Evidence map›Paper›PMID 37659897›Full record

ArticleVaccine2023

The impact of the COVID-19 pandemic on parental vaccine hesitancy: A cross-sectional survey.

Lily A Grills, Abram L Wagner

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
13.5field-weighted citation impact, top 1% of its field
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

25 citing papers in PubMed, 49 citations in OpenAlex.

  1. TeenVac.org: A Mobile Web App to Improve Human Papillomavirus Vaccine Uptake for Adolescent Boys.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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  15. Prevalence, nature, and determinants of COVID-19-related conspiracy theories among healthcare workers: a scoping review.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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  18. Navigating parental attitudes on childhood vaccination in Jordan: a cross-sectional study.International journal of environmental health research · 2025
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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

2 authors at 1 institution in 1 country.

Lily A GrillsDepartment of Epidemiology, University of Michigan, Ann Arbor, MI, USA.
Abram L WagnerDepartment of Epidemiology, University of Michigan, Ann Arbor, MI, USA. Electronic address: awag@umich.edu.
University of Michigan–Ann Arbor · US

Funding

Characterizing parental beliefs to support optimization of vaccine introductionK01AI137123 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WAGNER, ABRAM LUTHER · 2019 to 2023
$475k
NIAID NIH HHS K01 AI137123
6 · The paper itself

Abstract

backgroundIt is unclear how hesitancy towards pediatric vaccines has changed quantitatively since the onset of the COVID-19 pandemic, and if changes are more readily apparent in clusters of low COVID-19 vaccination. In this study, we assess how clusters of low COVID-19 vaccination correlate with changing parental beliefs about childhood vaccines.

methodsA cross-sectional, opt-in, internet-based survey of parents resident in the U.S. was conducted during August-September 2022. Our survey measured changes in beliefs about childhood vaccine safety, importance, and effectiveness since the start of COVID-19. We also measured parents' perceived vaccination rates in the community, assessing its relationship with changing vaccination perceptions using Rao-Scott chi-square tests, and multinomial logistic regression models.

resultsAmong 310 parents of children 0-17 years old, 11 % (95 % CI: 7 %, 15 %) believed that childhood vaccines are less safe, 12 % (95 % CI: 8 %, 17 %) less important, and 13 % (95 % CI: 9 %, 18 %) less effective since the start of the COVID-19 pandemic. About 9 % (95 % CI: 5 %, 12 %) stated COVID-19 vaccination coverage was low in their community. Among those who stated COVID-19 vaccination coverage was low, 38 % reported believing childhood vaccines were less effective (vs 12 % of those who stated vaccination coverage was high). This corresponds to 4.34 times greater odds of believing childhood vaccines were less effective since the start of the pandemic (95 % CI: 1.38, 13.73) in those who believe COVID-19 vaccination coverage to be low in their community vs high.

conclusionOur study demonstrates that parental perceptions about childhood vaccines have been affected by the COVID-19 pandemic through geographic and social clustering of non-vaccination. Beliefs about the COVID-19 vaccine have spillover with beliefs about childhood vaccines, and more negative beliefs may be clustering in areas with low vaccination coverage, which could predispose the area to outbreaks of vaccine-preventable disease.

Indexed as

COVID-19AdolescentChildChild, PreschoolCOVID-19 VaccinesCross-Sectional StudiesHumansInfantInfant, NewbornPandemicsParentsVaccination HesitancyCOVID-19 VaccinesClusteringCOVID-19Routine immunizationTrustUSAVaccine hesitancy

Identifiers

PMID37659897
PMCPMC10954085
OpenAlexW4386319358

What OpenQuestion holds

Textmetadata
LicenceTDM
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.