Factors Associated With Parental COVID-19 Vaccination Acceptance

Clin Pediatr (Phila). 2022 Jun;61(5-6):393-401. doi: 10.1177/00099228221084829. Epub 2022 Mar 29.


As the coronavirus pandemic continues to impact families and children, understanding parental attitudes and likely acceptance of the COVID-19 vaccine is essential. We conducted a statewide survey with a representative sample of parents in Tennessee focused on COVID-19 and influenza vaccine acceptance and perspectives. Data from 1066 parents were analyzed using weighted survey methods to generalize results to the state of Tennessee. About 53% of parents reported a likelihood to vaccinate their children against COVID-19, and 45% were likely to vaccinate their child against COVID-19 and influenza. Female parents were less likely to vaccinate their children against COVID-19, but the strongest predictor of likely COVID-19 vaccine acceptance was influenza vaccine acceptance (adjusted odds ratio = 5.46; 95% confidence interval: 3.20-9.30). Parental acceptance of COVID-19 vaccines for children is closely tied to influenza vaccine acceptance. Public health approaches to maximize vaccine uptake could focus on children who have not been receiving influenza vaccines.

Keywords: COVID-19; influenza; kids; vaccination.

MeSH terms

  • COVID-19 Vaccines
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Child
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Influenza Vaccines* / therapeutic use
  • Influenza, Human* / prevention & control
  • Parents
  • Vaccination


  • COVID-19 Vaccines
  • Influenza Vaccines