Factors influencing parental COVID-19 vaccination willingness for children in Japan

• Published in: Vaccine: X 2024-08, Vol.19, p.100528, Article 100528
• Main Authors: Ueta, Mami, Cao, Alton, Murakami, Michio, Tomoi, Hana, Gilmour, Stuart, Maruyama-Sakurai, Keiko, Takayama, Yoshihiro, Takebayashi, Yoshitake, Hashizume, Masahiro, Kumar, Rauniyar Santosh, Kunishima, Hiroyuki, Naito, Wataru, Yasutaka, Tetsuo, Kaneko, Satoshi, Miyata, Hiroaki, Nomura, Shuhei
• Format: Article
• Language: English
• Subjects: Child; COVID-19; Japan; Parent; Regular paper; Vaccination; Willingness
• ISSN: 2590-1362; 2590-1362
• DOI: 10.1016/j.jvacx.2024.100528

This study aims to investigate the factors influencing parental willingness in COVID-19 vaccination for children in Japan in light of the introduction of pediatric vaccines. An online survey was conducted in February 2022, coinciding with the imminent start of pediatric COVID-19 vaccinations in Japan. It assessed attitudes toward vaccine uptake and included questions about health-related attributes, psychological considerations, and sources of COVID-19 information. Data from 2,419 respondents who had children under the age of 12 were analyzed using multinomial logistic regression to identify factors associated with parental willingness towards COVID-19 vaccination for children. The outcomes were “agree” (in favor of vaccination), “not sure” (undecided), with “disagree” (against vaccination) as the reference category. Among participants supportive of vaccination (“agree” compared to the “disagree” reference), salient determinants included: gender (Men in reference to women: odds ratio [OR] 1.54; 95 % confidence interval [CI] 1.11–2.15), highest educational level (Junior College/Vocational in reference to under high school: OR 0.61; 95 % CI 0.40–0.93, Bachelor’s /Master’s/Doctoral degree in reference to under high school: OR 0.59; 95 % CI 0.42–0.84), perception of benefits of COVID-19 vaccination (Significant in reference to Insignificant: OR 2.04; 95 % CI 1.26–3.28), perception of risks of COVID-19 vaccination (Significant in reference to Insignificant: OR 0.28; 95 % CI 0.19–0.42, Neutral in reference to Insignificant: OR 0.48; 95 % CI 0.33–0.71), the number of referenced information sources utilized for COVID-19 was associated with attitudes towards children’s vaccination (OR 1.02; 95 % CI 1.00–1.04). The study highlights the multifaceted factors influencing parents’ COVID-19 vaccination attitudes for their children, encompassing socioeconomic, health, psychological, and informational aspects. Factors like cautious information gathering, vaccine concerns and diverse referenced information sources impact willingness. To facilitate informed decision-making, essential measures include government risk communication, widespread vaccine information dissemination, and enhancing parents’ health information accessibility and evaluation skills are important.