COVID-19 Vaccine Coverage and Hesitancy Among New York City Parents of Children Aged 5–11 Years

Chloe A. Teasdale, PhD; Scott Ratzan, MD, MPA, MA; Lauren Rauh, MPH; Hannah Stuart Lathan, MPH; Spencer Kimball, JD; Ayman El-Mohandes, MD, MPH, MBBCH


Am J Public Health. 2022;112(6):931-936. 

In This Article


Among all participants, 90% of children were reported to be up-to-date with routine vaccines, 44.0% had received the flu vaccine, and 84.6% of parents were vaccinated. Overall, 11.9% of NYC parents reported that their child had been vaccinated; 51.0% were very or somewhat likely to vaccinate their child; 8.0% were not sure; 29.1% were not very or not at all likely to do so (Table 1). Characteristics of children who had received COVID-19 vaccination at the time of the survey are shown in online Table A.

In univariable analysis, prevalence of vaccine hesitancy differed by characteristics including child and parent race/ethnicity, child's routine vaccination and flu vaccine status, parent's gender and vaccination status, parental concerns about COVID-19, and borough of residence. Among vaccine-hesitant parents, 89.9% reported safety concerns, 77.8% had concerns about effectiveness, 56.7% believed children do not need vaccination, 35.6% reported medical reasons, 29.2% cited philosophical or religious beliefs, and 11.0% reported time or cost concerns.

In multivariable models, compared with parents of children vaccinated for flu, parents not planning to vaccinate their child for flu (APR = 2.09; 95% confidence interval [CI] = 1.67, 2.62) and those unsure (APR = 2.16; 95% CI = 1.62, 2.88) were more vaccine hesitant (Table 1). Non-Hispanic Black parents compared with non-Hispanic White parents (APR = 1.41; 95% CI = 1.17, 1.72), parents who were not vaccinated themselves compared with vaccinated parents (APR = 1.53; 95% CI = 1.32, 1.77), and parents with some college compared with those with an undergraduate college degree or more (APR = 1.22; 95% CI = 1.02, 1.44) were also more vaccine hesitant. Parents reporting little or no worry about children infecting household members were more vaccine hesitant than very or somewhat worried parents (APR = 1.50; 95% CI = 1.18, 1.91). NYC parents who did not vote in the 2021 mayoral election (APR = 1.41; 95% CI = 1.13, 1.76) and those who voted for the Republican candidate (APR = 1.27; 95% CI = 1.03, 1.57) were more vaccine hesitant than those voting for the Democratic candidate. Compared with parents in Manhattan, those from Staten Island were more vaccine hesitant (APR = 1.44; 95% CI = 1.05, 1.98).