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Factors influencing COVID-19 vaccination intention among parents of children aged 5-11 years in South Korea: a cross-sectional study

  • Jung Hwa Kang (Department of Nursing, Catholic Kwandong University College of Medicine) ;
  • Yunsoo Kim (Department of Nursing, Catholic Kwandong University College of Medicine)
  • Received : 2023.06.19
  • Accepted : 2023.07.15
  • Published : 2023.07.31

Abstract

Purpose: The purpose of this study was to identify factors affecting parents' intentions to have their children aged 5-11 years vaccinated against coronavirus disease 2019 (COVID-19). Methods: The participants of the study were 298 parents with children aged 5-11 years in South Korea. Data collection took place from October 20 to October 26, 2022 and used an online survey (Google Forms). Data were analyzed using descriptive statistics, the t test, analysis of variance, the Scheffétest, Pearson correlation coefficients, and hierarchical regression in IBM SPSS version 26.0. Results: The factors influencing participants' vaccination intentions for their children aged 5-11 years were cognitive behavioral control (β=.40, p<.001), attitudes (β=.37, p<.001), subjective norms (β=.20, p<.001), and awareness of whether their child could receive the COVID-19 vaccine (β=.07, p=.016). The explanatory power of the regression equation was 89%. Conclusion: Parents' intentions to vaccinate their children against COVID-19 are influenced by their attitudes, subjective norms, and perceived behavioral control toward vaccines. Since parents are concerned about vaccine side effects, it is important to establish a trusted line of communication to keep them informed about vaccinations.

