Parental Acceptance, Parental Hesitancy, and Uptake of Seasonal Influenza Vaccination among Children Aged 6–59 Months: A Systematic Review and Meta-Analysis
Author:
Chan Paul Shing-fong1ORCID, Fang Yuan2ORCID, Kawuki Joseph1ORCID, Chen Siyu1ORCID, Liang Xue1, Mo Phoenix Kit-han1ORCID, Wang Zixin1ORCID
Affiliation:
1. Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China 2. Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China
Abstract
This systematic review and meta-analysis summarises the literature on parental acceptance, parental hesitancy, uptake, and the associated factors of seasonal influenza vaccination (SIV) among children aged 6–59 months. Studies were sourced from the following platforms: PubMed, Web of Science, MEDLINE, and EMBASE databases. A random-effects model was used to evaluate the prevalence and 95% confidence intervals (CI) of parental acceptance, parental hesitancy, and SIV uptake in the last flu season and lifetime among children. A total of 36 studies were included for analysis. The overall prevalence was 64% for parental acceptance (95% CI: 51–75%), 34% for parental hesitancy (95% CI: 22–48%), 41% for SIV uptake in the last flu season (95% CI: 33–50%), and 46% for SIV uptake in a lifetime (95% CI: 20–74%). Associated factors of parental acceptance/hesitancy and uptake included the age of the children or parents, parental education level, household income level, ethnicity, and other modifiable factors, including perceived benefits, perceived barriers, perceived severity, perceived susceptibility, and cues to action related to SIV. Meta-regression analyses revealed regional differences in parental acceptance (Americas: 79% vs. Asia: 60%). The results provided implications informing us of the development of intervention programs targeting parents to improve SIV coverage among young children.
Funder
Centre for Health Behaviours Research, The Chinese University of Hong Kong
Subject
Pharmacology (medical),Infectious Diseases,Drug Discovery,Pharmacology,Immunology
Reference73 articles.
1. World Health Organization (2005). Influenza vaccines: Vaccins antigrippaux. Wkly. Epidemiol. Rec., 33, 279–287. 2. The impact of influenza infection on young children, their family and the health care system;Willis;Influ. Other Respir. Viruses,2018 3. Lafond, K.E., Nair, H., Rasooly, M.H., Valente, F., Booy, R., Rahman, M., Kitsutani, P., Yu, H., Guzman, G., and Coulibaly, D. (2016). Global Role and Burden of Influenza in Pediatric Respiratory Hospitalizations, 1982–2012: A Systematic Analysis. PLoS Med., 13. 4. Global burden of respiratory infections due to seasonal influenza in young children: A systematic review and meta-analysis;Nair;Lancet,2011 5. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: A systematic analysis for the Global Burden of Disease Study 2015;Wang;Lancet,2016
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