Influenza Vaccine: Awareness and Barriers to Immunization in Families of Children with Chronic Medical Conditions Other than Asthma

Ayesha Mirza · Asad Subedar · Sandra L. Fowler · Dennis L. Murray · Sandra R. Arnold · Debra A. Tristram +3 more

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

Abstract

OBJECTIVES: Children with chronic medical conditions (CMCs) are considered to be at increased risk for influenza and its related complications. Despite this, influenza immunization rates in the United States for children with CMCs in the primary care setting remain between 7-10%. This was a survey study looking at the barriers to influenza immunization among children with CMCs other than asthma. We examined caregiver knowledge and perceptions regarding influenza vaccine in addition to assessing other barriers, such as availability and perceived safety of the vaccine. METHODS: The study was conducted during the fall-winter influenza seasons of 2002-2003 and 2003-2004 at five academic institutions across the southeastern US. Convenience samples of 100-150 families attending pediatric subspecialty clinics were surveyed. RESULTS: A total of 794 surveys were completed. Controlling for disease, failure to recommend vaccination was significantly associated with failure to get the vaccine (P < 0.0001). Of the children who did not receive the vaccine, 61% of their parents believed that the vaccine itself could give influenza, 54% cited other safety concerns, and 30% thought it did not work. Among vaccine recipients, 163 (43%) reported that the primary care provider had given the vaccine, whereas 171 (45%) reported that the vaccine had been given at the subspecialty clinic. CONCLUSION: This study highlights the importance of physician recommendation, as well as parental education, as some of the key elements crucial to the receipt of influenza vaccination in children with CMCs.

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References

2000Influenza vaccination in children with asthma in Health Maintenance Organizations 2004Identification and Recall of Children With Chronic Medical Conditions for Influenza Vaccination 2006Influenza Among Healthy Young Children: Changes in Parental Attitudes and Predictors of Immunization During the 2003 to 2004 Influenza Season 2005Missed Opportunities for Influenza Vaccination in Children With Chronic Medical Conditions 2001A computerized reminder strategy is effective for annual influenza immunization of children with asthma or reactive airway disease 2006Influenza vaccination coverage among children with high-risk medical conditions 2006Influenza Vaccinations of Young Children Increased With Media Coverage in 2003 2005Parent Opinions About Universal Influenza Vaccination for Infants and Toddlers

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2020Knowledge and practice toward seasonal influenza vaccine and its barriers at the community level in Riyadh, Saudi Arabia 2013Update on immunizations for healthcare personnel in the United States 2015Vaccination of adolescents with chronic medical conditions: Special considerations and strategies for enhancing uptake 2013Parental risk perception and influenza vaccination of children in daycare centres

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