{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T23:56:05Z","timestamp":1763682965883,"version":"3.45.0"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health","award":["R21HD109536"],"award-info":[{"award-number":["R21HD109536"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Although adolescents play an important role in their medical decisions, including vaccination, few studies have considered their perceptions or role in vaccine decision-making. We apply the Actor-Partner Interdependence Model to understand actor (adolescent) and partner (parent) influences of vaccine hesitancy on the decision to vaccinate adolescents. We conducted a nationally representative survey of adolescents aged 12-17\u00a0years old and their parents (n\u00a0=\u00a0721 dyads). Parents and adolescents completed separate online surveys measuring their vaccine hesitancy and intent to receive future doses of COVID-19 vaccine. We used structural equation modeling to estimate the association between vaccine hesitancy and adolescent vaccination among actors and partners using odds ratios (ORs) with 95% CIs. We identified a couple-oriented pattern in COVID-19 vaccine decision-making, with significant \u201cactor effects\u201d and \u201cpartner effects\u201d on adolescent vaccination. Each unit increase in adolescent vaccine hesitancy was associated with 14% lower odds of adolescent vaccination (OR 0.86 [95% CI, 0.82-0.91]). For each unit increase in vaccine hesitancy among parents, the odds of adolescent vaccination decreased by 6% (OR 0.94 [95% CI, 0.91-0.98]). These findings suggest that vaccine promotion efforts should address vaccine hesitancy in adolescents in addition to their parents.<\/jats:p>","DOI":"10.1093\/aje\/kwaf151","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T11:33:09Z","timestamp":1753788789000},"page":"3364-3372","source":"Crossref","is-referenced-by-count":0,"title":["Application of the actor-partner interdependence model to understand COVID-19 vaccine decision-making among US adolescents and their parents"],"prefix":"10.1093","volume":"194","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3879-6193","authenticated-orcid":false,"given":"Annette K","family":"Regan","sequence":"first","affiliation":[{"name":"Department of Research & Evaluation, Kaiser Permanente Southern California , Pasadena, CA ,","place":["United States"]},{"name":"Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles , Los Angeles, CA ,","place":["United States"]},{"name":"School of Nursing and Health Professions, University of San Francisco , San Francisco, CA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4454-3499","authenticated-orcid":false,"given":"Marie-Claude","family":"Couture","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Professions, University of San Francisco , San Francisco, CA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9056-9123","authenticated-orcid":false,"given":"Timothy","family":"Callaghan","sequence":"additional","affiliation":[{"name":"Department of Health Law, Policy, and Management, Boston University , Boston, MA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna","family":"Agnew","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Professions, University of San Francisco , San Francisco, CA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3089-3810","authenticated-orcid":false,"given":"Jillian","family":"Baker","sequence":"additional","affiliation":[{"name":"Center for Parent-Teen Communication, Children\u2019s Hospital of Philadelphia , Philadelphia, PA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9067-1697","authenticated-orcid":false,"given":"Onyebuchi A","family":"Arah","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles , Los Angeles, CA ,","place":["United States"]},{"name":"Department of Statistics and Data Science, University of California, Los Angeles , Los Angeles, CA ,","place":["United States"]},{"name":"Practical Causal Inference Lab, University of California, Los Angeles , Los Angeles, CA ,","place":["United States"]},{"name":"Department of Public Health, Research Unit for Epidemiology, Aarhus University , Aarhus ,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"issue":"23","key":"2025112018524146400_ref1","doi-asserted-by":"publisher","first-page":"851","DOI":"10.15585\/mmwr.mm7023e1","article-title":"Hospitalization of adolescents aged 12-17 years with laboratory-confirmed COVID-19\u2014COVID-NET, 14 states, March 1, 2020-April 24, 2021","volume":"70","author":"Havers","year":"2021","journal-title":"MMWR Morb Mortal Wkly Rep."},{"issue":"14","key":"2025112018524146400_ref2","doi-asserted-by":"publisher","first-page":"1174","DOI":"10.1001\/jama.2024.12747","article-title":"Characterizing long COVID in children and 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