ArticleJournal of affective disorders2021
Parental psychological distress and attitudes towards COVID-19 vaccination: A cross-sectional survey in Shenzhen, China.
Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 6 of them syntheses that pooled it.
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Who cites it
54 citing papers in PubMed, 6 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- COVID-19 vaccination hesitancy in pediatrics: a systematic review.Systematic reviews · 2026Pooled it
- Key factors influencing paediatric COVID-19 vaccine hesitancy: a brief overview and Decision-making Trial and Evaluation Laboratory analysis.Public health · 2023Pooled it
- COVID-19 vaccine hesitancy: A Systematic review of cognitive determinants.Health promotion perspectives · 2023Pooled it
- Willingness, refusal and influential factors of parents to vaccinate their children against the COVID-19: A systematic review and meta-analysis.Preventive medicine · 2022Pooled it
- Chinese parents' willingness to vaccinate their children against COVID-19: A systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review.Frontiers in pediatrics · 2022Pooled it
- Using positive imagination to reduce negativity in information processing and hesitant attitudes towards childhood COVID-19 vaccinations in parents: A randomized controlled trial.British journal of health psychology · 2025Trial
- Current status of coronavirus disease 2019 vaccine research based on bibliometric analysis.Human vaccines & immunotherapeutics · 2022Trial
- Is Bedtime Procrastination Related to Multidimensional Sleep Health? Evidence from Samples of Different Educational Stages (Aged 10-25) in China.Child psychiatry and human development · 2026Article
- Parent-Reported Influenza Vaccination Uptake, Hesitancy and Willingness for In-School Children: Survey Findings From Shenzhen, China With Free Vaccination Services.Tropical medicine & international health : TM & IH · 2026Article
- Self-reported vaccine hesitancy and refusal among parents of children with autism spectrum disorder and other developmental delays: a cross-sectional study.European journal of pediatrics · 2026Article
- Psychological distress and COVID-19 vaccine hesitancy among parents of in-school children after the end of the zero-COVID-19 policy: A city-wide survey in South China.Human vaccines & immunotherapeutics · 2025Article
- The ongoing impact of policy documents on the pandemic based on the framework of the "4Rs" theory and policy tools: in China.BMC public health · 2025Article
- Article
- Dual decision-making routes for COVID-19 and influenza vaccines uptake in parents: A mixed-methods study.British journal of health psychology · 2025Article
- Perceived Stress and Smartphone Application-Based Addiction Among Chinese Young Adults: The Mediating Role of Psychological Distress and the Moderating Role of Self-Control.Psychology in Russia : state of the art · 2025Article
- Impact of a mobile health intervention on health management among children with phenylketonuria based on a multi-theory model of the behavior change wheel theory and family health theory: protocol for a randomized controlled trial.Frontiers in psychiatry · 2025Article
- Article
- The individual and ecological characteristics of parental COVID-19 vaccination decisions.Scientific reports · 2024Article
- Factors Associated with COVID-19 Vaccination Hesitancy and Most Frequently Vaccinated Status in a Japanese Population-Based Sample.Vaccines · 2024Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundParental attitudes towards the vaccines play a key role in the success of the herd immunity for the COVID-19. Psychological health seems to be a controversial determinant of vaccine hesitancy and remains to be investigated. This study attempted to measure parental psychological distress, attitudes towards the COVID-19 vaccine, and to explore the potential associations.
methodsAn online survey using convenience sampling method was conducted among parents within the school public health network of Shenzhen. Demographic information and attitudes towards COVID-19 vaccination were collected. The Patient Health Questionnaire (PHQ-4) was applied to measure psychological distress.
resultsOverall, 4,748 parents were included (average age: 40.28, standard deviation: 5.08). More than one fifth of them demonstrated psychological distress, in which only 3.3% were moderate to severe symptom. The proportions of COVID-19 vaccine hesitancy for themselves, their spouses, and their children were 25.2%, 26.1%, and 27.3%, respectively. Parents with psychological distress were more likely to suffer vaccine hesitancy for themselves (OR: 1.277, 95%CI: 1.091~1.494), for their spouses (OR:1.276, 95%CI: 1.088~1.496) and children (OR:1.274, 95%CI: 1.092~1.486). These associations tended to be more significant among parents with mild or severe psychological distress. LIMITATION: Non-random sampling limited the generalization of our findings to all parents.
conclusionParents had a low level of psychological distress but relatively high willingness of COVID-19 vaccination when there was no local epidemic but persistent risk of imported cases. Targeted health education and intervention strategies should be provided to people with vaccine hesitancy, especially for those who are susceptible to psychological distress.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.