{
  "abstract": "Background and purpose: COVID-19 vaccination remains an important public health strategy. Adolescents represent approximately 16% of the global population (1.3 billion), making their vaccine uptake a critical component of pandemic control. This study aimed to identify the factors and barriers influencing COVID-19 vaccination behaviors among adolescents in western Mexico.\n\nMethods: A non-experimental, observational, cross-sectional study was conducted in high school students aged 15–17 years. Data were collected through an online Google Forms questionnaire. Statistical analysis included chi-square or Fisher’s exact tests and binary logistic regression to evaluate factors associated with vaccination behavior.\n\nResults: A total of 838 adolescents were included, of whom 83% received at least one dose of the COVID-19 vaccine. Sociodemographic characteristics including age, sex, and religion, were not significantly associated with vaccination attitudes. In contrast, parental influence, particularly maternal attitudes and vaccination behaviors, showed a stronger association with adolescent vaccination status than paternal attitudes. Additionally, parental refusal, family dynamics, and structural accessibility barriers had a greater influence on vaccine hesitancy than concerns regarding vaccine safety or effectiveness among adolescents in western Mexico.\n\nConclusion: These findings highlight the need for public health strategies that address access barriers and family-centered approaches when evaluating adolescent vaccination behaviors. Interventions focused solely on correcting misinformation are unlikely to be sufficient without addressing these broader factors.",
  "abstract_shown": true,
  "affiliations": [
    "Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Biología Molecular y Genómica, Instituto de Investigación en Enfermedades, Crónico-Degenerativas",
    "Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Ciencias Sociales"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Alma Karen Silva-Magana"
    },
    {
      "affs": [
        0
      ],
      "name": "Adriana María Salazar-Montes"
    },
    {
      "affs": [
        0
      ],
      "name": "Laura Verónica Sánchez-Orozco"
    },
    {
      "affs": [
        0
      ],
      "name": "Belinda Vargas-Guerrero"
    },
    {
      "affs": [
        1
      ],
      "name": "Rocío Preciado-González"
    },
    {
      "affs": [
        1
      ],
      "name": "Irene Córdova-Jiménez"
    },
    {
      "affs": [
        0
      ],
      "name": "Carmen Magdalena Gurrola-Díaz"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3a93sxn7vqpw4.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1844561",
  "fulltext_url": null,
  "id": "3a93sxn7vqpw4",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1844561/full",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-04",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/3a93sxn7vqpw4.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T12:21:48Z",
      "native_id": "10.3389/fpubh.2026.1844561",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1844561/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Factors influencing COVID-19 vaccination among adolescents in Western Mexico: the role of family influence and access barriers",
  "title_text": "Factors influencing COVID-19 vaccination among adolescents in Western Mexico: the role of family influence and access barriers",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T00:21:28Z",
  "url": "https://research.draconitic.com/paper/3a93sxn7vqpw4",
  "venue": "Frontiers in Public Health",
  "versions": []
}