Parental coronavirus disease vaccine hesitancy for children in Bangladesh: a cross-sectional study (original) (raw)

Parental coronavirus disease vaccine hesitancy for children in Bangladesh: a cross-sectional study [version 1; peer review: 2 approved, 1 approved with reservations

F1000Research, 2022

Background: Coronavirus disease 2019 (COVID-19) requires mass immunization to control the symptoms and global spread of severe acute respiratory syndrome coronavirus 2. Data from developed countries reported a high prevalence of parental COVID-19 vaccine hesitancy. However, parental vaccine hesitancy data in countries with low and middle income are scarce. The goal of this study was to assess the prevalence of parental vaccine hesitancy and identify subgroups with higher odds of vaccine hesitancy. Methods: A cross-sectional study was conducted on parents of children aged <18 years from October 10, 2021, to October 31, 2021. Parents aged ≥18 years underwent face-to-face interviews in randomly selected places in Bangladesh using a vaccine hesitancy questionnaire. Predictors were identified using binary logistic regression analysis. Results: Data from 2633 eligible parents were analyzed. Overall, 42.8% reported COVID-19 vaccine hesitancy for their youngest child. The final model suggested that children's age, parent's age, religion, occupation, monthly household income, permanent address, living location, the status of tobacco use, adherence with the regular government vaccination programs (other than COVID-19), perception about COVID-19 vaccine efficacy among Bangladeshi children, self- vaccination intention, report about family members' illness or death from COVID-19, and perceived COVID-19 threat were the independent predictors of parental vaccine hesitancy. Conclusions: Vaccine hesitation varied based on sociodemographic characteristics, religion, behavior, and perceived COVID-19 threat. Therefore, interventions focused on addressing vaccine hesitancy among subgroups are warranted.

COVID-19 vaccine hesitancy among parents in Low- and Middle-Income Countries: A meta-analysis

Frontiers in Public Health

BackgroundVaccination is the most effective method to prevent the spread of infectious diseases. Nevertheless, vaccine hesitancy has been an issue. Parental hesitancy toward vaccines is a major part of the problem. COVID-19 vaccine acceptance is no different, it poses another challenge in facing the pandemic. In Low- and Middle-Income Countries (L&MICs) several studies measured parents' acceptance to vaccinate their children against COVID-19 and resulted in different acceptance proportions.AimsThe paper aims at obtaining a precise estimate of the overall proportion of L&MICs' parents accepting to vaccinate their children against COVID-19 and identifying the main determinant of their decisions.MethodsThis meta-analysis follows the PRISMA 2020 statement on updated guidelines and the checklist for reporting systematic reviews. Studies published between December till February 2022 were assessed for inclusion. The final effect size (i.e., the proportion of parents in L&MICs accep...

COVID-19 VACCINE HESITANCY FOR CHILDREN IN PARENTS: A CROSS-SECTIONAL SURVEY AMONG HEALTH-CARE PROFESSIONALS IN INDIA

Asian Journal of Pharmaceutical and Clinical Research Journal, 2022

Objectives: There is evidence of morbidity and mortality in children due to COVID-19 infection. "Vaccine Hesitant Parents (VHPs)" may act as barriers to vaccination of children and their knowledge, attitude, beliefs, and perceptions come into play. Health-care providers are cited as the most important source for vaccine information by VHPs, and provider recommendation for vaccination is crucial for improving vaccine uptake. Hence, we aim to study among Indian health-care professionals having children <18 years of age, the prevalence of parental hesitancy for pediatric COVID-19 vaccine and to assess their knowledge, attitude, beliefs, and perceptions about pediatric COVID-19 vaccine. Methods: An observational, cross-sectional study was conducted across India through a web-based questionnaire amongst health-care professionals having children less than 18 years of age by Snowball sampling technique. Descriptive statistics were used to study the demographic profile, the prevalence of vaccine hesitancy, and individual factors. Correlations between the datasets were obtained using regression analysis and significance level using the Chi-square test. Results: The prevalence of COVID-19 vaccine hesitancy for children in Indian health-care professionals is 3.3%. The most important source of information was the internet and social media. The majority of the participants knew about the vaccine and its side effects (p=0.00) and believed in the usefulness of the vaccine in preventing infection (p=0.008) and in reducing severity (p=0.009). All these factors lead to better vaccine acceptance. Conclusion: These data show that vaccine acceptance has improved over time and thus HCWs can aid in reducing vaccine hesitancy.

COVID-vaccine hesitancy among parents in Low-and Middle-Income Countries: A meta-analysis

2023

Background: Vaccination is the most e ective method to prevent the spread of infectious diseases. Nevertheless, vaccine hesitancy has been an issue. Parental hesitancy toward vaccines is a major part of the problem. COVID-vaccine acceptance is no di erent, it poses another challenge in facing the pandemic. In Low-and Middle-Income Countries (L&MICs) several studies measured parents' acceptance to vaccinate their children against COVID-and resulted in di erent acceptance proportions. Aims: The paper aims at obtaining a precise estimate of the overall proportion of L&MICs' parents accepting to vaccinate their children against COVID-and identifying the main determinant of their decisions. Methods: This meta-analysis follows the PRISMA statement on updated guidelines and the checklist for reporting systematic reviews. Studies published between December till February were assessed for inclusion. The final e ect size (i.e., the proportion of parents in L&MICs accepting to vaccinate their children against COVID-) was measured using the Arcsine proportions method. Analysis was done using R program. Results: The proportion of parents in L&MICs accepting to vaccinate their children against COVID-is %. The major reason for their acceptance is their belief that COVID-vaccine is fundamental to the fight against the pandemic while the most common factor for parents' hesitancy to vaccinate their children against COVID-is their concerns about vaccine e cacy, safety, and possible side e ects. Conclusion: The proportion of parents in L&MICs accepting to vaccinate their children against COVID-is lower than the global level. To increase parental acceptance, responsible authorities should concentrate on increasing their population's trust in the government and in vaccine manufacturers. As well as concentrating on increasing acceptance of the vaccine idea in general.

