Increasing Childhood Influenza Vaccination

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Nowalk, Mary Patricia ; Lin, Chyongchiou J. ; Hannibal, Kristin ; Reis, Evelyn C. ; Gallik, Gregory ; Moehling, Krissy K. ; Huang, Hsin-Hui ; Allred, Norma J. ; Wolfson, David H. ; Zimmerman, Richard K.
• Description:
  Background ; Since the 2008 inception of universal childhood influenza vaccination, national rates have risen more dramatically among younger children than older children and reported rates across racial/ethnic groups are inconsistent. Interventions may be needed to address age and racial disparities to achieve the recommended childhood influenza vaccination target of 70%. ; Purpose ; To evaluate an intervention to increase childhood influenza vaccination across age and racial groups. ; Methods ; In 2011–2012, 20 primary care practices treating children were randomly assigned to Intervention and Control arms of a cluster randomized controlled trial to increase childhood influenza vaccination uptake using a toolkit and other strategies including early delivery of donated vaccine, in-service staff meetings, and publicity. ; Results ; The average vaccination differences from pre-intervention to the intervention year were significantly larger in the Intervention arm (n=10 practices) than the Control arm (n=10 practices), for children aged 2–8 years (10.2 percentage points (pct pts) Intervention vs 3.6 pct pts Control) and 9–18 years (11.1 pct pts Intervention vs 4.3 pct pts Control, p<0.05), for non-white children (16.7 pct pts Intervention vs 4.6 pct pts Control, p<0.001), and overall (9.9 pct pts Intervention vs 4.2 pct pts Control, p<0.01). In multi-level modeling that accounted for person- and practice-level variables and the interactions among age, race and intervention, the likelihood of vaccination increased with younger age group (6–23 months), white race, commercial insurance, the practice’s pre-intervention vaccination rate, and being in the Intervention arm. Estimates of the interaction terms indicated that the intervention increased the likelihood of vaccination for non-white children in all age groups and white children aged 9–18 years. ; Conclusions ; A multi-strategy intervention that includes a practice improvement toolkit can significantly improve influenza vaccination uptake across age and racial groups without targeting specific groups, especially in practices with large percentages of minority children.
• Keywords:
  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Immunization Programs
  • Infant
  • Influenza Vaccines
  • Influenza, Human
  More +
• Source:
  Am J Prev Med. 47(4):435-443
• Pubmed ID:
  25113138
• Pubmed Central ID:
  PMC4208625
• Document Type:
  Journal Article
• Funding:
  U01 IP000321/IP/NCIRD CDC HHSUnited States/ ; UL1 RR024153/RR/NCRR NIH HHSUnited States/ ; UL1 TR000005/TR/NCATS NIH HHSUnited States/ ; UL1TR000005/TR/NCATS NIH HHSUnited States/
• Volume:
  47
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/36657/cdc_36657_DS1.pdf
• File Type:
  [PDF - 419.31 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e8d89b6df5f419dc30360593be9b07859db263d73bde5cfffe0bdf0b96691b40