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August 29, 2026VaccinesOpen Access

Decoding the Factors Influencing Parental Vaccine Decision-Making: Insights from Saudi Arabia on COVID-19 Vaccination for Children—Lessons for Future Pandemics

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Authors

LKLamyaa KassemMAMohammed Saif AnaamQassim UniversityFAFatimah A. Aldaiji

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Implication

Cross-sectional survey reveals parental confidence and collective responsibility drive pediatric COVID-19 vaccine acceptance, highlighting targets for public health communication.

Key Points

  • To identify the demographic and psychological factors shaping parental decisions regarding COVID-19 vaccination for children across different pediatric age groups.
  • Administered a validated, web-based cross-sectional survey using snowball sampling across social media platforms between November 2021 and January 2022 in Saudi Arabia (N=2176 parents of children aged 5–18 years).
  • Assessed the 5C psychological antecedents (confidence, complacency, constraints, calculation, and collective responsibility) using multinomial logistic regression across three child age cohorts (5–11 years, 12–18 years, and both).
  • While 77.9% of parents accepted vaccines for themselves, only 58.6% agreed for adolescents aged ≥12 years and 41.9% for children aged 5–11 years, with younger child age increasing reluctance threefold (OR = 3.16, p = 0.01).
  • Fathers exhibited significantly higher acceptance (OR = 17.48, p = 0.01) than mothers (OR = 15.08, p = 0.01 for reluctance), and perceiving school return as safe increased acceptance (OR = 4.32, p = 0.01).
  • Vaccine acceptance was positively driven by confidence (OR = 1.23–1.53) and collective responsibility (OR = 1.33–2.13), whereas extensive calculation/information seeking (OR = 0.09, p = 0.03) and family hospitalization history (p = 0.03) correlated with reluctance.

Cite This Study

Kassem et al. (2026) studied this question.

synapsesocial.com/papers/6a9299bb8e5d7d1fc0c11e3bhttps://doi.org/10.3390/vaccines14090745
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1In-Person Schooling Amidst Children’s COVID-19 Vaccination: Exploring Parental Perceptions Just after Omicron Variant Announcement2022 · 14 citations
  2. 2Impact of information framing and vaccination characteristics on parental COVID-19 vaccine acceptance for children: a discrete choice experiment2022 · 25 citations
  3. 3The coronavirus disease 2019 (COVID-19) vaccination psychological antecedent assessment using the Arabic 5c validated tool: An online survey in 13 Arab countries2021 · 67 citations
  4. 4Parental perceptions and the 5C psychological antecedents of COVID-19 vaccination during the first month of omicron variant surge: A large-scale cross-sectional survey in Saudi Arabia2022 · 15 citations
  5. 5COVID-19 vaccine hesitancy and influential factors among Thai parents and guardians to vaccinate their children2022 · 35 citations