{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T17:20:23Z","timestamp":1775064023627,"version":"3.50.1"},"reference-count":54,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T00:00:00Z","timestamp":1674172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Children with cerebral palsy (CP) are at a greater risk of respiratory complications from coronavirus disease 2019 (COVID-19). Therefore, this study aimed to assess COVID-19 vaccine hesitancy (VH) among parents of CP children in Egypt, using the Arabic version of the Parental Attitude about Childhood Vaccination (PACV) questionnaire. This cross-sectional survey study was conducted at the outpatient clinics of two hospitals in Cairo, Egypt. Parents of children with CP were recruited using a simple random sampling technique. A total of 321 parents were enrolled; more than half of them were mothers of the children (61.37%); and the majority were Egyptians (87.23%) and living in urban areas (84.42%). Nearly 70% of the parents were hesitant to administer the COVID-19 vaccine to their children. A multiple linear regression model revealed that the PACV mean scores were lower among the following categories: (1) parents who could pay back loans, compared to those who could not pay back loans and who reported insufficient income (\u03b2 = \u22122.39, p = 0.030); (2) non-Egyptian parents (\u03b2 = \u22121.54, p = 0.002); (3) those who were fully vaccinated against COVID-19 themselves or had the intention to receive the complete COVID-19 vaccination (\u03b2 = \u22126.28, p &lt; 0.001); (4) those who had the intention to give the COVID-19 vaccination to their children (\u03b2 = \u22123.04, p &lt; 0.001); and (5) parents whose children received routine vaccines (\u03b2 = \u22122.86, p &lt; 0.045). After adjusting for other covariates, the parental COVID-19 vaccine status (\u03b2 = \u22126.28, p &lt; 0.001) and parents who experienced a COVID-19-related death in the family (\u03b2 = \u22121.75, p &lt; 0.001) showed significantly lower mean PACV scores. However, higher mean PACV scores were reported among parents who had a COVID-19 infection (\u03b2 = 2.77, p &lt; 0.001) or who were not sure (\u03b2 = 2.94, p &lt; 0.001). Our findings suggest the need to increase COVID-19 vaccine acceptance among parents of vulnerable children to reduce the negative consequences of COVID-19.<\/jats:p>","DOI":"10.3390\/ijerph20031909","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T06:52:41Z","timestamp":1674197561000},"page":"1909","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Attitude of Parents of Children with Cerebral Palsy Towards COVID-19 Vaccination"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7611-706X","authenticated-orcid":false,"given":"Ramy Mohamed","family":"Ghazy","sequence":"first","affiliation":[{"name":"Tropical Health Department, High Institute of Public Health, Alexandria University, Alexandria 21561, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0165-9670","authenticated-orcid":false,"given":"Malik","family":"Sallam","sequence":"additional","affiliation":[{"name":"Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman 11942, Jordan"},{"name":"Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman 11942, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9807-2720","authenticated-orcid":false,"given":"Noha","family":"Fadl","sequence":"additional","affiliation":[{"name":"Family Health Department, High Institute of Public Health, Alexandria University, Alexandria 21561, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5269-9229","authenticated-orcid":false,"given":"Etwal","family":"Bouraad","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Population Health, American University of Beirut, Beirut 961, Lebanon"},{"name":"School of Pharmacy, Lebanese International University, Beirut 961, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0368-1759","authenticated-orcid":false,"given":"Naglaa","family":"Youssef","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Nursing, College of Nursing, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0780-5149","authenticated-orcid":false,"given":"Omnya Samy A.","family":"Ghoneim","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Badr University in Cairo, Cairo 11829, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Coronaviridae Study Group of the International Committee on Taxonomy of Viruses (2020). 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