COVID-19 Vaccine Hesitancy Among Parents: A Qualitative Study

Aubree Honcoop, James R. Roberts, Boyd Davis, Charlene Pope, Erin Dawley, Russell J. McCulloh, Maryam Y. Garza, Melody L. Greer, Jessica Snowden, Linda Y. Fu, Heather Young, Walter Dehority, Paul T. Enlow, Delma Jean Watts, Katie Queen, Lisa M. Costello, Zain Alamarat, Paul M. Darden

Producción científica: Articlerevisión exhaustiva

1 Cita (Scopus)


OBJECTIVES: Addressing parental/caregivers’ coronavirus disease 2019 (COVID-19) vaccine hesitancy is critical to improving vaccine uptake in children. Common concerns have been previously reported through online surveys, but qualitative data from KII and focus groups may add much-needed context. Our objective was to examine factors impacting pediatric COVID-19 vaccine decision-making in Black, Spanish-speaking, and rural white parents/caregivers to inform the content design of a mobile application to improve pediatric COVID-19 vaccine uptake. METHODS: Parents/caregivers of children aged 2 to 17 years from groups disproportionately affected by COVID-19–related vaccine hesitancy (rural-dwelling persons of any race/ethnicity, urban Black persons, and Spanish-speaking persons) were included on the basis of their self-reported vaccine hesitancy and stratified by race/ethnicity. Those expressing vaccine acceptance or refusal participated in KII, and those expressing hesitancy in focus groups. Deidentified transcripts underwent discourse analysis and thematic analysis, both individually and as a collection. Themes were revised until coders reached consensus. RESULTS: Overall, 36 participants completed the study: 4 vaccine acceptors and 4 refusers via KIIs, and the remaining 28 participated in focus groups. Participants from all focus groups expressed that they would listen to their doctor for information about COVID-19 vaccines. Infertility was a common concern, along with general concerns about vaccines. Vaccine decision-making was informed by the amount of information available to parents/caregivers, including scientific research; possible positive and negative long-term effects; and potential impacts of vaccination on preexisting medical conditions. CONCLUSIONS: Parents/caregivers report numerous addressable vaccine concerns. Our results will inform specific, targeted interventions for improving COVID-19 vaccine confidence.

Idioma originalEnglish (US)
Número de artículoe2023062466
EstadoPublished - nov 2023
Publicado de forma externa

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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