Scientific article
Open access

Should COVID-19 vaccines be mandated in schools ? - an international caregiver perspective

Published inVaccine, vol. 40, no. 36, p. 5384-5390
Publication date2022-08-26
First online date2022-08-01

Objectives: Caregiver attitudes toward mandating COVID-19 vaccines for their children are poorly understood. We aimed to determine caregiver acceptability of COVID-19 vaccine mandates for schools/daycares and assess if opposition to mandates would result in removal of children from the educational system.

Study design: Perform a cross-sectional, anonymous survey of adult caregivers with children ≤ 18 years presenting to 21 pediatric emergency departments in the United States, Canada, Israel, and Switzerland, November 1st through December 31st, 2021. The primary outcome was caregiver acceptance rates for school vaccine mandates, and the secondary outcomes included factors associated with mandate acceptance and caregiver intention to remove the child from school.

Results: Of 4,393 completed surveys, 37% of caregivers were opposed to any school vaccine mandate. Caregiver acceptance was lowest for daycare settings (33%) and increased as the child's level of education increased, college (55%). 26% of caregivers report a high likelihood (score of 8-10 on 0-10 scale) to remove their child from school if the vaccine became mandatory. Child safety was caregivers' greatest concern over vaccine mandates. A multivariable model demonstrated intent to vaccinate their child for COVID-19 (OR = 8.9, 95% CI 7.3 to 10.8; P < 0.001) and prior COVID-19 vaccination for the caregiver (OR = 3.8, 95% CI 3.0 to 4.9; P < 0.001) had the greatest odds of increasing mandate acceptance for any school level.

Conclusions: Many caregivers are resistant to COVID-19 vaccine mandates for schools, and acceptance varies with school level. One-fourth of caregivers plan to remove their child from the educational system if vaccines become mandated.

  • Adult
  • COVID-19 / prevention & control
  • COVID-19 Vaccines
  • Caregivers
  • Child
  • Cross-Sectional Studies
  • Humans
  • Schools
  • United States
  • Vaccination
  • Vaccines
Citation (ISO format)
BAUMER-MOURADIAN, Shannon H et al. Should COVID-19 vaccines be mandated in schools ? - an international caregiver perspective. In: Vaccine, 2022, vol. 40, n° 36, p. 5384–5390. doi: 10.1016/j.vaccine.2022.07.038
Main files (1)
Article (Published version)
ISSN of the journal0264-410X

Technical informations

Creation09/01/2023 10:35:35 AM
First validation02/06/2024 8:42:57 AM
Update time02/06/2024 8:42:57 AM
Status update02/06/2024 8:42:57 AM
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