Disposition of Adolescents toward Receiving Covid-19 Vaccinations in Villavicencio: Myths and Beliefs

Main Article Content

César García Balaguera María Fernanda Alfonso Osorio María Paula Echavarría María Camila Pardo Garzón

Abstract

Background: Global efforts regarding the COVID-19 pandemic have been focused on preventive activities, such as vaccination, since the disease is expected to become endemic. Adolescents were among the last population groups to be included in the vaccination program in Colombia, and adequate coverage has not yet been achieved in this group and in infants. Aims: It is important to understand their motivations to improve the willingness of this population to be vaccinated. Methods: A cross-sectional study was designed via an online survey in adolescents aged 14–19 years in Villavicencio Meta after validation of the survey and informed consent. The following options were provided for the question on vaccine disposition: willing, undecided, and unwilling. We described the disposition toward receiving COVID-19 vaccine using graphs and absolute and relative frequencies based on age group. A multinomial regression model was used to assess the relationship between our predictor variables and vaccine disposition in adolescents. Results: In this study, 288 adolescents were surveyed. The risk variables for unwillingness to be vaccinated were being male (odds ratio [OR] 2.18, 95% confidence interval [CI] 0.8–5.7, p = 0.62), belonging to low social stratum (OR 2.29, 95% CI 0.9–5.88, p = 0.19), having a monthly family income of less than 1 million Colombian pesos (250 USD) (OR 2.01, 95% CI 0.8–5.16, p = 0.19), and having basic education (OR 2.59, 95% CI 0.33–20.14, p = 0.18). Conclusions: Unproven myths and beliefs have a profound influence on adolescents, resulting in an unwillingness to get vaccinated. Social networks have a high influence on these behaviors, which affect vaccination coverage in adolescents and young people not only for COVID, but also for human papillomavirus, Tetanus and rubella. Therefore, innovative public health strategies must be designed to improve willingness to be vaccinated in this population group.

Keywords: COVID-19, vaccination, disposition, vaccine in adolescents, public health

Article Details

How to Cite
BALAGUERA, César García et al. Disposition of Adolescents toward Receiving Covid-19 Vaccinations in Villavicencio: Myths and Beliefs. Medical Research Archives, [S.l.], v. 11, n. 4, apr. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3639>. Date accessed: 19 june 2024. doi: https://doi.org/10.18103/mra.v11i4.3639.
Section
Research Articles

References

1. Fazel M, Puntis S, White SR, et al. Willingness of children and adolescents to have a COVID-19 vaccination: Results of a large whole schools survey in England. EClinicalMedicine. 2021;40(101144):101144. doi:10.1016/j.eclinm.2021.101144

2. Gurwitz D. COVID-19 vaccine hesitancy: Lessons from Israel. Vaccine. 2021;39(29):3785-3786. doi:10.1016/j.vaccine.2021.05.085

3. Wodi AP, Murthy N, Bernstein H, McNally V, Cineas S, Ault K. Advisory Committee on Immunization Practices recommended immunization schedule for children and adolescents aged 18 Years or Younger - United States, 2022. MMWR Morb Mortal Wkly Rep. 2022;71(7):234-237. doi:10.15585/mmwr.mm7107a2

4. Ledford H. Should children get COVID vaccines? What the science says. Nature. 2021;595(7869):638-639. doi:10.1038/d41586-021-01898-9

5. Bagateli LE, Saeki EY, Fadda M, Agostoni C, Marchisio P, Milani GP. COVID-19 vaccine hesitancy among parents of children and adolescents living in Brazil. Vaccines (Basel). 2021;9(10):1115. doi:10.3390/vaccines9101115

6. Patel Murthy B, Zell E, Kirtland K, et al. Impact of the COVID-19 pandemic on administration of selected routine childhood and adolescent vaccinations - 10 U.s. jurisdictions, March-September 2020. MMWR Morb Mortal Wkly Rep. 2021;70(23):840-845. doi:10.15585/mmwr.mm7023a2

7. McKinnon B, Quach C, Dubé È, Tuong Nguyen C, Zinszer K. Social inequalities in COVID-19 vaccine acceptance and uptake for children and adolescents in Montreal, Canada. Vaccine. 2021;39(49):7140-7145. doi:10.1016/j.vaccine.2021.10.077

8. Urrunaga-Pastor D, Herrera-Añazco P, Uyen-Cateriano A, et al. Prevalence and factors associated with parents’ non-intention to vaccinate their children and adolescents against COVID-19 in Latin America and the Caribbean. Vaccines (Basel). 2021;9(11):1303. doi:10.3390/vaccines9111303

9. Zychlinsky Scharff A, Paulsen M, Schaefer P, et al. Students’ age and parental level of education influence COVID-19 vaccination hesitancy. Eur J Pediatr. 2022;181(4):1757-1762. doi:10.1007/s00431-021-04343-1

10. Buonsenso D, Munblit D, De Rose C, et al. Preliminary evidence on long COVID in children. Acta Paediatr. 2021;110(7):2208-2211. doi:10.1111/apa.15870

11. Osmanov IM, Spiridonova E, Bobkova P, et al. Risk factors for post-COVID-19 condition in previously hospitalised children using the ISARIC Global follow-up protocol: a prospective cohort study. Eur Respir J. 2022;59(2):2101341. doi:10.1183/13993003.01341-2021

12. Wallace M, Woodworth KR, Gargano JW, et al. The Advisory Committee on Immunization Practices’ interim recommendation for use of Pfizer-BioNTech COVID-19 vaccine in adolescents aged 12-15 years - United States, May 2021. MMWR Morb Mortal Wkly Rep. 2021;70(20):749-752. doi:10.15585/mmwr.mm7020e1

