In-Person Schooling Amidst Children’s COVID-19 Vaccination: Exploring Parental Perceptions Just after Omicron Variant Announcement

Background: The SARS-CoV-2 Omicron spread fast globally and became the predominant variant in many countries. Resumption of public regular life activities, including in-person schooling, presented parents with new sources of worry. Thus, it is important to study parental worry about the Omicron variant, willingness to vaccinate their children, and knowledge about school-based COVID-19 precautionary measures. Methods: A national, cross-sectional, pilot-validated online questionnaire targeting parents in the Kingdom of Saudi Arabia (KSA) was distributed between 31 December 2021, and 7 January 2022. The survey included sociodemographic, COVID-19 infection data, parental and children vaccination status, attitudes towards booster vaccine, parents’ Omicron-related perceptions and worries, and attitude towards in-person schooling. Results: A total of 1340 participants completed the survey, most (65.3%) of whom were mothers. Of the parents, 96.3% either received two or three doses of the COVID-19 vaccine. Only 32.1% of the parents were willing to vaccinate their young children (5–11 years of age). In relation to their children 12–18 years of age, 48% had already had them vaccinated, 31% were planning to vaccinate them, and 42.8% were willing to administer a booster dose. Only 16% were more worried about the Omicron variant compared to the Delta variant. Residents of western KSA were more worried about Omicron compared to Delta. Parents worried about the Omicron variant and male participants were significantly less aware of school-based COVID-19 precautionary measures. Parents with post-graduate degrees and those having more children were significantly more inclined to send their children to school even if COVID-19 outbreaks could occur in schools, while parents who were more worried about the Omicron variant and were more committed to infection prevention measures were significantly less inclined to do so. Conclusions: Overall, parents had lower worry levels about the Omicron variant compared to the Delta variant. They had a higher willingness to vaccinate their older children compared to the younger ones. In addition, our cohort of parents showed high willingness to send their children to schools and trusted the school-based preventative measures. These findings can inform policy makers when considering school related decisions during the current or future public health crises.

[1]  Jun Zhang,et al.  Broadly neutralizing antibodies against Omicron-included SARS-CoV-2 variants induced by vaccination , 2022, Signal Transduction and Targeted Therapy.

[2]  Yaser A. Al Naam,et al.  Factors related to COVID-19 vaccine hesitancy in Saudi Arabia , 2022, Public Health in Practice.

[3]  Z. Mekonnen,et al.  Vaccine Inequity and Hesitancy: A Vicious Cycle Undermining the Fight Against the COVID-19 Pandemic , 2022, Risk management and healthcare policy.

[4]  Yuanyu Huang,et al.  mRNA vaccines for COVID-19 and diverse diseases , 2022, Journal of Controlled Release.

[5]  M. Al-Qahtani,et al.  Clinical profile, risk factors and outcomes of pediatric COVID-19: a retrospective cohort multicentre study in Saudi Arabia , 2022, BMJ Open.

[6]  M. Rathinasamy,et al.  An exploratory study on the propagation of SARS‐CoV‐2 variants: Omicron is the most predominant variant , 2022, Journal of Medical Virology.

[7]  Z. Memish,et al.  Guidance for the pharmacological management of COVID-19 in the emergency setting , 2022, Expert opinion on pharmacotherapy.

[8]  Qi Qin,et al.  Rapid development of an updated mRNA vaccine against the SARS-CoV-2 Omicron variant , 2022, Cell Research.

[9]  A. Al-Eyadhy,et al.  Healthcare Workers’ SARS-CoV-2 Omicron Variant Uncertainty-Related Stress, Resilience, and Coping Strategies during the First Week of the World Health Organization’s Alert , 2022, International journal of environmental research and public health.

[10]  P. Galanis,et al.  Willingness, refusal and influential factors of parents to vaccinate their children against the COVID-19: A systematic review and meta-analysis , 2022, Preventive Medicine.

[11]  R. Viner,et al.  Which children and young people are at higher risk of severe disease and death after hospitalisation with SARS-CoV-2 infection in children and young people: A systematic review and individual patient meta-analysis , 2022, eClinicalMedicine.

[12]  Karl A. Soetebier,et al.  Trends in Disease Severity and Health Care Utilization During the Early Omicron Variant Period Compared with Previous SARS-CoV-2 High Transmission Periods — United States, December 2020–January 2022 , 2022, MMWR. Morbidity and mortality weekly report.

[13]  Z. Memish,et al.  The Emergence of the Omicron (B.1.1.529) SARS-CoV-2 Variant: What is the Impact on the Continued Pandemic? , 2022, Journal of Epidemiology and Global Health.

[14]  Feifan Chen,et al.  Parents’ and Guardians’ Willingness to Vaccinate Their Children against COVID-19: A Systematic Review and Meta-Analysis , 2022, Vaccines.

[15]  N. Volkow,et al.  Comparison of outcomes from COVID infection in pediatric and adult patients before and after the emergence of Omicron , 2022, medRxiv.

[16]  Choudhary Sobhan Shakeel,et al.  Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors , 2022, Vaccines.

[17]  D. McDonnell,et al.  Mind the “worry fatigue” amid Omicron scares , 2021, Brain, Behavior, and Immunity.

