Association between provider recommendation and influenza vaccination status among children

Details

• Journal Article:
  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 Vaccines
  • Influenza, Human
  More +
• Keywords:
  • Child
  • Immunization
  • Influenza,human
  • Surveys and questionnaires
  • Vaccination
  • Vaccination coverage
• Source:
  Vaccine. 36(24):3486-3497
• DOI:
  http://dx.doi.org/10.1016/j.vaccine.2018.04.077
• Pubmed ID:
  29764679
• Pubmed Central ID:
  PMC6432907
• Document Type:
  Text ; Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  36
• Issue:
  24
• Download URL:
  https://stacks.cdc.gov/view/cdc/76999/cdc_76999_DS1.pdf
• File Type:
  [PDF - 296.88 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:e6c03baf46a23f6f1c1775157544731c7d598d33f347387b41da9248536c3c5a886260d97d72130fbaaea004802791c7102d58166ec714c37a4f88ff5a3b98db