Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and Caregivers
Objective: This study determined if the caregivers of children in the emergency department (ED) have the same COVID-19 vaccination status as the child, the reasons they chose to not vaccinate the child, and self-identified barriers to vaccination to determine if the ED is appropriate for vaccination...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2024-10-01
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| Series: | Western Journal of Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/2mm4606b |
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| _version_ | 1825201949226565632 |
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| author | Amanda M. Szarzanowicz Kendra Fabian Maya Alexandri Carly A. Robinson Sonia Singh Michael Wallace Michelle D. Penque Nan Nan Changxing Ma Bradford Z. Reynolds Bethany W. Harvey Heidi Suffoletto E. Brooke Lerner |
| author_facet | Amanda M. Szarzanowicz Kendra Fabian Maya Alexandri Carly A. Robinson Sonia Singh Michael Wallace Michelle D. Penque Nan Nan Changxing Ma Bradford Z. Reynolds Bethany W. Harvey Heidi Suffoletto E. Brooke Lerner |
| author_sort | Amanda M. Szarzanowicz |
| collection | DOAJ |
| description | Objective: This study determined if the caregivers of children in the emergency department (ED) have the same COVID-19 vaccination status as the child, the reasons they chose to not vaccinate the child, and self-identified barriers to vaccination to determine if the ED is appropriate for vaccination intervention. Methods: A survey was administered to caregivers of pediatric ED patients at four Children’s Hospitals in: Augusta, GA, Buffalo, NY, Madison, WI, and Sacramento, CA. Participants were asked about their and the child’s demographics, vaccination status, and barriers to vaccination. We used descriptive statistics, Cohen's kappa, and logistic regression to analyze responses. Results: 941 caregivers were considered for enrollment, and 800 consented to participation. Participants were 75% women with a mean age of 40.9 ± 8.9 years. 51% (409) of the pediatric ED patients were COVID-19 vaccinated, as were 74% (591) of the caregivers. There was variation across sites, but overall, 15% of caregivers of unvaccinated children wanted the child tobe vaccinated with the most common barriers to vaccination identified as safety data (25%), time availability (20%), and ability to obtain an appointment (13%). The most common reason for not wanting the child COVID-19 vaccinated was concern the vaccine didn’t work or had too many side effects. Conclusion: A small but clinically important group of pediatric ED patients are not COVID-19 vaccinated but their caregivers want them to be vaccinated, indicating that consideration should be given to offering vaccination in the ED. Reasons for avoiding COVID-19 vaccination were primarily concerns with efficacy and side effects. |
| format | Article |
| id | doaj-art-d293cad583dc4590b8d4525e3447b700 |
| institution | Kabale University |
| issn | 1936-900X 1936-9018 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj-art-d293cad583dc4590b8d4525e3447b7002025-02-07T16:29:04ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182024-10-012619610210.5811/westjem.1841718417Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and CaregiversAmanda M. Szarzanowicz0Kendra Fabian1Maya Alexandri2Carly A. Robinson3Sonia Singh4Michael Wallace5Michelle D. Penque6Nan Nan7Changxing Ma8Bradford Z. Reynolds9Bethany W. Harvey10Heidi Suffoletto11E. Brooke Lerner12State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New YorkUniversity of Wisconsin-Madison, School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, WisconsinMedical College of Georgia at Augusta University, Department of Emergency Medicine, Augusta, GeorgiaUniversity of California Davis School of Medicine, Department of Emergency Medicine, Sacramento, CaliforniaUniversity of California Davis School of Medicine, Department of Emergency Medicine, Sacramento, CaliforniaMedical College of Georgia at Augusta University, Department of Emergency Medicine, Augusta, GeorgiaState University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Pediatrics, Buffalo, New YorkState University of New York at Buffalo, School of Public Health and Health Professions, Department of Biostatistics, Buffalo, New YorkState University of New York at Buffalo, School of Public Health and Health Professions, Department of Biostatistics, Buffalo, New YorkMedical College of Georgia at Augusta University, Department of Emergency Medicine, Augusta, GeorgiaState University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Surgery, Buffalo, New YorkState University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New YorkState University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New YorkObjective: This study determined if the caregivers of children in the emergency department (ED) have the same COVID-19 vaccination status as the child, the reasons they chose to not vaccinate the child, and self-identified barriers to vaccination to determine if the ED is appropriate for vaccination intervention. Methods: A survey was administered to caregivers of pediatric ED patients at four Children’s Hospitals in: Augusta, GA, Buffalo, NY, Madison, WI, and Sacramento, CA. Participants were asked about their and the child’s demographics, vaccination status, and barriers to vaccination. We used descriptive statistics, Cohen's kappa, and logistic regression to analyze responses. Results: 941 caregivers were considered for enrollment, and 800 consented to participation. Participants were 75% women with a mean age of 40.9 ± 8.9 years. 51% (409) of the pediatric ED patients were COVID-19 vaccinated, as were 74% (591) of the caregivers. There was variation across sites, but overall, 15% of caregivers of unvaccinated children wanted the child tobe vaccinated with the most common barriers to vaccination identified as safety data (25%), time availability (20%), and ability to obtain an appointment (13%). The most common reason for not wanting the child COVID-19 vaccinated was concern the vaccine didn’t work or had too many side effects. Conclusion: A small but clinically important group of pediatric ED patients are not COVID-19 vaccinated but their caregivers want them to be vaccinated, indicating that consideration should be given to offering vaccination in the ED. Reasons for avoiding COVID-19 vaccination were primarily concerns with efficacy and side effects.https://escholarship.org/uc/item/2mm4606b |
| spellingShingle | Amanda M. Szarzanowicz Kendra Fabian Maya Alexandri Carly A. Robinson Sonia Singh Michael Wallace Michelle D. Penque Nan Nan Changxing Ma Bradford Z. Reynolds Bethany W. Harvey Heidi Suffoletto E. Brooke Lerner Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and Caregivers Western Journal of Emergency Medicine |
| title | Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and Caregivers |
| title_full | Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and Caregivers |
| title_fullStr | Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and Caregivers |
| title_full_unstemmed | Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and Caregivers |
| title_short | Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and Caregivers |
| title_sort | self reported covid 19 vaccine status and barriers for pediatric emergency patients and caregivers |
| url | https://escholarship.org/uc/item/2mm4606b |
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