Keywords

References

  1. World Health Organization (WHO). Coronavirus disease (COVID-19) pandemic [Internet]. 2022 [cited 2022 October 12]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
  2. Korea Disease Control and Prevention Agency. Cases of COVID-19 in Korea [Internet]. 2023 [cited 2023 June 5]. Available from: https://ncov.kdca.go.kr/bdBoardList_Real.do?brdId=1&brdGubun=11&ncvContSeq=&contSeq=&board_id=&gubun
  3. Choe YJ, Lee YH, Choi JH. Delphi survey for COVID-19 vaccination in Korean children between 5 and 11 years old. Pediatric Infection & Vaccine. 2022;29(1):37-45. https://doi.org/10.14776/piv.2022.29.e6
  4. Korea Disease Control and Prevention Agency. Primary vaccination for children (5-11 years old) [Internet]. 2022 [cited 2022 October 12]. Available from: https://ncov.kdca.go.kr/tcmBoardView.do?brdId=3&brdGubun=31&dataGubun=&ncvContSeq=6513&contSeq=6513&board_id=312&gubun=BDJ
  5. Korea Disease Control and Prevention Agency. Vaccinations by age [Internet]. 2023 [cited 2023 June 5]. Available from: https://ncv.kdca.go.kr/allAgerateStatus.es?mid=a11718000000
  6. Centers for Disease Control and Prevention (CDC). Trends in demographic characteristics of people receiving COVID-19 vaccinations in the United States [Internet]. 2023 [cited 2023 June 5]. Available from: https://covid.cdc.gov/covid-data-tracker/#vaccination-demographics-trends
  7. Choi EK. Ethical debates surrounding the development of vaccines during COVID-19 pandemic. Bio, Ethics and Policy. 2020;4(2):1-18. https://doi.org/10.23183/konibp.2020.4.2.001
  8. Choi WS. Comprehensive understanding and field application of COVID-19 vaccine. Korean Journal of Medicine. 2021;96(3):155-159. https://doi.org/10.3904/kjm.2021.96.3.155
  9. Centers for Disease Control and Prevention (CDC). Rates of laboratory-confirmed COVID-19 hospitalizations by vaccination status [Internet]. 2022 [cited 2022 October 12]. Available from: https://covid.cdc.gov/covid-data-tracker/#covidnet-hospitalizations-vaccination
  10. Zambrano LD, Newhams MM, Olson SM, Halasa NB, Price AM, Orzel AO, et al.; Overcoming COVID-19 Investigators. BNT162b2 mRNA vaccination against Coronavirus disease 2019 is associated with a decreased likelihood of multisystem inflammatory syndrome in children aged 5-18 years-United States, July 2021 - April 2022. Clinical Infectious Diseases. 2023;76(3):e90-e100. https://doi.org/10.1093/cid/ciac637
  11. Hockenberry MJ, Rodgers CC, Wilson D. Study guide for Wong's essentials of pediatric nursing. 11th ed. Elsevier; 2021. p. 399-418.
  12. Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  13. Lee KE. Factors associated with intention to receive human papillomavirus vaccine in undergraduate women: an application of the theory of planned behavior. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(4):457-465. https://doi.org/10.7739/jkafn.2014.21.4.457
  14. You J, Yang J. Factors influencing influenza vaccination intention among health personnel in general hospitals: an application of the theory of planned behavior. Research in Community and Public Health Nursing. 2021;32(2):175-185. https://doi.org/10.12799/jkachn.2021.32.2.175
  15. Hayashi Y, Romanowich P, Hantula DA. Predicting intention to take a COVID-19 vaccine in the United States: application and extension of theory of planned behavior. American Journal of Health Promotion. 2022;36(4):710-713. https://doi.org/10.1177/08901171211062584
  16. Servidio R, Malvaso A, Vizza D, Valente M, Campagna MR, Iacono ML, et al. The intention to get COVID-19 vaccine and vaccine uptake among cancer patients: an extension of the theory of planned behaviour (TPB). Supportive Care in Cancer. 2022;30(10):7973-7982. https://doi.org/10.1007/s00520-022-07238-5
  17. Rane MS, Robertson MM, Westmoreland DA, Teasdale CA, Grov C, Nash D. Intention to vaccinate children against COVID-19 among vaccinated and unvaccinated US parents. JAMA Pediatrics. 2022;176(2):201-203. https://doi.org/10.1001/jamapediatrics.2021.5153
  18. Zhang KC, Fang Y, Cao H, Chen H, Hu T, Chen YQ, et al. Parental acceptability of COVID-19 vaccination for children under the age of 18 years: cross-sectional online survey. JMIR Pediatrics and Parenting. 2020;3(2):e24827. https://doi.org/10.2196/24827
  19. Li JB, Lau EYH, Chan DKC. Why do Hong Kong parents have low intention to vaccinate their children against COVID-19? Testing health belief model and theory of planned behavior in a large-scale survey. Vaccine. 202;40(19):2772-2780. https://doi.org/10.1016/j.vaccine.2022.03.040
  20. Heo BG, Lee HY, Kim JJ, Jeong MU, Ha Y. Factors associated intention of mothers regarding COVID-19 vaccination for elementary school students based on the health belief model. Journal of the Korean Society of School Health. 2022;35(1):22-30. https://doi.org/10.15434/kssh.2022.35.1.22
  21. Hossain MB, Alam MZ, Islam MS, Sultan S, Faysal MM, Rima S, et al. Health belief model, theory of planned behavior, or psychological antecedents: what predicts COVID-19 vaccine hesitancy better among the Bangladeshi adults? Frontiers in Public Health. 2021;9:711066. https://doi.org/10.3389/fpubh.2021.711066
  22. Kim Y. Strategies for pediatric nursing in the post-COVID-19 era. Child Health Nursing Research. 2022;28(4):231-233. https://doi.org/10.4094/chnr.2022.28.4.231
  23. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Medicine. 2007;4(10):e296. https://doi.org/10.1371/journal.pmed.0040296
  24. Korean Statistical Information Service. Population ratio by administrative district [Internet]. 2022 [cited 2022 October 12]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B040A3
  25. Park JY, Ha J. Factors influencing the COVID-19 vaccination intentions in nurses: Korea, February 2021. Journal of Korean Academy of Nursing. 2021;51(5):537-548. https://doi.org/10.4040/jkan.21110
  26. Zhou M, Liu L, Gu SY, Peng XQ, Zhang C, Wu QF, et al. Behavioral intention and its predictors toward COVID-19 booster vaccination among Chinese parents: applying two behavioral theories. International Journal of Environmental Research and Public Health. 2022;19(12):7520. https://doi.org/10.3390/ijerph19127520
  27. Park EY, Kim TI. Factors influencing mothers' intention to vaccinate their elementary school sons against human papillomavirus. Korean Journal of Women Health Nursing. 2020;26(1):37-48. https://doi.org/10.4069/kjwhn.2020.03.07
  28. 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):e2021052335. https://doi.org/10.1542/peds.2021-052335
  29. 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):e0261121. https://doi.org/10.1371/journal.pone.0261121
  30. Babicki M, Pokorna-Kalwak 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 (Basel). 2021;9(10):1192. https://doi.org/10.3390/vaccines9101192
  31. Jones AM, Omer SB, Bednarczyk RA, Halsey NA, Moulton LH, Salmon DA. Parents' source of vaccine information and impact on vaccine attitudes, beliefs, and nonmedical exemptions. Advances in Preventive Medicine. 2012;2012:932741. https://doi.org/10.1155/2012/932741
  32. Park SY. Pediatric vaccination of COVID-19 vaccine: what should we prepare? Bio, Ethics and Policy. 2021;5(2):29-48. https://doi.org/10.23183/konibp.2021.5.2.002
  33. World Health Organization (WHO). Statement on the fifteenth meeting of the IHR (2005) Emergency Committee on the COVID-19 pandemic [Internet]. 2023 [cited 2023 June 5]. Available from: https://www.who.int/news/item/05-05-2023-statement-on-the-fifteenth-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-coronavirus-disease-(covid-19)-pandemic