Child and adolescent COVID-19 vaccination coverage by educational setting, United States

Authors

K H. Nguyen, Department of Epidemiology, George Washington University School of Public Health, Washington, DC, 20037, USA; Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA, USA. Electronic address: kimberly.nguyen@emory.edu.
C McChesney, Department of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA, USA.
C Rodriguez, Department of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA, USA.
L Vasudevan, Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA, USA.
R A. Bednarczyk, Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA, USA; Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA; Emory Vaccine Center, Emory University, Atlanta, GA, USA.
L Corlin, Department of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA, USA; Department of Civil and Environmental Engineering, Tufts University School of Engineering, Medford, MA, USA.

Document Type

Journal Article

Publication Date

4-1-2024

Journal

Public health

Volume

229

DOI

10.1016/j.puhe.2024.01.029

Keywords

COVID-19 vaccination; Disparities; Educational setting; Homeschool; Vaccine confidence; Vaccine hesitancy

Abstract

OBJECTIVES: The COVID-19 pandemic changed the setting of education for many children in the U.S. Understanding COVID-19 vaccination coverage by educational setting is important for developing targeted messages, increasing parents' confidence in COVID-19 vaccines, and protecting all children from severe effects of COVID-19 infection. STUDY DESIGN/METHODS: Using data from the Household Pulse Survey (n = 25,173) collected from December 9-19, 2022, January 4-16, 2023, and February 1-13, 2023, this study assessed factors associated with COVID-19 vaccination and reasons for non-vaccination among school-aged children 5-11 and adolescents 12-17 by educational setting. RESULTS: Among children 5-11 years, COVID-19 vaccination coverage was higher among those who received in-person instruction (53.7%) compared to those who were homeschooled (32.5%). Furthermore, among adolescents 12-17 years, COVID-19 vaccination coverage was higher among those who received in-person instruction (73.5%) or virtual/online instruction (70.1%) compared to those who were homeschooled (51.0%). Children and adolescents were more likely to be vaccinated if the parental respondent had been vaccinated compared to those who had not. Among children and adolescents who were homeschooled, main reasons for non-vaccination were concern about side effects (45.4-51.6%), lack of trust in COVID-19 vaccines (45.0-50.9%), and lack of trust in the government (32.7-39.2%). CONCLUSIONS: Children and adolescents who were home-schooled during the pandemic had lower vaccination coverage than those who attended school in person, and adolescents who were home-schooled had lower vaccination coverage than those who received virtual instruction. Based on the reasons for non-vaccination identified in this study, increasing parental confidence in vaccines, and reducing barriers to access are important for supporting COVID-19 vaccination for school-age children.

APA Citation

Nguyen, K H.; McChesney, C; Rodriguez, C; Vasudevan, L; Bednarczyk, R A.; and Corlin, L, "Child and adolescent COVID-19 vaccination coverage by educational setting, United States" (2024). GW Authored Works. Paper 4458.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/4458

Department

Anatomy and Regenerative Biology