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{
    "pk": 18417,
    "title": "Self-Reported COVID-19 Vaccine Status and Barriers for Pediatric Emergency Patients and Caregivers",
    "subtitle": null,
    "abstract": "<p><strong>Objective: </strong>This study determined if the caregivers of children in the emergency department (ED) have the same COVID-19 vaccination status as the child, the reasons they chose to not vaccinate the child, and self-identified barriers to vaccination to determine if the ED is appropriate for vaccination intervention.</p>\n<p><strong>Methods: </strong>A survey was administered to caregivers of pediatric ED patients at four Children’s Hospitals in: Augusta, GA, Buffalo, NY, Madison, WI, and Sacramento, CA. Participants were asked about their and the child’s demographics, vaccination status, and barriers to vaccination. We used descriptive statistics, Cohen's kappa, and logistic regression to analyze responses.</p>\n<p><strong>Results:</strong> 941 caregivers were considered for enrollment, and 800 consented to participation. Participants were 75% women with a mean age of 40.9 ± 8.9 years. 51% (409) of the pediatric ED patients were COVID-19 vaccinated, as were 74% (591) of the caregivers. There was variation across sites, but overall, 15% of caregivers of unvaccinated children wanted the child tobe vaccinated with the most common barriers to vaccination identified as safety data (25%), time availability (20%), and ability to obtain an appointment (13%). The most common reason for not wanting the child COVID-19 vaccinated was concern the vaccine didn’t work or had too many side effects.</p>\n<p><strong>Conclusion:</strong> A small but clinically important group of pediatric ED patients are not COVID-19 vaccinated but their caregivers want them to be vaccinated, indicating that consideration should be given to offering vaccination in the ED. Reasons for avoiding COVID-19 vaccination were primarily concerns with efficacy and side effects.</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "pediatrics"
        },
        {
            "word": "COVID-19"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "vaccination"
        }
    ],
    "section": "Endemic Infections",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2mm4606b",
    "frozenauthors": [
        {
            "first_name": "Amanda",
            "middle_name": "",
            "last_name": "Szarzanowicz",
            "name_suffix": "",
            "institution": "State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York",
            "department": "None"
        },
        {
            "first_name": "Kendra",
            "middle_name": "",
            "last_name": "Fabian",
            "name_suffix": "",
            "institution": "University of Wisconsin-Madison, School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin",
            "department": ""
        },
        {
            "first_name": "Maya",
            "middle_name": "",
            "last_name": "Alexandri",
            "name_suffix": "",
            "institution": "Medical College of Georgia at Augusta University, Department of Emergency Medicine, Augusta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Carly",
            "middle_name": "A.",
            "last_name": "Robinson",
            "name_suffix": "",
            "institution": "University of California Davis School of Medicine, Department of Emergency Medicine, Sacramento, California",
            "department": ""
        },
        {
            "first_name": "Sonia",
            "middle_name": "",
            "last_name": "Singh",
            "name_suffix": "",
            "institution": "University of California Davis School of Medicine, Department of Emergency Medicine, Sacramento, California",
            "department": ""
        },
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Wallace",
            "name_suffix": "",
            "institution": "Medical College of Georgia at Augusta University, Department of Emergency Medicine, Augusta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Michelle",
            "middle_name": "D.",
            "last_name": "Penque",
            "name_suffix": "",
            "institution": "State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Pediatrics, Buffalo, New York",
            "department": ""
        },
        {
            "first_name": "Nan",
            "middle_name": "",
            "last_name": "Nan",
            "name_suffix": "",
            "institution": "State University of New York at Buffalo, School of Public Health and Health Professions, Department of Biostatistics, Buffalo, New York",
            "department": "None"
        },
        {
            "first_name": "Changxing",
            "middle_name": "",
            "last_name": "Ma",
            "name_suffix": "",
            "institution": "State University of New York at Buffalo, School of Public Health and Health Professions, Department of Biostatistics, Buffalo, New York",
            "department": ""
        },
        {
            "first_name": "Bradford",
            "middle_name": "Z.",
            "last_name": "Reynolds",
            "name_suffix": "",
            "institution": "Medical College of Georgia at Augusta University, Department of Emergency Medicine, Augusta, Georgia",
            "department": ""
        },
        {
            "first_name": "Bethany",
            "middle_name": "W.",
            "last_name": "Harvey",
            "name_suffix": "",
            "institution": "State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Surgery, Buffalo, New York",
            "department": ""
        },
        {
            "first_name": "Heidi",
            "middle_name": "",
            "last_name": "Suffoletto",
            "name_suffix": "",
            "institution": "State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York; State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Orthopedics, Buffalo, New York",
            "department": "None"
        },
        {
            "first_name": "E. Brooke",
            "middle_name": "",
            "last_name": "Lerner",
            "name_suffix": "",
            "institution": "State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York; State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Department of Pediatrics, Buffalo, New York",
            "department": ""
        }
    ],
    "date_submitted": "2023-08-02T08:30:10-07:00",
    "date_accepted": "2024-04-03T14:21:29.511000-07:00",
    "date_published": "2024-10-29T06:00:00-07:00",
    "render_galley": {
        "label": "Final Article",
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        "path": "https://journalpub.escholarship.org/westjem/article/18417/galley/28889/download/"
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            "label": "Layout",
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            "label": "Final Article",
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            "path": "https://journalpub.escholarship.org/westjem/article/18417/galley/28889/download/"
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}