Predictive factors for parent’s decisions to vaccinate children aged 5-11 years against COVID-19 in Urban Area, Northern Thailan

Authors

  • Sasitorn Sripoton Buddhachinaraj Phitsanulok Hospital
  • Wiroj Wannapira Buddhachinaraj Phitsanulok Hospital

DOI:

https://doi.org/10.14456/dcj.2023.58

Keywords:

predictive factors, COVID-19 vaccine, health belief model, children aged 5 to 11, parents

Abstract

A parent’s decision to vaccinate their children against COVID-19 affected on the vaccination rate of children aged 5 to 11. This study aimed to determine the predictive factors influencing decision making to vaccinate children against COVID-19, among parents or guardians of children aged 5 to11 years, by using the Health Belief Model (HBM). The survey was completed by 773 parents by using online self-administrated questionnaire. The data were analyzed using the odds ratio, 95% CI and logistic regression analysis. The top 3 ranking factors affecting parents’ decision were attitude towards vaccine safety, perceived benefits of vaccine, and attitude towards vaccine efficacy. The prediction equation for parental decision- making =-2.507+ (1.227)parents aged 51-60 years + (1.842)moderate scores for attitude to vaccine safety + (3.065)high scores for attitude to vaccine safety + (1.080) moderate scores of perceived benefits of vaccine + (2.180)high scores of perceived benefits of vaccine. The predictive power is 25.5 %. Findings from this study should support for health care providers to promote strategies for COVID-19 vaccination among children aged 5-11 years.

References

Department of Disease Control (TH). The situation of COVID-19 infected people daily update.

[Internet]. 2021. [cited 2021 Dec 6] Available from: https://ddc.moph.go.th/viralpneumonia/ (in Thai)

Samakoses R. The situation of Thai children (age 0-18 years) since the outbreak new ripple.

[Internet]. 2021. [cited 2021 Dec 28] Available from: https://www.thaipediatrics.org/Media/media-20210901022138.pdf (in Thai)

Bangkokbiznews. Bangkok Communicable Disease Committee agree COVID-19 vaccination in children 5-11 years. [Internet]. 2021. [cited 2021 Dec 29] Available from: https://www.bangkokbiznews.com/social/979157 (in Thai)

Walter EB, Talaat KR, Sabharwal C, Gurtman A, Lockhart S, Paulsen GC, et al. Evaluation of the BNT162b2 COVID-19 vaccine in children 5 to 11 years of age. N Engl J Med. 2022; 386(1):35-46.

Dyer O. Covid-19: US and China prepare for mass vaccination of children under 12. BMJ. 2021;375:1-2.

Shmueli L. Parents’ intention to vaccinate their 5-11 years old children with the COVID-19 vaccine: rates, predictors and the role of incentives. [Internet]. 2021. [cited 2021 Dec 29] Available from: https://doi.org/10.1101/2021. 11.05. 21265900

Barakat AM, Kasemy ZA. Preventive health

behaviours during coronavirus disease 2019 pandemic based on health belief model among Egyptians. Middle East Curr Psychiatry. 2020; 27(1):43.

Skjefte M, Ngirbabul M, Akeju O, Escudero D, Hernandez-Diaz S, Wyszynski DF, et al. COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries. Eur J Epidemiol. 2021;36(2):197-211.

Yılmaz M, Sahin MK. Parents' willingness and attitudes concerning the COVID-19 vaccine: A cross-sectional study. Int J Clin Pract. 2021; 75(9):1-11.

Griva K, Tan KYK, Chan FHF, Periakaruppan R, Ong BWL, Soh ASE, et al. Evaluating rates and determinants of COVID-19 vaccine hesitancy for adults and children in the Singapore population: strengthening our community's resilience against threats from emerging infections (SOCRATEs) Cohort. Vaccines. 2021;9(12): 1415.

Altulaihi BA, Alaboodi T, Alharbi KG, Alajmi MS, Alkanhal H, Alshehri A. Perception of parents towards COVID-19 vaccine for children in saudi population. Cureus. 2021;13(9):1-11.

Aldakhil H, Albedah N, Alturaiki N, Alajlan R, Abusalih H. Vaccine hesitancy towards childhood immunizations as a predictor of mothers' intention to vaccinate their children against COVID-19 in Saudi Arabia. J Infect Public Health. 2021;14(10):1497-1504.

Babicki M, Pokorna-Kałwak D, Doniec Z, Mastalerz-Migas A. Attitudes of Parents with Regard to Vaccination of Children against COVID-19 in Poland. A Nationwide Online Survey. Vaccines. 2021;9(10):1192.

Pan F, Zhao H, Nicholas S, Maitland E, Liu R, Hou Q. Parents' decisions to vaccinate children against COVID-19: a scoping review. Vaccines. 2021;9(12):1476.

Wan X, Huang H, Shang J, Xie Z, Jia R, Lu G, 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(11): 3969-74.

Temsah MH, Alhuzaimi AN, Aljamaan F,

Bahkali F, Al-Eyadhy A, Alrabiaah A, et al.

Parental attitudes and hesitancy about COVID-19 vs. routine childhood vaccinations: a national survey. Front Public Health. 2021;9:1-11.

Zhang MX, Lin XQ, Chen Y, Tung TH, Zhu JS. Determinants of parental hesitancy to vaccinate their children against COVID-19 in China. Expert Rev Vaccines. 2021;20(10):1339-49.

