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Published on: January 30, 2017
Influenza vaccinations of young children increased with media coverage in 2003
K K Ma1, W Schaffner, C Colmenares
1Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Insights
Intense media coverage about the influenza season, combined with doctor recommendations, significantly boosted influenza vaccination rates in young children. This highlights the importance of public health messaging and physician advice for child immunization.
Area of Science:
- Pediatric Health
- Public Health Communication
- Vaccinology
Background:
- Influenza vaccination is crucial for protecting young children from severe illness.
- Understanding factors influencing vaccination uptake is essential for public health strategies.
- Media coverage can significantly impact public health behaviors.
Purpose of the Study:
- To assess the effect of extensive media coverage during the 2003-2004 influenza season on influenza vaccination status in children aged 6 to 59 months.
- To identify key predictors of influenza vaccination in this pediatric population.
Main Methods:
- A survey of parents of children (6-59 months) presenting to pediatric clinics in summer 2004.
- Ascertainment of child and family influenza vaccination status for the 2003-2004 season.
- Confirmation of vaccination dates via medical records or state immunization registries.
Main Results:
- Influenza vaccination rates increased significantly after mid-November 2003, coinciding with intense media coverage.
- Media coverage explained 85% of the variation in influenza vaccinations.
- Physician recommendation, family vaccination history, clinic visits, and high-risk medical conditions were strong predictors of vaccination.
Conclusions:
- Media campaigns, particularly when coupled with physician recommendations, are vital for increasing influenza vaccination rates in children.
- Targeted interventions leveraging media and healthcare provider advice can improve pediatric immunization coverage.
Objective:
We sought to evaluate the impact of intense influenza media coverage during the 2003-2004 influenza season on the influenza vaccination status of children 6 to 59 months of age.
Methods:
Children 6 to 59 months of age who presented to a large, academic pediatric continuity clinic or affiliated acute care clinic in the summer of 2004 were enrolled. A parental survey ascertained the influenza vaccination status of the child and family members during the 2003-2004 influenza season and factors that influenced their vaccination status. For children vaccinated in the clinic or health department, influenza vaccination dates were confirmed in a computerized medical chart or state immunization registry.
Results:
Of 256 enrolled children, 98 (38%) parents reported that their child had received the 2003-2004 influenza vaccine, and 64 (65%) had confirmed influenza vaccination dates. Unlike the previous influenza season in which confirmed influenza vaccination dates from a similar study population were distributed more evenly from October through December, most children (75%) with confirmed vaccination dates received the vaccine after the media coverage in mid-November. Influenza vaccinations per week increased dramatically after the media coverage began (2.4 vs 8.6 per week; t test: P < .001). In late November and December 2003, the influenza-related media coverage, which focused primarily on an early, severe influenza season, increased dramatically and explained 85% of the variation in influenza vaccinations. Multivariate analysis showed that recalling a physician recommendation (odds ratio [OR]: 6.8; 95% confidence interval [CI]: 2.3-19.7), having a family member who had received the influenza vaccine (OR: 9.5; 95% CI: 4.3-21.3), having a continuity clinic visit between October and January (OR: 4.5; 95% CI: 2.0-10.1), and having a high-risk medical condition (OR: 2.9; 95% CI: 1.1-7.8) strongly predicted the influenza vaccination status in the children.
Conclusion:
Media coverage in conjunction with explicit physician recommendation for children and their contacts are key factors that are associated with influenza vaccination rates in children.
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