What is the extent of COVID-19 vaccine hesitancy in Bangladesh? A cross-sectional rapid national survey

BMJ Open, 2021

ObjectivesTo assess COVID-19 vaccine hesitancy in Bangladesh and identify population subgroups with higher odds of vaccine hesitancy.DesignA nationally representative cross-sectional survey was used for this study. Descriptive analyses helped to compute vaccine hesitancy proportions and compare them across groups. Multiple logistic regression analyses were performed to compute the adjusted OR.SettingBangladesh.ParticipantsA total of 1134 participants from the general population, aged 18 years and above participated in this study.Outcome measuresPrevalence and predictors of vaccine hesitancy.ResultsOf the total participants, 32.5% showed COVID-19 vaccine hesitancy. Hesitancy was high among respondents who were men, over 60, unemployed, from low-income families, from central Bangladesh, including Dhaka, living in rented houses, tobacco users, politically affiliated, doubtful of the vaccine’s efficacy for Bangladeshis and those who did not have any physical illnesses in the past year. ...

Factors influencing parents’ hesitancy to vaccinate their children aged 5–11 years old against COVID-19: results from a cross-sectional study in Malaysia

Frontiers in Public Health

IntroductionVaccination programs have been rolled out across the globe to contain and mitigate the spread of the COVID-19 infection. Until recently, such programs were limited to adults and the older population, thereby limiting children from getting vaccinated. Recently, the Malaysian government rolled out vaccination for children aged 5–11 years. However, there are certain factors that might affect vaccination uptake among children. This study explores factors influencing parents’ hesitancy to vaccinate children in Malaysia.MethodA nationwide online cross-sectional convenience sampling survey from April 21, 2022 to June 3, 2022 was conducted. The study used descriptive statistics to inform about vaccine hesitancy among parents. Cross-tabulation was performed to calculate the frequency and percentage of vaccine hesitancy, quality of life, e-health literacy, and the 5C psychological antecedents of vaccination among parents with children 5-11 years in Malaysia. Graphical methods were...

Factor Affecting COVID-19 Vaccine Hesitancy in Bangladesh: An Empirical Investigation

IAR Journal of Health Care and Prevention, 2021

This study aims to look at the causes of COVID-19 vaccine hesitancy in Bangladesh by examining the cultural and religious values, lack of trust, misinformation, and fear of side effects as predictors of vaccine hesitancy. Self-developed measurement items, developed based on the expert's opinion, were used to accomplish the objective. Data was gathered from 268 respondents who represented their community through both an online and a physical survey. SPSS version 25 was used to optimize descriptive statistics. Besides, SmartPLS 3.0 was used to examine the hypotheses using the PLS-SEM approach. The study confirms that lack of trust, misinformation and fear of side effects all play a role in vaccine hesitancy. Besides, the results have many significant implications for public health policymakers, vaccine manufacturers and distributors, and the media. Besides that, the study proposes some new research avenues for overcoming this study's limitations and gaining more detailed information on the topic.

COVID-19 vaccine hesitancy: A narrative review of four South Asian countries

Frontiers in Public Health

ObjectivesVaccine hesitancy remains a global issue, especially within poverty-stricken countries where there's an interplay of financial and non-financial barriers. This narrative review aims to understand attitudes and behaviors toward COVID-19 vaccination in four South Asian countries and make context-specific recommendations to vaccine program drivers and decision-makers.MethodsA search was conducted using PubMed and Science Direct, and CINHAL from January 2020 up to May 2022 restricted to the English language for terms: “Afghanistan” OR “Pakistan” OR “India” OR “Bangladesh” in combination with “COVID-19 vaccine” and other related terms. All articles were initially included, and those with relevance were included in the synthesis of this paper.ResultsA narrative review was performed for this study. Our narrative review included a total of eighteen studies with a sample size (n = 223–5,237) averaging about 1,325 participants per study conducted. The studies included revealed p...

COVID-19 vaccine hesitancy among school children aged 12-14 years: A cross-sectional study from Bhubaneswar, Odisha, India

Journal of Infection in Developing Countries, 2023

Introduction: Universal coverage of COVID-19 vaccines is of paramount importance for the prevention and control of the pandemic. World Health Organization (WHO) in 2019 declared vaccine hesitancy as one of the top ten global health threats. The study aims to find out the COVID-19 vaccine hesitancy among school children along with their parent's perspectives. Methodology: A cross-sectional study was conducted among school children (aged 12-14 years) at two schools in Bhubaneswar, Odisha. Data were collected via web-based links using a semi-structured questionnaire among students and their parents. Results: Of 343 children, 79% (271) showed a strong willingness to get vaccinated. Around 91.8% (315) of parents agreed to get their children vaccinated. Fear of side effects (65.2%) was the most common reason for unwillingness. Conclusions: With only 1/5 of the children not willing to get vaccinated, policymakers should create a multi-centric effort for the universal coverage of the COVID-19 vaccination.