turn conserve health and improve economic well-being of children especially in LMIC.
Worries, beliefs and factors influencing perinatal COVID-19 vaccination: a cross-sectional survey of preconception, pregnant and lactating individuals

AUTHOR(S)
Serine Ramlawi; Katherine A. Muldoon; Sandra I. Dunn (et al.)

Published: December 2022   Journal: BMC Public Health

COVID-19 vaccines are recommended for pregnant and lactating individuals, and there is substantial evidence for their safety and effectiveness. As the pandemic continues, information on worries and beliefs surrounding perinatal COVID-19 vaccination remains important to inform efforts aimed at improving vaccine uptake. Our objectives were to assess factors associated with COVID-19 vaccination among perinatal individuals; and to explore motivational factors associated with willingness to be vaccinated among unvaccinated perinatal individuals. This was a cross-sectional web-based survey of preconception, pregnant, and lactating individuals in Canada. The outcomes of interest were vaccination with at least one dose of any COVID-19 vaccine and willingness to be vaccinated among unvaccinated individuals. Sample characteristics were summarized using frequencies and percentages. The association between eight prespecified risk factors and two outcomes (vaccination status and willingness to be vaccinated) was assessed by logistic regression. Odds ratios (OR) and 95% confidence intervals (CI) were calculated for the total sample, and across perinatal sub-groups.

Parental perceptions related to co-administration of adolescent COVID-19 and routine vaccines

AUTHOR(S)
Courtney A. Gidengil; Andrew M. Parker; Amber M. Gedlinske (et al.)

Published: December 2022
Vaccinating adolescents against COVID-19 while avoiding delays in other routine vaccination is paramount to protecting their health. Our objective was to assess parental preferences to have their adolescents aged 12–17 years receive COVID-19 and other routine vaccines at the same time. An online survey with a national, quota-based cross-sectional sample of United States parents of youth aged 12–17 years was fielded in April 2021 ahead of FDA's Emergency Use Authorization of COVID-19 vaccine for age 12–15 years. Parents were asked about their willingness to have their adolescents aged 12–17 years receive both COVID-19 and routine vaccines at the same visit and/or to follow their provider's recommendation. Predictors included demographic characteristics, being behind on routine vaccines, and perceived risks and benefits.
Inequalities in infant vaccination coverage during the COVID-19 pandemic: a population-based study in Peru

AUTHOR(S)
Ali Al-kassab-Córdova; Claudia Silva-Perez; Carolina Mendez-Guerra (et al.)

Published: December 2022   Journal: Vaccine

To identify the associated factors and assess the inequalities of full vaccination coverage (FVC) among Peruvian infants aged 12–23 months during the COVID-19 pandemic in a nationally representative sample. This study carried out a population-based cross-sectional study based on a secondary data analysis using the 2021 Peruvian Demographic Health Survey (DHS) in infants aged 12 to 23 months. The sampling design was probabilistic, multistage, stratified, and independent at both departmental and area of residence levels. FVC was defined according to the WHO definition. It performed generalized linear models (GLM) Poisson family log link function to estimate crude (aPR) and adjusted prevalence ratios (aPR). Also, for inequality assessment, we calculated the concentration curve (CC), concentration index (CI), and Erreygers normalized concentration index (ECI).

Cite this research | Open access | Vol.: 41 | Issue: 2 | No. of pages: 564-572 | Language: English | Topics: Health | Tags: COVID-19, immunization, immunization programmes, lockdown, social distance, social inequality, vaccination, vaccination policies | Countries: Peru
Education level modifies parental hesitancy about COVID-19 vaccinations for their children

AUTHOR(S)
Shuning Tang; Xin Liu; Yingnan Jia (et al.)

Published: December 2022   Journal: Vaccine
It is important to encourage parental acceptance of children’s vaccination against COVID-19 to ensure population immunity and mitigate morbidity and mortality. This study drew upon protection motivation theory (PMT) to explore the factors of parental hesitancy about vaccinating their children. A national online survey was performed in China. A total of 2054 Chinese parents of children aged 6–12 years were included in this study. They reported on measures that assessed hesitancy about children’s vaccination against COVID-19, PMT constructs (susceptibility, severity, response efficacy, self-efficacy, and response costs) and sociodemographic characteristics. Chinese parents reported a hesitancy rate of 29.4% for children’s vaccination. Parents with higher level education were more likely to hesitate to vaccinate their children against COVID-19.
Cite this research | Open access | Vol.: 41 | Issue: 2 | No. of pages: 496-503 | Language: English | Topics: Health | Tags: COVID-19, immunization, immunization programmes, infectious disease, pandemic, parents, vaccination, vaccination policies | Countries: China
Safety and tolerability of COVID-19 vaccine in children with epilepsy: a prospective, multicenter study

AUTHOR(S)
Zhihao Wang; Xiqin Fang; Tao Han (et al.)

Published: December 2022   Journal: Pediatric Neurology

This study aimed to investigate the effects of the coronavirus disease 2019 4 (COVID-19) vaccine on epileptic seizures, as well as its adverse effects, in children with epilepsy (< 18 years). This anonymous questionnaire study involved a multicenter prospective survey of outpatients and inpatients with epilepsy (<18 years) registered in epilepsy clinics in 8 hospitals in six cities of Shandong Province.

Parents' intentions and perceptions about COVID-19 vaccination for their children: results from a national survey

AUTHOR(S)
P. G. Szilagyi; M. D. Shah; J. R. Delgado (et al.)

