Evidence map›Paper›PMID 34763947›Full record

ArticleVaccine2021

Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada.

Britt McKinnon, Caroline Quach, Ève Dubé, Cat Tuong Nguyen, Kate Zinszer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Vaccine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  17. Seroprevalence of SARS-CoV-2 antibodies among children receiving primary care in Toronto, Ontario.Canadian journal of public health = Revue canadienne de sante publique · 2024
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Britt McKinnonCentre for Public Health Research, University of Montreal, Pavillon 7101 avenue du Parc, Montreal, Quebec H3C 3J7, Canada; Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, Ontario M5T 3M7, Canada. Electronic address: britt.mckinnon@utoronto.ca.
Caroline QuachDepartment of Microbiology, Infectious Diseases, and Immunology, University of Montreal, Pavillon Roger-Gaudry, 2900 boul. Édouard-Montpetit, Montréal, Québec H3T 1J4, Canada.
Ève DubéCentre de recherche du CHU de Québec, Laval University, 2705, boulevard Laurier Quebec, Quebec G1V 4G2, Canada.
Cat Tuong NguyenDirection régionale de la santé publique de Montréal du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, 155 boulevard Saint-Joseph Est, Montréal, Quebec H2T 1H4, Canada.
Kate ZinszerCentre for Public Health Research, University of Montreal, Pavillon 7101 avenue du Parc, Montreal, Quebec H3C 3J7, Canada; School of Public Health, University of Montreal, Pavillon 7101 avenue du Parc, Montreal, Quebec H3C 3J7, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe success of current and prospective COVID-19 vaccine campaigns for children and adolescents will in part depend on the willingness of parents to accept vaccination. This study examined social determinants of parental COVID-19 vaccine acceptance and uptake for children and adolescents.

methodsWe used cross-sectional data from an ongoing COVID-19 cohort study in Montreal, Canada and included all parents of 2 to 18-year-olds who completed an online questionnaire between May 18 and June 26, 2021 (n = 809). We calculated child age-adjusted prevalence estimates of vaccine acceptance by parental education, race/ethnicity, birthplace, household income, and neighbourhood, and used multinomial logistic regression to estimate adjusted prevalence differences (aPD) and ratios (aPR). Social determinants of vaccine uptake were examined for the vaccine-eligible sample of 12 to 18 year-olds (n = 306).

resultsIntention to vaccinate children against COVID-19 was high, with only 12.4% of parents unlikely to have their child vaccinated. Parents with younger children were less likely to accept vaccination, as were those from lower-income households, racialized groups, and those born outside Canada. Children from households with annual incomes <$100,000 had 18.4 percent lower prevalence of being vaccinated/very likely vaccinated compared to household incomes ≥$150,000 (95% CI: 10.1 to 26.7). Racialized parents reported greater unwillingness to vaccinate vs. White parents (aPD = 10.3; 95% CI: 1.5, 19.1). Vaccine-eligible adolescents from the most deprived neighbourhood were half as likely to be vaccinated compared to those from the least deprived neighbourhood (aPR = 0.48; 95% CI: 0.18 to 0.77).

interpretationThis study identified marked social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents. Efforts are needed to reach disadvantaged and marginalized populations with tailored strategies that promote informed decision making and facilitate access to vaccination.

Indexed as

COVID-19COVID-19 VaccinesAdolescentChildCohort StudiesCross-Sectional StudiesHealth Knowledge, Attitudes, PracticeHumansParentsSARS-CoV-2Socioeconomic FactorsVaccinationCOVID-19 VaccinesChild healthCOVID-19Social inequalitiesVaccination

Identifiers

PMID34763947
PMCPMC8573666

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.