Determinants of Influenza Vaccination Among Young Children in an Inner-City Community

ArticleinJournal of Community Health 37(3):663-72 · November 2011with20 Reads
DOI: 10.1007/s10900-011-9497-9 · Source: PubMed
Few studies have examined potential factors that contribute to low influenza vaccination rates among minority children. This study aimed to assess the prevalence of early childhood influenza vaccination among young black and Latino children, living in inner-city neighborhoods, and examine the effects of child, caregiver and health system factors. Secondary data analysis was performed using a survey about medical home experiences conducted from May 2007-June 2008. The study sample was limited to children ≥6 months in any influenza season prior to the 2006-2007 influenza season. Bivariate analyses and multivariable logistic regression tested associations between influenza vaccination receipt and socio-demographic and health system characteristics. One-third of children received an influenza vaccination by the end of 2006-2007 season, while only 11% received a vaccination within their first season of eligibility. Black children were more likely than Latino children to have been vaccinated (50% vs. 31%, P<0.01) during their first few eligible seasons. Children whose mothers were older, proficient in English, and frequent users of healthcare were more likely to obtain vaccination. Child attendance at healthcare settings with immunization reminder systems was also positively correlated with influenza vaccination. Our findings suggest that initial vaccination receipt among minority children from inner-city communities might be improved by expanded influenza promotion activities targeting younger mothers or those with limited English proficiency. Strategies to increase the frequency of child's actual contact with the medical home, such as reminder systems, may be useful in improving uptake of influenza vaccination among inner-city, minority children.
    • "As a result, Latinos are 23% less likely to see a physician and have 70% lower uptake of influenza vaccination compared with white non-Latino Americans [14]. Furthermore, the children of non–English-speaking Latino caregivers are less likely to be vaccinated against influenza, creating a public health challenge that extends across generations [35]. Differences in vaccination rates that are likely to persist across generations have also been demonstrated in a study by Uddin and colleagues, which showed that influenza vaccine uptake among university students whose parents had some college education or less were 5 times lower than the vaccine uptake among students whose parents had a some graduate school-level education [36]. "
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    • "Education thus seems to be an intermediate factor that is affected and affects other factors. In addition, previous studies have found conflicting results of higher education acting as a promoter [20][21][22][23]or a barrier [24][25][26]. Interestingly, previous studies have found that individuals with a personal experience of a particular disease were more supportive of vaccination against the disease [10,14,15]. "
    [Show abstract] [Hide abstract] ABSTRACT: Background: The first dengue vaccine (DV) has been licensed in some countries, but an assessment of the public's acceptance of DV is widely lacking. This study aimed to explore and understand DV acceptance and its associated explanatory variables among healthy inhabitants of Aceh, Indonesia. Methods: A community-based cross-sectional survey was conducted from November 2014 to March 2015 in nine regencies of Aceh that were selected randomly. A set of validated questionnaires covering a range of explanatory variables and DV acceptance was used to conduct the interviews. A multi-step logistic regression analysis and Spearman's rank correlation were employed to assess the role of explanatory variables in DV acceptance. Results: We included 652 community members in the final analysis and found that 77.3% of them were willing to accept the DV. Gender, monthly income, socioeconomic status (SES), attitude toward dengue fever (DF) and attitude toward vaccination practice were associated with DV acceptance in bivariate analyses (P<0.05). A correlation analysis confirmed that attitude toward vaccination practice and attitude toward DF were strongly correlated with DV acceptance, rs=0.41 and rs=0.39, respectively (P<0.001). The multivariate analysis revealed that a high monthly income, high SES, and a good attitude toward vaccination practice and toward DF were independent predictors of DV acceptance. Conclusion: The acceptance rate of the DV among inhabitants of Aceh, Indonesia was relatively high, and the strongest associated factors of higher support for the DV were a good attitude toward vaccination practices and a good attitude toward DF.
    Full-text · Article · May 2016
    • "This reinforces the norm of vaccination, and leaves the person with a positive final recollection. Set an appointment for the next shots right away, and send a reminder close to the date [27]. "
    Full-text · Article · Jan 2016
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