Published: December 2022   Journal: Pediatrics

This study aimed to assess the likelihood of US parents to have their children receive a pediatric coronavirus disease 2019 (COVID-19) vaccine and to understand parental concerns about the vaccines. Study participants were selected from The Understanding America Study (UAS), a nationally-representative online panel who were surveyed between February 17, 2021 and March 30, 2021. This was a survey-based study. Parents were asked about intent to have their child vaccinated against COVID-19, their perceptions about the vaccine, their own likelihood of getting a COVID-19 vaccine, whether their child previously received the flu vaccine, their trust in sources of information about a COVID-19 vaccine, and their trust in the vaccine development and approval process. Descriptive and multivariate analyses were used to assess likelihood of vaccination and to understand the association between likelihood of child vaccination and parent demographics, child age, and parental perceptions about COVID-19 vaccines.

COVID-19 vaccine acceptance among pregnant and lactating women in Saudi Arabia

AUTHOR(S)
Amal S. Bagalb; Dlal Almazrou; Amani A. Albraiki (et al.)

Published: December 2022   Journal: Cureus

The acceptance of vaccines among pregnant and breastfeeding women is vital to alleviate the risk of contracting and transmitting coronavirus disease 2019 (COVID-19). Therefore, we aimed to assess the COVID-19 vaccine acceptance among pregnant and breastfeeding/lactating women and the factors associated with the acceptance of the COVID-19 vaccine in Saudi Arabia. A cross-sectional survey was conducted among pregnant and breastfeeding women living in Saudi Arabia. A 23-item, self-administered questionnaire was used to assess the COVID-19 vaccine acceptance among pregnant or lactating women.

Myopericarditis after COVID-19 mRNA vaccination among adolescents and young adults: a systematic review and meta-analysis.

AUTHOR(S)
Jun Yasuhara; Kaihei Masuda; Tadao Aikawa (et al.)

Published: December 2022   Journal: Jama Pediatrics

Published data on COVID-19 mRNA vaccine–associated myopericarditis in adolescents and young adults have been derived from small case series, national population-based studies, or passive reporting systems. Pooled evidence from a larger, international cohort is scarce. This study aims to investigate the clinical features and early outcomes associated with myopericarditis after COVID-19 mRNA vaccination in a heterogeneous population of adolescents and young adults. PubMed and EMBASE were searched through August 2022. Language restrictions were not applied.

Policy and guideline review of vaccine safety for COVID-19 in pregnant women in Southern Africa, with a particular focus on South Africa

AUTHOR(S)
Rujeko Samanthia Chimukuche; Busisiwe Nkosi; Janet Seeley

Published: December 2022   Journal: Vaccines
Pregnant and lactating mothers have historically been excluded from clinical trials. To understand the shift from excluding to including this population in COVID-19 vaccine trials, this study conducted a review of guidance issued by countries in southern Africa over the last three years. It conducted a review of documents and official statements recorded on Ministries of Health websites, and social media platforms, the World Health Organisation website, the COVID-19 Maternal Immunisation tracker and the African Union official webpage. Search terms included COVID-19 vaccination policies, guidelines for pregnant and lactating women, COVID-19 vaccination trials and pregnant women. The research retrieved and reviewed policies, guidelines, and official statements from 12 countries.
Acceptability of Covid-19 vaccine for healthy children and its associated factors: parents' perception from a study conducted in Galle district of Sri Lanka

AUTHOR(S)
Imalke Kankananarachchi; M. A. F. Nafla; Hasini Chathurika Wackwella (et al.)

Published: December 2022   Journal: Sri Lanka Journal of Child Health

Vaccination has proved effective in mitigating Covid-19 transmission and severe infection. Sri Lanka has launched a programme to vaccinate children aged 12-18 years with chronic illnesses. However, vaccination of healthy children is under discussion. Acceptability of the vaccine would determine the success of the programme. This study aims to assess the acceptability of Covid-19 vaccine among parents of children without chronic illness at Teaching Hospital Karapitiya (THK) and selected Private Hospitals in the Galle District. A cross-sectional study was conducted among a convenient sample of 472 parents attending paediatric care at THK and selected private hospitals in the Galle District in 2021.


The supply is there. So why can't pregnant and breastfeeding women in rural India get the COVID-19 vaccine?

AUTHOR(S)
Nadia G. Diamond-Smith; Preetika Sharma; Mona Duggal (et al.)

Published: December 2022   Journal: Plos Global Public Health
Despite COVID-19 vaccines being available to pregnant women in India since summer 2021, little is known about vaccine uptake among this high need population. We conducted mixed methods research with pregnant and recently delivered rural women in northern India, consisting of 300 phone surveys and 15 in-depth interviews, in November 2021. Only about a third of respondents were vaccinated, however, about half of unvaccinated respondents reported that they would get vaccinated now if they could. Fears of harm to the unborn baby or young infant were common (22% of unvaccinated women). However, among unvaccinated women who wanted to get vaccinated, the most common barrier reported was that their health care provider refused to provide them the vaccine. Gender barriers and social norms also played a role, with family members restricting women’s access. Trust in the health system was high, however, women were most often getting information about COVID-19 vaccines from sources that they did not trust, and they knew they were getting potentially poor-quality information. Qualitative data shed light on the barriers women faced from their family and health care providers but described how as more people got the vaccine that norms were changing.
16 - 30 of 353

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