Parental Perspectives on Influenza Immunization of Children Aged 6 to 23 Months

ArticleinAmerican Journal of Preventive Medicine 29(3):210-4 · October 2005with4 Reads
DOI: 10.1016/j.amepre.2005.05.010 · Source: PubMed
For the first time, in 2002, the Advisory Committee on Immunization Practices encouraged the vaccination of healthy children 6 to 23 months against influenza, whenever feasible. Participating inner-city health centers designed interventions to introduce influenza vaccination among this group of children. The study was designed to assess parents' attitudes toward the vaccine. Following the 2002-2003 influenza vaccination season, parents were surveyed to identify barriers to and facilitators of influenza vaccination. A low-literacy level, 19-question survey was mailed to parents in three waves, 4 weeks apart. A subset of children had medical record data available to confirm vaccination status. Measures of validity were calculated. This paper focused only on the children whose parent-reported vaccination status was concordant with that reported in medical records (n = 193). Associations of responses to vaccination status were calculated in 2004, using chi-square and logistic regression procedures. Sensitivity was 85.7% and specificity was 66% (kappa = 0.50), assessing the ability of parents to recall receipt or nonreceipt of influenza vaccine. The most important factors related to immunization of healthy infants were perceived doctor's recommendation (odds ratio [OR] = 5.5; 95% confidence interval [CI] = 2.4-12.3; p < 0.001) and belief that getting an influenza shot is a smart idea (OR = 3.5; 95% CI = 1.3-8.9; p < 0.01) for those with medical record-confirmed vaccination status. A clear message that the doctor recommends influenza vaccination for a child is an important factor for ensuring vaccination, and may foster the idea that vaccination is "smart."
    • "In other words, nurses and physicians serve as meaningful cues to action. Nurse and physician recommendations were also previously identified as exerting potentially important influences on parents' decisions whether to vaccinate their children (Gnanasekaran et al., 2006; Malosh et al., 2014; Nowalk et al., 2005). The results suggest that parents belonging to the ethnic minority of Israeli Muslim Arabs have high regard for Western medicine and figures of authority in Western medicine, and that direction and guidance provided by these figures will probably result in preventive action (Elnekave & Gross, 2004). "
    [Show abstract] [Hide abstract] ABSTRACT: Design and methods: This study is a cross sectional quantitative study. A convenience sample of 200 parents of children aged 12 and younger completed a questionnaire based on the HBM. Results: Perceived susceptibility, severity, benefits, and barriers predicted 88% of parents' intention to vaccinate their children. Parents who vaccinated their children in the past year were younger and had fewer children. Community nurses and physicians were identified as important cues to action. Conclusions: The HBM components predicted a high percentage of parents' intention to vaccinate their children PRACTICE IMPLICATIONS: Interventions to raise vaccination coverage rates among children belonging to an ethnic minority of Israeli Muslim Arabs should begin on the micro level of the parent-health care professional encounter.
    Full-text · Article · Feb 2016
    • "In studies that used quantitative methods, one applied the theory of reasoned action (Lin et al., 2006; Nowalk et al., 2005), one applied the HBM (Gnanasekaran et al., 2006; Tuma et al., 2002), and two studies applied neither (Esposito et al., 2006; Humiston et al., 2005). Of the reasoned action studies, one only focused on the influence of vaccines and did not consider caregiver perceptions of susceptibility of influenza (Lin et al., 2006), and one did not consider caregiver perceptions of the severity of influenza (Nowalk et al., 2005). Of the studies that have applied HBM, one did not test the components of cues to action and perceived benefits (Gnanasekaran, 2006); another did not characterize the caregivers and their children and did not evaluate possible confounding factors in the results of the study (Tuma et al., 2002). "
    [Show abstract] [Hide abstract] ABSTRACT: This study applied the Health Belief Model to investigate factors in the decision by caregivers to vaccinate their children for influenza. Cross-sectional study. SAMPLE AND MEASUREMENTS: Purposive sampling obtained 2,778 useable responses to surveys of 33 public health centers and 40 medical institutions participating in vaccination programs in southern Taiwan. Data were collected using the Caregiver Demographics and Children's Health History Questionnaire, Children's Influenza Vaccination History Questionnaire, and a Health Belief Model Questionnaire. Multiple logistic regression was used to analyze predictors of influenza vaccinations in children. Predictors of vaccination revealed by logistic regression analysis included age, current employment, and residence of the caregiver as well as chronic disease, hospitalization, and influenza histories of the child. Other predictors revealed by the Health Belief Model were perceived susceptibility of the children to influenza, perceived benefits of vaccinations to children, perceived barriers to vaccinations, and cues to action. Eleven items in the model were also significant predictors of vaccination. The survey results can be used to develop strategies for increasing influenza vaccination rates.
    Full-text · Article · Jan 2011
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    Conference Paper · Jun 2004 · Journal of Community Health Nursing
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