Silanoi L. How to use the appropriate statistical formulas for determiningthe sample size for quantitative research designs in the humanities and socialscience study. Journal of Research and Development Buriram Rajabhat University. 2017;12(2):50-61. (in Thai)

Petros G, Irene V, Olga S, Olympia K, Aglaia K, Daphne K. Willingness, refusal and influential factors of parents to vaccinate their children against the COVID-19: a systematic review and meta-analysis. Prev Med. 2022;157:1-19.

Choi SH, Jo YH, Jo KJ, Park SE. Pediatric and parents' attitudes towards COVID-19 vaccines and intention to vaccinate for children. J Korean Med Sci. 2021;36(31):1-12.

Horiuchi S, Sakamoto H, Abe SK, Shinohara R, Kushima M, Otawa S, et al. Factors of parental COVID-19 vaccine hesitancy: a cross sectional study in Japan. PLoS One. 2021;16(12):1-15.

Szilagyi PG, Shah MD, Delgado JR, Thomas K, Vizueta N, Cui Y, et al. Parents’ intentions and perceptions about COVID-19 vaccination for their children: results from a national survey. Pediatrics. 2021;148(4):1-11.

Department of Health (TH). Measures for safely opening classes on site, living with COVID-19 in educational institutions: Preparing for the opening of semester 1/2022. [Internet].2022. [cited 2023 Feb 5]. Available from: https://stopcovid.anamai.moph.go.th/attach/w774/f20220429113324_SPyd5tkRsx.pdf (in Thai)

Goulding M, Ryan GW, Minkah P, Borg A, Gonzalez M, Medina N, et al. Parental perceptions of the COVID-19 vaccine for 5- to 11-year-old children: Focus group findings from Worcester Massachusetts. [Internet]. 2022. [cited 2022 Aug 23]. Available from: https://www.tandfonline.com/doi/pdf/10.1080/21645515.2022.2120721

McLeod S. What is operant conditioning and how does it work? How reinforcement and

punishment modify behavior. [Internet].2018. [cited 2023 Feb 5]. Available from: https://www.simplypsychology.org/operant-conditioning.html

Cooper S, Schmidt B-M, Sambala EZ, Swartz A, Colvin CJ, Leon N, et al. Factors that influence parents' and informal caregivers' views and practices regarding routine childhood vaccination: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2021;10:1-155.

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;157:1-19.

Zheng M, Zhong W, Chen X, Wang N, Liu Y, Zhang Q, et al. Factors influencing parents’ willingness to vaccinate their preschool children against COVID-19: Results from the mixed -method study in China. [Internet].2022. [cited 2022 Aug 23]. Available from: https://www.tandfonline.com/doi/pdf/10.1080/21645515.2022.2090776

Horiuchi S, Sakamoto H, Abe SK, Shinohara R, Kushima M, Otawa S, et al. Factors of parental COVID-19 vaccine hesitancy: a cross sectional study in Japan. PLoS One. 2021;16(12):1-15.

Drill the new point channel 7 TV station. Schoolgirl age 15 years died after 2nd dose COVID-19 vaccination. [Internet].2022. [cited 2022 Aug 23]. Available from: https://www.bugaboo.tv/news/590575 (in Thai)

Kitro A, Sirikul W, Dilokkhamaruk E, Sumitmoh G, Pasirayut S, Wongcharoen A, et al. COVID-19 vaccine hesitancy and influential factors among Thai parents and guardians to vaccinate their children. Vaccine X. 2022;11:1-10.

Department of Health (TH). Parental confidence of COVID-19 vaccination in child 5-11 years. [Internet]. 2022. [cited 2022 Aug 23]. Available from: https://multimedia.anamai.moph.go.th/news/150565/ (in Thai)

Damnjanovic K, Graeber J, Ilic S, Lam WY, Lep Z, Morales S, et al. Parental decision-making on childhood vaccination. Front Psychol. 2018;9: 735.

Gonzales A, Lee EC, Grigorescu V, Smith SR, Lew ND, Sommers BD. Overview of barriers and facilitators in COVID-19 vaccine outreach. [Internet] 2021. [cited 2022 Aug 23]. Available form: https://aspe.hhs.gov/sites/default/files/2021-08/Vaccine%20Outreach%20Research%20Report%208-27-2021%20FINAL.pdf

Jesrichai A. Factors predicting self-care

behaviors among the elderly with diabetes in Phichit Province. Phichit Provincial Public Health Research and Academic Journal. 2020;1:24-34. (in Thai)

Petchpoom J. Health Belief Model: HBM We will change the theory health belief model How to go to concrete activities. [Internet].2022.

[cited 2023 Feb 5]. Available from: https://www.gotoknow.org/posts/611058 (in Thai)

Romate J, Rajkumar E, Greeshma R. Using the integrative model of behavioral prediction to

understand COVID-19 vaccine hesitancy

behaviour. Sci Rep. 2022;12(1):9344.

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Published

2023-12-29

How to Cite

1.
Sripoton S, Wannapira W. Predictive factors for parent’s decisions to vaccinate children aged 5-11 years against COVID-19 in Urban Area, Northern Thailan. Dis Control J [Internet]. 2023 Dec. 29 [cited 2024 May 11];49(4):706-18. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/259694

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Original Article