Validity of Parental Report of Influenza Vaccination in Children 6 to 59 Months of Age

Myrick Clements Shinall · Erin J. Plosa · Katherine A. Poehling

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Vaccine Coverage and Hesitancy Influenza Virus Research Studies Survey Methodology and Nonresponse

Abstract

OBJECTIVE: The objective of this study was to assess the validity of parental report of influenza vaccinations. PATIENTS AND METHODS: A cross-sectional study of children who were 6 to 59 months of age and presented to a large, pediatric residency clinic from February through April 2005 was performed. A standardized, parental questionnaire ascertained the influenza vaccination status of children during the 2004-2005 influenza season and was compared with the medical chart, the criterion standard. Children were classified as being at high risk when they had a specific influenza vaccine recommendation in 2004-2005 by age (6-23 months of age) or by chronic medical condition. RESULTS: Of 218 parents approached in the pediatric residency clinic, 198 (95%) children who were 6 to 59 months of age were enrolled, and 84 (42%) were vaccinated according to the medical chart. More children who were 6 to 23 months than those who were 24 to 59 months of age were vaccinated (63% vs 21%). Children with chronic medical conditions were more likely to be vaccinated than healthy children who were 24 to 59 months of age (57% vs 11%), but no difference was observed for children who were 6 to 23 months of age (79% vs 60%). In comparison with the medical chart, parental report of influenza vaccination had a sensitivity of 88%, a specificity of 90%, and a kappa coefficient of 0.78. For children who were 6 to 23 months of age or had a chronic medical condition (n = 123), parental report had a sensitivity of 89%, a specificity of 81%, and a kappa coefficient of 0.71. CONCLUSIONS: Parental report of influenza vaccination among children who were 6 to 59 months of age had reasonable sensitivity, specificity, and reliability as compared with the medical chart in this study population.

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References

1999Validation of self-report of influenza and pneumococcal vaccination status in elderly outpatients 2003Sensitivity and specificity of patient self-report of influenza and pneumococcal polysaccharide vaccinations among elderly outpatients in diverse patient care strata 1997Errors and Correlates in Parental Recall of Child Immunizations: Effects on Vaccination Coverage Estimates 1993Accuracy of Immunization Histories Provided by Adults Accompanying Preschool Children to a Pediatric Emergency Department 1992Maternal recall error of child vaccination status in a developing nation.1998Estimating vaccination coverage using parental recall, vaccination cards, and medical records.2005Parental Perspectives on Influenza Immunization of Children Aged 6 to 23 Months 1989The accuracy of mother's reports about their children's vaccination status.

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