en ● Health Education مقاله اصيل پژوهشي Orginal Article <p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Tahoma;"><span style="line-height:2;"><b><span style="color:#333333">Background:</span></b><b> </b>Effective vaccination among children is essential for controlling the COVID-19 pandemic. Understanding the factors influencing parental decision-making is critical to improving vaccine uptake among children. This study, conducted in 2021 to determine parents&#39; intentions regarding COVID-19 vaccination for children aged 3&ndash;18 years in Guilan Province using the BASNEF model.<br> <b><span style="color:#333333">Methods: </span></b>This analytical cross-sectional study was conducted among 688 parents selected through multistage cluster random sampling. Data were collected using a structured questionnaire comprising demographic information, knowledge, and BASNEF model constructs. Data were analyzed using SPSS software version 21, and the significance level was considered as p-value < 0.005.<span style="font-family:&quot;Times New Roman&quot;,serif"></span><br> <b><span style="color:#333333">Results:</span></b> Stepwise multiple regression analysis revealed that subjective norms (p < 0.001), attitudes (p < 0.001), knowledge (p < 0.001), maternal decision-making (p = 0.001), joint parental decision-making (p < 0.001), parental vaccination status (p = 0.03), and having a vaccinated child (p = 0.002) collectively explained 56% of the variance in parental behavioral intention.<br> <b><span style="color:#333333">Conclusion:</span></b> Parental intention to vaccinate children against COVID-19 is strongly influenced by knowledge, attitudes, subjective norms, and decision-making patterns. The BASNEF model effectively identifies these factors, guiding targeted strategies to improve vaccine uptake.</span></span></span></p> Intention, COVID-19 vaccine, BASNEF Model, Knowledge 9 9 http://jrh.gmu.ac.ir/browse.php?a_code=A-10-2667-1&slc_lang=en&sid=1 Narjes Nikpey n.nikpey1994@gmail.com 100319475328460047495 100319475328460047495 No Health and Environment Research Center, Guilan University of Medical Sciences, Rasht, Iran Fataneh Bakhshi Fa.bakhshi88@gmail.com 100319475328460047496 100319475328460047496 Yes Social Determinants of Health Research Center, School of Health, Guilan University of Medical Sciences, Rasht, Iran Abtin Heidarzadeh Abtinh@gmail.com 100319475328460047497 100319475328460047497 No Medical Education Research Center Guilan University of Medical Sciences, Rasht, Iran Maryam Shakiba shakiba_mm@yahoo.com 100319475328460047498 100319475328460047498 No Cardiovascular Diseases Research Center, Department of Epidemiology and Biostatistics, School of Health, Guilan University of Medical Sciences, Rasht, Iran Atoosa Rahbar rahbaratoosa@gmail.com 100319475328460047499 100319475328460047499 No Head of Health Education and Health Promotion Unit, Health deputy, Guilan University of Medical Sciences, Rasht, Iran