Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran

Abstract Introduction COVID-19 vaccination of children can help reduce the severity of the infection and the death rate caused by it and also helps achieve herd immunity. The level of acceptance and high vaccination coverage is the main elements in the success of immunization programs. Children’s va...

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Main Authors: Parvin Sarbakhsh, Nasrin Jafari, Saman Salemi, Reza Akbarnejad
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-023-04202-y
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author Parvin Sarbakhsh
Nasrin Jafari
Saman Salemi
Reza Akbarnejad
author_facet Parvin Sarbakhsh
Nasrin Jafari
Saman Salemi
Reza Akbarnejad
author_sort Parvin Sarbakhsh
collection DOAJ
description Abstract Introduction COVID-19 vaccination of children can help reduce the severity of the infection and the death rate caused by it and also helps achieve herd immunity. The level of acceptance and high vaccination coverage is the main elements in the success of immunization programs. Children’s vaccination is dependent on their parent’s decision. This study aims to identify predictors of the children’s COVID-19 vaccination accomplishment by their parents. Method In this case-control study, 577 vaccinated children as cases and 366 un-vaccinated children as controls were randomly selected from the general population of Tabriz, Iran 2022, and their data were collected by telephone calls and interviews with the children’s parents. Cases and controls were compared in terms of clinical and demographic factors of the child as well as the socioeconomic status (SES) of their parents by using a multivariable mixed-effect logistic regression model. Results According to the results of the multivariable logistic regression, the age of the child (OR = 1.26 95% CI (1.14, 1.40), p-value < 0.001), previous COVID-19 infection of the child (OR = 1.92, 95% CI (1.21, 3.04), p-value < 0.001), having no underlying disease in the child (OR = 1.76, 95% CI (1.02, 3.02), p-value = 0.04), the dwelling place of the household (the high-level dwelling in compared to a low level (OR = 3.34, 95% CI (1.6, 6.64), p-value = 0.001), the middle level of dwelling compared with low level (OR = 4.87, 95% CI (2.46, 9.51), p-value < 0.001)), and Father’s job (Employee and technician Fathers compared to worker fathers (OR = 2.99, 95% CI (1.55, 5.77), p-value = 0.001)) were significant independent predictors of children COVID-19 vaccination. Conclusion Several demographic and socioeconomic factors were associated with children’s vaccination. Older children, children without any underlying disease, children with a history of COVID-19 infection, and children of parents with higher levels of SES were more likely to receive the COVID-19 vaccine. This finding can be considered in children’s vaccination policymaking.
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spelling doaj.art-be7a7b59d7cd4f60b536e7d0216980d22023-08-06T11:24:59ZengBMCBMC Pediatrics1471-24312023-07-012311710.1186/s12887-023-04202-yPredictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, IranParvin Sarbakhsh0Nasrin Jafari1Saman Salemi2Reza Akbarnejad3Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical SciencesStudent Research Committee, Tabriz University of Medical SciencesDepartment of Medicine, Islamic Azad University Tehran Medical SciencesDepartment of Knowledge and Information Science, Education and Psychology Faculty, Azarbaijan Shahid Madani UniversityAbstract Introduction COVID-19 vaccination of children can help reduce the severity of the infection and the death rate caused by it and also helps achieve herd immunity. The level of acceptance and high vaccination coverage is the main elements in the success of immunization programs. Children’s vaccination is dependent on their parent’s decision. This study aims to identify predictors of the children’s COVID-19 vaccination accomplishment by their parents. Method In this case-control study, 577 vaccinated children as cases and 366 un-vaccinated children as controls were randomly selected from the general population of Tabriz, Iran 2022, and their data were collected by telephone calls and interviews with the children’s parents. Cases and controls were compared in terms of clinical and demographic factors of the child as well as the socioeconomic status (SES) of their parents by using a multivariable mixed-effect logistic regression model. Results According to the results of the multivariable logistic regression, the age of the child (OR = 1.26 95% CI (1.14, 1.40), p-value < 0.001), previous COVID-19 infection of the child (OR = 1.92, 95% CI (1.21, 3.04), p-value < 0.001), having no underlying disease in the child (OR = 1.76, 95% CI (1.02, 3.02), p-value = 0.04), the dwelling place of the household (the high-level dwelling in compared to a low level (OR = 3.34, 95% CI (1.6, 6.64), p-value = 0.001), the middle level of dwelling compared with low level (OR = 4.87, 95% CI (2.46, 9.51), p-value < 0.001)), and Father’s job (Employee and technician Fathers compared to worker fathers (OR = 2.99, 95% CI (1.55, 5.77), p-value = 0.001)) were significant independent predictors of children COVID-19 vaccination. Conclusion Several demographic and socioeconomic factors were associated with children’s vaccination. Older children, children without any underlying disease, children with a history of COVID-19 infection, and children of parents with higher levels of SES were more likely to receive the COVID-19 vaccine. This finding can be considered in children’s vaccination policymaking.https://doi.org/10.1186/s12887-023-04202-yChildCOVID-19 vaccinesVaccination hesitancySocioeconomic factors
spellingShingle Parvin Sarbakhsh
Nasrin Jafari
Saman Salemi
Reza Akbarnejad
Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran
BMC Pediatrics
Child
COVID-19 vaccines
Vaccination hesitancy
Socioeconomic factors
title Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran
title_full Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran
title_fullStr Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran
title_full_unstemmed Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran
title_short Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran
title_sort predictors of pediatric covid 19 vaccination a case control study in tabriz iran
topic Child
COVID-19 vaccines
Vaccination hesitancy
Socioeconomic factors
url https://doi.org/10.1186/s12887-023-04202-y
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AT samansalemi predictorsofpediatriccovid19vaccinationacasecontrolstudyintabriziran
AT rezaakbarnejad predictorsofpediatriccovid19vaccinationacasecontrolstudyintabriziran