Association between provider recommendation and influenza vaccination status among children

Details

• Alternative Title:
  Vaccine
• Personal Author:
  Kahn, Katherine E. ; Santibanez, Tammy A. ; Zhai, Yusheng ; Bridges, Carolyn B.
• Description:
  Background
  
  Provider recommendation is associated with influenza vaccination receipt. The objectives of this study were to estimate the percentage of children 6 months–17 years for whom a provider recommendation for influenza vaccination was received, identify factors associated with receipt of provider recommendation, and evaluate the association between provider recommendation and influenza vaccination status among children.
  
  Methods
  
  National Immunization Survey-Flu (NIS-Flu) parentally reported data for the 2013–14, 2014–15, and 2015–16 seasons were analyzed. Tests of association between provider recommendation and demographic characteristics were conducted using Wald chi-square tests and pairwise comparison t-tests. Multivariable logistic regression was used to determine variables independently associated with receiving provider recommendation and the association between provider recommendation and influenza vaccination status.
  
  Results
  
  Approximately 70% of children had a parent report receiving a provider recommendation for influenza vaccination for their child. The strongest association between receipt of provider recommendation and demographic characteristics was with child’s age, with younger children (6–23 months, 2–4 years, and 5–12 years) being more likely to have a provider recommendation than older children (13–17 years). In addition, children living in a household above poverty with household income >$75,000 were more likely to have a parent report receipt of a provider recommendation than children living below poverty. Children with a provider recommendation were twice as likely to be vaccinated than those without.
  
  Conclusions
  
  This study affirms the importance of provider recommendation for influenza vaccination among children. Ensuring that parents of all children receive a provider recommendation may improve vaccination coverage.
  
  
• Subjects:
  Adolescent Child Child, Preschool Female Health Knowledge, Attitudes, Practice Health Surveys Humans Infant Influenza, Human Influenza Vaccines Male Parents Referral And Consultation Seasons Social Class United States Vaccination

  More +
• Keywords:
  Immunization Influenza,human Surveys And Questionnaires Vaccination Coverage
• Source:
  Vaccine. 36(24):3486-3497
• Pubmed ID:
  29764679
• Pubmed Central ID:
  PMC6432907
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  36
• Issue:
  24
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:de25b9d005c7b94daa744fca8822c1f04ae45f9a68fb35b7133cb176797dc2fd
• Download URL:
  https://stacks.cdc.gov/view/cdc/76999/cdc_76999_DS1.pdf
• File Type:
  [PDF - 296.88 KB ]