Urban and Rural Differences in Parental Attitudes About Influenza Vaccination and Vaccine Delivery Models

Sean T. O’Leary · Juliana G. Barnard · Steven Lockhart · Maureen Kolasa · Doron Shmueli · L. Miriam Dickinson +3 more

22 citations0/0 files storedThe Journal of Rural Health

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Vaccine Coverage and Hesitancy Child and Adolescent Health Intramuscular injections and effects

Abstract

OBJECTIVES: To assess and compare among parents of healthy children in urban and rural areas: (1) reported influenza vaccination status; (2) attitudes regarding influenza vaccination; and (3) attitudes about collaborative models for influenza vaccination delivery involving practices and public health departments. METHODS: A mail survey to random samples of parents from 2 urban and 2 rural private practices in Colorado from April 2012 to June 2012. RESULTS: The response rate was 58% (288/500). In the prior season, 63% of urban and 41% of rural parents reported their child received influenza vaccination (P < .001). No differences in attitudes about influenza infection or vaccination between urban and rural parents were found, with 75% of urban and 73% of rural parents agreeing their child should receive an influenza vaccine every year (P = .71). High proportions reported willingness to participate in a collaborative clinic in a community setting (59% urban, 70% rural, P = .05) or at their child's provider (73% urban, 73% rural, P = .99) with public health department assisting. Fewer (36% urban, 53% rural, P < .01) were likely to go to the public health department if referred by their provider. Rural parents were more willing for their child to receive vaccination outside of their provider's office (70% vs. 55%, P = .01). CONCLUSIONS: While attitudes regarding influenza vaccination were similar, rural children were much less likely to have received vaccination. Most parents were amenable to collaborative models of influenza vaccination delivery, but rural parents were more comfortable with influenza vaccination outside their provider's office, suggesting that other venues for influenza vaccination in rural settings should be promoted.

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References

2004Identification and Recall of Children With Chronic Medical Conditions for Influenza Vaccination 2012Barriers to and facilitators of child influenza vaccine – Perspectives from parents, teens, marketing and healthcare professionals 2007Misperceptions About Influenza Vaccination Among Parents of Healthy Young Children 2005Parental Perspectives on Influenza Immunization of Children Aged 6 to 23 Months 2004Immunization Coverage Levels Among 19- to 35-Month-Old Children in 4 Diverse, Medically Underserved Areas of the United States 2010Parental Attitudes About Influenza Immunization and School-Based Immunization for School-Aged Children 2003Potential Burden of Universal Influenza Vaccination of Young Children on Visits to Primary Care Practices 2008Additional Visit Burden for Universal Influenza Vaccination of US School-Aged Children and Adolescents

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2022Barriers and facilitators of childhood flu vaccination: the views of parents in North East England 2018Predicting behavioral intentions to children vaccination among Chinese parents: an extended TPB model

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