Parent Intent and Willingness to Immunize Children Against Influenza in the Pediatric Emergency Department

Rebecca Hart · Ronald I. Paul · Kendra Sikes · Kristina A. Bryant · Michelle D. Stevenson

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Vaccine Coverage and Hesitancy Influenza Virus Research Studies Intramuscular injections and effects

Abstract

OBJECTIVES: To determine rates of influenza immunization among children treated in a pediatric emergency department (ED) and to ascertain parent willingness for children to receive influenza vaccine (IV) in the ED. METHODS: Interviews were conducted with parents of children 6 months or older evaluated in the ED for minor illness or injury. Demographic data, IV history, and intent and willingness to receive future IV were recorded during the summer of 2013. Participants were contacted in March 2014 to assess IV status, barriers to obtaining IV, and willingness to obtain IV in the ED. Chart review determined number of patients who were at high risk. RESULTS: Of 457 families approached, 285 (62%) were enrolled. Two hundred forty-two (85%) intended to vaccinate; 83% reported willingness to receive IV at a future ED visit. Common reasons for not receiving IV were concerns about adverse effects (31%) and lack of time or interest (24%). Of the 224 participants (79%) reached in follow-up, 112 (50%) had received IV in the prior season. Among those who did not receive IV, 65 (66%) had intended to vaccinate, and 54 (55%) indicated they would have accepted IV in the ED. Fifty-three (54%) of unvaccinated patients at follow-up had high risk of influenza complications. CONCLUSIONS: Our data support an IV program in the pediatric ED as a means of increasing vaccination rates, particularly among high-risk patients. Parents are often concerned about adverse effects of IV, and providers should target education in this area.

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References

2012Effect of a Text Messaging Intervention on Influenza Vaccination in an Urban, Low-Income Pediatric and Adolescent Population 2010Parents' decision-making regarding vaccinating their children against influenza: A web-based survey 2012Barriers to and facilitators of child influenza vaccine – Perspectives from parents, teens, marketing and healthcare professionals 2015Parental vaccine hesitancy and acceptance of seasonal influenza vaccine in the pediatric emergency department 2010Parental Attitudes About Influenza Immunization and School-Based Immunization for School-Aged Children 2010Healthcare workers as parents: attitudes toward vaccinating their children against pandemic influenza A/H1N1 2004Efficacy of a Pediatric Emergency Department–Based Influenza Vaccination Program 2011Parental reasons for non-uptake of influenza vaccination in young at-risk groups: a qualitative study

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2022Understanding Influenza and SARS-CoV-2 Vaccine Hesitancy in Racial and Ethnic Minority Caregivers 2021Vaccinating in the Emergency Department, a Model to Overcome Influenza Vaccine Hesitancy 2022Beyond Influenza Vaccination: Expanding Infrastructure for Hospital-based Pediatric COVID-19 Vaccine Delivery

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