[18]  A. Taha,et al.  Parental Worrying, Family Functioning, and Quality of Life During the COVID-19 Pandemic , 2021, Nursing research.

[19]  R. Lorenzo-Redondo,et al.  Has Omicron Changed the Evolution of the Pandemic? , 2021, JMIR public health and surveillance.

[20]  Suresh Kumar,et al.  Omicron and Delta variant of SARS‐CoV‐2: A comparative computational study of spike protein , 2021, Journal of medical virology.

[21]  S. Alsubaie,et al.  Willingness, beliefs, and barriers regarding the COVID-19 vaccine in Saudi Arabia: a multiregional cross-sectional study , 2021, BMC Family Practice.

[22]  S. Karim,et al.  Omicron SARS-CoV-2 variant: a new chapter in the COVID-19 pandemic , 2021, The Lancet.

[23]  V. Saliba,et al.  Developing a sentinel syndromic surveillance system using school-absenteeism data, example monitoring absences over the 2020 COVID-19 pandemic , 2021, Epidemiology and Infection.

[24]  Haroon Hamid,et al.  Parenting practices, stressors and parental concerns during COVID-19 in Pakistan , 2021, Child Abuse & Neglect.

[25]  Z. Memish,et al.  COVID-19 Delta Variant: Perceptions, Worries, and Vaccine-Booster Acceptability among Healthcare Workers , 2021, Healthcare.

[26]  A. Al-Eyadhy,et al.  Parental Attitudes and Hesitancy About COVID-19 vs. Routine Childhood Vaccinations: A National Survey , 2021, Frontiers in Public Health.

[27]  F. Gallé,et al.  Knowledge and Lifestyle Behaviors Related to COVID-19 Pandemic in People over 65 Years Old from Southern Italy , 2021, International journal of environmental research and public health.

[28]  Yihai Cao The impact of the hypoxia‐VEGF‐vascular permeability on COVID‐19‐infected patients , 2021, Exploration.

[29]  M. Tadese,et al.  Attitude, preparedness, and perceived self-efficacy in controlling COVID-19 pandemics and associated factors among university students during school reopening , 2021, PloS one.

[30]  Yue-Cune Chang,et al.  Chinese Parental Awareness of Children's COVID-19 Protective Measures. , 2021, American journal of health behavior.

[31]  A. Hoffart,et al.  Mechanisms of parental distress during and after the first COVID-19 lockdown phase: A two-wave longitudinal study , 2021, PloS one.

[32]  A. Al-Eyadhy,et al.  SARS-CoV-2 B.1.1.7 UK Variant of Concern Lineage-Related Perceptions, COVID-19 Vaccine Acceptance and Travel Worry Among Healthcare Workers , 2021, Frontiers in Public Health.

[33]  M. Bean,et al.  Parents Are Stressed! Patterns of Parent Stress Across COVID-19 , 2021, Frontiers in Psychiatry.

[34]  Yaser A. Al Naam,et al.  Community practice of using face masks for the prevention of COVID-19 in Saudi Arabia , 2021, PloS one.

[35]  A. Al-Eyadhy,et al.  COVID-19 vaccine uptake among healthcare workers in the fourth country to authorize BNT162b2 during the first month of rollout , 2021, Vaccine.

[36]  M. Temsah,et al.  Coronavirus disease in children: A multicentre study from the Kingdom of Saudi Arabia , 2021, Journal of Infection and Public Health.

[37]  S. Hernández-Díaz,et al.  COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries , 2021, European Journal of Epidemiology.

[38]  T. Strine,et al.  Racial and Ethnic Differences in Parental Attitudes and Concerns About School Reopening During the COVID-19 Pandemic — United States, July 2020 , 2020, MMWR. Morbidity and mortality weekly report.

[39]  M. Bean,et al.  Parents are stressed! Patterns of parent stress across COVID-19 , 2020, Research square.

[40]  F. Bert,et al.  Reopening Schools during the COVID-19 Pandemic: Overview and Rapid Systematic Review of Guidelines and Recommendations on Preventive Measures and the Management of Cases , 2020, International journal of environmental research and public health.

[41]  L. Prosser,et al.  Factors Associated with School Attendance Plans and Support for COVID-19 Risk Mitigation Measures Among Parents and Guardians. , 2020, Academic pediatrics.

[42]  A. Al-Eyadhy,et al.  Knowledge, attitudes and practices of healthcare workers during the early COVID-19 pandemic in a main, academic tertiary care centre in Saudi Arabia , 2020, Epidemiology and Infection.

[43]  M. Ilyas,et al.  Knowledge and practice regarding prevention of COVID-19 among the Saudi Arabian population. , 2020, Work.

[44]  D. Christakis,et al.  Plans of US Parents Regarding School Attendance for Their Children in the Fall of 2020: A National Survey. , 2020, JAMA pediatrics.

[45]  A. Al-Eyadhy,et al.  The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country , 2020, Journal of Infection and Public Health.

[46]  P. Ferrando,et al.  Program FACTOR at 10: Origins, development and future directions , 2017, Psicothema.

[47]  OUP accepted manuscript , 2021, Health Promotion International.