Prevalence and Factors Associated with Parents' Refusal to Vaccinate Their Children Aged 5 to less than 18 Years against COVID-19 in Nonthaburi Province

Main Article Content

Thanasit Mangsuk
Surarong Chinwong
Tipaporn Kanjanarach
Dujrudee Chinwong

Abstract

Objective: To identify the prevalence and study factors affecting parents' refusal to vaccinate their children against COVID-19. Method: This research was a cross-sectional descriptive study. Data were collected from
October 1st to December 31st, 2022. The subjects consisted of 440 biological parents of children aged 5 to less than 18 years living in the catchment areas of 12 sub-district health promoting hospitals located in Nonthaburi Province. Village health volunteers collected the data using a self-administered questionnaire. Results: Most of the research participants were mothers (65.9%). The prevalence of parents refusing to vaccinate their children against COVID-19 was 24.5%. The study identified 5 factors related to parents’ refusing to have their children vaccinated against COVID-19
as follows; 1) Vaccination decision makers: mothers refused the vaccination for their children more than fathers
(adjusted OR = 1.87; 95% CI: 1.07-3.29; P=0.029); 2) Education level: parents with education lower than
bachelor's degree refused to have their children vaccinated more than those with a bachelor's degree or higher
(adjusted OR = 8.8; 95% CI: 3.77-20.53; P<0.001); 3) History of COVID-19 vaccination among parents; parents who had never been vaccinated against COVID-19 refused to have their children vaccinated more than parents with history of such vaccination (adjusted OR = 2.93; 95% CI: 1.51-5.72; P=0.002); 4) Being aware of the risk of child being infected in school: parents who were unaware of the risk of their children being infected in school refused to have their children vaccinated more than those with such awareness on the risk (adjusted OR = 4.08; 95% CI: 2.31-7.21; P<0.001); and
5) Children’s resistance to vaccination: parents whose children resisted the vaccination were more likely to refuse to have their children vaccinated more than those whose children did not resisted (adjusted OR = 5.53; 95% CI: 3.21-9.52; P<0.001) Conclusion: Factors associated with parents refusing to vaccinate their children against COVID-19 may hinder the effort to strengthen herd immunity in children. Those involved should find the measures to reduce those barriers
in order to gain more acceptance of vaccination for children among parents leading to herd immunity among children against COVID-19.

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Research Articles

References

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