{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T08:42:43Z","timestamp":1773736963336,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":325,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In Japan, the vaccination rate against the SARS\u2010CoV\u20102 vaccine for children was low. Therefore, in this study we investigated the factors influencing guardians' decision\u2010making regarding vaccination of their children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From November 1, 2022 to March 31, 2023, pediatric clinics, departments, and midwifery clinics in Saitama Prefecture requested guardians of children under the age of 15 to complete an online questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Responses were obtained from 894 guardians of children aged 6\u2009months to 15\u2009years; 142 had had one of their children vaccinated at least once and 629 had not had any of their children vaccinated. Among guardians who had not had any of their children vaccinated, \u201cthe Age of children\u201d was significantly younger (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and \u201cPrevalence\u201d (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), \u201cFree vaccination\u201d (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and \u201cIntentions of national and local governments\u201d (<jats:italic>p<\/jats:italic>\u2009=\u20090.005) were selected as reasons significantly less frequently in comparison to guardians who had vaccinated their children. \u201cJapanese adverse reactions\u201d (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), \u201cJapanese effectiveness\u201d (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), \u201cAdverse reactions\u201d (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), \u201cHistory of adverse reactions\u201d (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and \u201cReputation of friends\u201d (<jats:italic>p<\/jats:italic>\u2009=\u20090.006) were selected significantly more frequently by guardians who had not had any of their children vaccinated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Guardians who had had one of their children vaccinated at least once emphasized the importance of prevalence and free vaccination. On the other hand, guardians who had not had any of their children vaccinated placed particular importance on adverse reactions and the Japanese data on effectiveness. To guide the decision\u2010making of guardians, it is necessary to quickly collect and publish data on adverse reactions and effectiveness, particularly in Japanese individuals, so that citizens can decide whether to vaccinate themselves and their children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.15700","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T00:22:18Z","timestamp":1700785338000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors affecting guardians' decision\u2010making regarding the SARS\u2010CoV\u20102 vaccine"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4150-3339","authenticated-orcid":false,"given":"Seigo","family":"Korematsu","sequence":"first","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Department of Pediatrics, Saitama Medical Center Saitama Medical University  Kawagoe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahito","family":"Mine","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Mine Pediatrics  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiro","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Kobayashi Kid Clinic  Kumagaya Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomokuni","family":"Hara","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Hara Kodomo Clinic  Tokorozawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoichi","family":"Oyama","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Department of Pediatrics Saiseikai Kawaguchi General Hospital  Kawaguchi Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuhou","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Clinic for Babies &amp; Children  Kawaguchi Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriaki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Kobayashi Children's Clinic  Kawagoe Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Kawano","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eisuke","family":"Suganuma","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Division of Infectious Diseases and Immunology, Allergy Saitama Children's Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihoko","family":"Furuichi","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Division of Infectious Diseases and Immunology, Allergy Saitama Children's Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiro","family":"Momoki","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Momoki Children's Clinic  Koshigaya Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junichi","family":"Minakuchi","sequence":"additional","affiliation":[{"name":"Sai\u2010no\u2010Kuni Vaccination Promotion Council  Saitama Japan"},{"name":"Minakuchi Children's Clinic  Tsurugashima Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,22]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization.[homepage on the internet]. WHO Coronavirus (COVID\u201019) Dashboard.2023Available from:https:\/\/covid19.who.int\/?adgroupsurvey=%7badgroupsurvey%7d&gclid=EAIaIQobChMI\u2010LPG9Y37_AIV1ttMAh3w7QcZEAAYASABEgKQsvD_BwE"},{"key":"e_1_2_8_3_1","unstructured":"Ministry of Health Labour and Welfare.[homepage on the internet]. Visualizing the data: information on COVID\u201019 infections.2023Available from:https:\/\/covid19.mhlw.go.jp\/en\/"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ped.14912"},{"key":"e_1_2_8_5_1","unstructured":"Japan Pediatric Society.[homepage on the internet]. COVID\u201019\u2010related information.2023(in Japanese). Available from:https:\/\/www.jpeds.or.jp\/modules\/activity\/index.php?content_id=333"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000003792"},{"key":"e_1_2_8_7_1","unstructured":"National Institute of Infectious Disease.[homepage on the internet]. 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