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Published on: August 14, 2019
Parental risk perception and influenza vaccination of children in daycare centres
T N Offutt-Powell1, R P Ojha, R Qualls-Hampton
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Insights
Parental prevention behaviors and doctor recommendations strongly influence childhood influenza vaccination rates in daycare settings. Understanding these factors is key to increasing vaccination coverage for healthy children.
Area of Science:
- Pediatric Health
- Vaccinology
- Public Health
Background:
- Limited data exists on parental perceptions of influenza vaccination for healthy children in daycare.
- Influenza vaccination is crucial for preventing illness in young children, especially those in group settings.
Purpose of the Study:
- To investigate the association between parental risk perception and influenza vaccination status in healthy children attending daycare.
- To identify key parental factors influencing influenza vaccination decisions for children aged 6-59 months.
Main Methods:
- A survey was administered to parents of children (6-59 months) in licensed daycare centers in Tarrant County, Texas.
- Conditional logistic regression with penalized conditional likelihood was used to analyze parental risk perception factors and vaccination.
- Odds ratios (ORs) and 95% profile likelihood confidence intervals (PL) were calculated.
Main Results:
- High levels of parental prevention behaviors were significantly associated with increased influenza vaccination (OR 9.1).
- Physician recommendation showed a strong association with influenza vaccination (OR 8.2).
- Parental risk perception factors were explored in relation to vaccination decisions.
Conclusions:
- Parental prevention behaviors and physician recommendations are critical determinants of influenza vaccination in healthy daycare-attending children.
- Findings can inform public health strategies to improve influenza vaccination coverage in this population.
- Further research into parental perceptions can enhance targeted interventions.
Abstract:
Little information is available about perceptions of influenza vaccination of parents with healthy children in daycare. Therefore, we systematically explored the relationship between parental risk perception and influenza vaccination in children attending daycare. We distributed a self-administered paper survey to parents of children aged 6-59 months attending licensed daycare centres in Tarrant County, Texas. We used conditional logistic regression with penalized conditional likelihood to estimate odds ratios (ORs) and 95% profile likelihood confidence limits (PL) for parental risk-perception factors and influenza vaccination. A high level of parental prevention behaviours (OR 9.1, 95% PL 3.2, 31) and physician recommendation (OR 8.2, 95% PL 2.7, 30) had the highest magnitudes of association with influenza vaccination of healthy children in daycare. Our results provide evidence about critical determinants of influenza vaccination of healthy children in daycare, which could help inform public health interventions aimed at increasing influenza vaccination coverage in this population.
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