Parent–Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social Norms

Researchers established that parental vaccination status often predicts that of their children, but a limited number of studies have examined factors influencing dyadic concordance or discordance (i.e., same or different vaccination status or intent for both members). We investigated how child versu...

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Main Authors: Pikuei Tu, Danielle Smith, Taylor Parker, Kartik Pejavara, J. Lloyd Michener, Cheryl Lin
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/7/1210
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author Pikuei Tu
Danielle Smith
Taylor Parker
Kartik Pejavara
J. Lloyd Michener
Cheryl Lin
author_facet Pikuei Tu
Danielle Smith
Taylor Parker
Kartik Pejavara
J. Lloyd Michener
Cheryl Lin
author_sort Pikuei Tu
collection DOAJ
description Researchers established that parental vaccination status often predicts that of their children, but a limited number of studies have examined factors influencing dyadic concordance or discordance (i.e., same or different vaccination status or intent for both members). We investigated how child versus parent age as well as parents’ perceptions of their respective friends’ immunization behavior impacted un/vaccinated parents’ decisions regarding vaccinating their child. An online survey obtained the COVID-19 vaccination status and views of 762 parents of 5–17-year-old children. More than three-quarters of all dyads were concordant; 24.1% of vaccinated parents would not vaccinate their child, with greater hesitancy for younger children and among younger or less educated parents. Children of vaccinated parents and of parents who thought most of their child’s friends were vaccinated were 4.7 and 1.9 times, respectively, more likely to be vaccinated; unvaccinated parents were 3.2 times more likely to accept the vaccine for their child if they believed most of their friends would vaccinate their children. Further, parents who reported that most of their friends were vaccinated were 1.9 times more likely to have obtained the vaccine themselves, illustrating the influence of social norms. Regardless of their own vaccination status, parents of unvaccinated children were more likely to be politically conservative. If communities or circles of friends could achieve or convey a vaccinated norm, this might persuade undecided or reluctant parents to vaccinate their children. Future research should examine the effects of community behavior and messages highlighting social norms on pediatric vaccine uptake.
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spelling doaj.art-d18925e6d6ff4f49b5dfa0226c63b6042023-11-18T21:41:10ZengMDPI AGVaccines2076-393X2023-07-01117121010.3390/vaccines11071210Parent–Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social NormsPikuei Tu0Danielle Smith1Taylor Parker2Kartik Pejavara3J. Lloyd Michener4Cheryl Lin5Policy and Organizational Management Program, Duke University, Durham, NC 27708, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27708, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27708, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27708, USADepartment of Family Medicine & Community Health, Duke University, Durham, NC 27708, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27708, USAResearchers established that parental vaccination status often predicts that of their children, but a limited number of studies have examined factors influencing dyadic concordance or discordance (i.e., same or different vaccination status or intent for both members). We investigated how child versus parent age as well as parents’ perceptions of their respective friends’ immunization behavior impacted un/vaccinated parents’ decisions regarding vaccinating their child. An online survey obtained the COVID-19 vaccination status and views of 762 parents of 5–17-year-old children. More than three-quarters of all dyads were concordant; 24.1% of vaccinated parents would not vaccinate their child, with greater hesitancy for younger children and among younger or less educated parents. Children of vaccinated parents and of parents who thought most of their child’s friends were vaccinated were 4.7 and 1.9 times, respectively, more likely to be vaccinated; unvaccinated parents were 3.2 times more likely to accept the vaccine for their child if they believed most of their friends would vaccinate their children. Further, parents who reported that most of their friends were vaccinated were 1.9 times more likely to have obtained the vaccine themselves, illustrating the influence of social norms. Regardless of their own vaccination status, parents of unvaccinated children were more likely to be politically conservative. If communities or circles of friends could achieve or convey a vaccinated norm, this might persuade undecided or reluctant parents to vaccinate their children. Future research should examine the effects of community behavior and messages highlighting social norms on pediatric vaccine uptake.https://www.mdpi.com/2076-393X/11/7/1210decision-makingvaccine hesitancyhealth behaviorCOVID-19children’s healthadolescent
spellingShingle Pikuei Tu
Danielle Smith
Taylor Parker
Kartik Pejavara
J. Lloyd Michener
Cheryl Lin
Parent–Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social Norms
Vaccines
decision-making
vaccine hesitancy
health behavior
COVID-19
children’s health
adolescent
title Parent–Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social Norms
title_full Parent–Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social Norms
title_fullStr Parent–Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social Norms
title_full_unstemmed Parent–Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social Norms
title_short Parent–Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social Norms
title_sort parent child vaccination concordance and its relationship to child age parent age and education and perceived social norms
topic decision-making
vaccine hesitancy
health behavior
COVID-19
children’s health
adolescent
url https://www.mdpi.com/2076-393X/11/7/1210
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