• Ran D Goldman, Sophie McGregor, Shashidhar R Marneni, Tomohiro Katsuta, Mark A Griffiths, Jeanine E Hall, Michelle Seiler, Eileen J Klein, CotandaCristina ParraCPHospital Sant Joan de Déu Barcelona, Pediatric Emergency Department, Barcelona, Spain., Renana Gelernter, Julia Hoeffe, Adrienne L Davis, Gianluca Gualco, Ahmed Mater, Sergio Manzano, Graham C Thompson, Sara Ahmed, Samina Ali, Julie C Brown, and International COVID-19 Parental Attitude Study (COVIPAS) Group.
• The Pediatric Research in Emergency Therapeutics (PRETx) Program, Division of Emergency Medicine, Department of Pediatrics, University of British Columbia, and BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
• J. Pediatr. 2021 Jan 1; 228: 87-93.e2.

ObjectivesTo determine factors associated with parents who plan to vaccinate their children against influenza next year, especially those who did not vaccinate against influenza last year using a global survey.Study DesignA survey of caregivers accompanying their children aged 1-19 years old in 17 pediatric emergency departments in 6 countries at the peak of the coronavirus disease 2019 (COVID-19) pandemic. Anonymous online survey included caregiver and child demographic information, vaccination history and future intentions, and concern about the child and caregiver having COVID-19 at the time of emergency department visit.ResultsOf 2422 surveys, 1314 (54.2%) caregivers stated they plan to vaccinate their child against influenza next year, an increase of 15.8% from the previous year. Of 1459 caregivers who did not vaccinate their children last year, 418 (28.6%) plan to do so next year. Factors predicting willingness to change and vaccinate included child's up-to-date vaccination status (aOR 2.03, 95% CI 1.29-3.32, P = .003); caregivers' influenza vaccine history (aOR 3.26, 95% CI 2.41-4.40, P < .010), and level of concern their child had COVID-19 (aOR 1.09, 95% CI 1.01-1.17, P = .022).ConclusionsChanges in risk perception due to COVID-19, and previous vaccination, may serve to influence decision-making among caregivers regarding influenza vaccination in the coming season. To promote influenza vaccination among children, public health programs can leverage this information.Copyright © 2020 Elsevier Inc. All rights reserved.

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