13. Snapiri O, Rosenberg Danziger C, Shirman N, et al. Transient cardiac injury in adolescents receiving the BNT162b2 mRNA COVID-19 vaccine. Pediatr Infect Dis J. 2021;40(10):e360-e363. doi:10.1097/inf.0000000000003235

14. Glikman D, Stein M, Shinwell ES. Vaccinating children and adolescents against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-The Israeli experience. Acta Paediatr. 2021;110(9):2496-2498. doi:10.1111/apa.15982

15. Verger P, Peretti-Watel P, Gagneux-Brunon A, et al. Acceptance of childhood and adolescent vaccination against COVID-19 in France: a national cross-sectional study in May 2021. Hum Vaccin Immunother. 2021;17(12):5082-5088. doi:10.1080/21645515.2021.2004838

16. Morgan L, Schwartz JL, Sisti DA. COVID-19 vaccination of minors without parental consent: Respecting emerging autonomy and advancing public health: Respecting emerging autonomy and advancing public health. JAMA Pediatr. 2021;175(10):995-996. doi:10.1001/jamapediatrics.2021.1855

17. Loomba S, de Figueiredo A, Piatek SJ, de Graaf K, Larson HJ. Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA. Nat Hum Behav. 2021;5(3):337-348. doi:10.1038/s41562-021-01056-1

18. Freeman D, Lambe S, Yu LM, et al. Injection fears and COVID-19 vaccine hesitancy. Psychol Med. Published online 2021:1-11. doi:10.1017/S0033291721002609

19. Bozzola E, Staiano AM, Spina G, et al. Social media use to improve communication on children and adolescent’s health: the role of the Italian Paediatric Society influencers. Ital J Pediatr. 2021;47(1):171. doi:10.1186/s13052-021-01111-7

20. Kebede Y, Birhanu Z, Fufa D, et al. Myths, beliefs, and perceptions about COVID-19 in Ethiopia: A need to address information gaps and enable combating efforts. PLoS One. 2020;15(11):e0243024. doi:10.1371/journal.pone.0243024

21. Cui T, Yang G, Ji L, et al. Chinese residents’ perceptions of COVID-19 during the pandemic: Online cross-sectional survey study. J Med Internet Res. 2020;22(11):e21672. doi:10.2196/21672

22. Tesfaw A, Arage G, Teshome F, et al. Community risk perception and barriers for the practice of COVID-19 prevention measures in Northwest Ethiopia: A qualitative study. PLoS One. 2021;16(9):e0257897. doi:10.1371/journal.pone.0257897

23. Kricorian K, Civen R, Equils O. COVID-19 vaccine hesitancy: misinformation and perceptions of vaccine safety. Hum Vaccin Immunother. 2022;18(1):1950504. doi:10.1080/21645515.2021.1950504

24. Ullah I, Khan KS, Tahir MJ, Ahmed A, Harapan H. Myths and conspiracy theories on vaccines and COVID-19: Potential effect on global vaccine refusals. Vacunas (Engl Ed). 2021;22(2):93-97. doi:10.1016/j.vacune.2021.01.009

25. Sallam M, Dababseh D, Eid H, et al. High rates of COVID-19 vaccine hesitancy and its association with conspiracy beliefs: A study in Jordan and Kuwait among other Arab countries. Vaccines (Basel). 2021;9(1):42. doi:10.3390/vaccines9010042

26. Sallam M, Dababseh D, Eid H, et al. Low COVID-19 vaccine acceptance is correlated with conspiracy beliefs among university students in Jordan. Int J Environ Res Public Health. 2021;18(5). doi:10.3390/ijerph18052407

27. Eberhardt J, Ling J. Predicting COVID-19 vaccination intention using protection motivation theory and conspiracy beliefs. Vaccine. 2021;39(42):6269-6275. doi:10.1016/j.vaccine.2021.09.010

28. Mohamad O, Zamlout A, AlKhoury N, Mazloum AA, Alsalkini M, Shaaban R. Factors associated with the intention of Syrian adult population to accept COVID19 vaccination: a cross-sectional study. BMC Public Health. 2021;21(1):1310. doi:10.1186/s12889-021-11361-z

29. Hong J, Xu XW, Yang J, et al. Knowledge about, attitude and acceptance towards, and predictors of intention to receive the COVID-19 vaccine among cancer patients in Eastern China: A cross-sectional survey. J Integr Med. 2022;20(1):34-44. doi:10.1016/j.joim.2021.10.004

30. Jain L, Vij J, Satapathy P, et al. Factors influencing COVID-19 vaccination intentions among college students: A cross-sectional study in India. Front Public Health. 2021;9:735902. doi:10.3389/fpubh.2021.735902

31. Malik AA, McFadden SM, Elharake J, Omer SB. Determinants of COVID-19 vaccine acceptance in the US. EClinicalMedicine. 2020;26(100495):100495. doi:10.1016/j.eclinm.2020.100495

32. Lazarus JV, Ratzan SC, Palayew A, et al. Author Correction: A global survey of potential acceptance of a COVID-19 vaccine. Nat Med. 2021;27(2):354. doi:10.1038/s41591-020-01226-0

33. Rhodes A, Hoq M, Measey MA, Danchin M. Intention to vaccinate against COVID-19 in Australia. Lancet Infect Dis. 2021;21(5):e110. doi:10.1016/S1473-3099(20)30724-6

34. Harapan H, Wagner AL, Yufika A, et al. Acceptance of a COVID-19 vaccine in southeast Asia: A cross-sectional study in Indonesia. Front Public Health. 2020;8:381. doi:10.3389/fpubh.2020.00381