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Trust and a school-located immunization program.

Tiana L Won1, Amy B Middleman2, Beth A Auslander3

  • 1Baylor College of Medicine, Houston, Texas.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|April 13, 2015
PubMed
Summary
This summary is machine-generated.

Parental trust in school immunization programs is linked to income, language, and prior participation. Interventions may boost trust and vaccine uptake in low-income, Hispanic communities.

Keywords:
Adolescent health servicesHispanicSchool-located immunization programsSocioeconomic statusTrust

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Area of Science:

  • Public Health
  • Health Communication
  • Vaccinology

Background:

  • Parental trust is crucial for the success of school-located immunization programs (SLIPs).
  • Understanding factors influencing parental trust can inform program development and improve vaccine uptake.
  • Previous research has not fully explored the variables associated with trust in SLIPs and the impact of targeted interventions.

Purpose of the Study:

  • To identify variables associated with parental trust in school-located immunization programs (SLIPs).
  • To evaluate the effectiveness of trust-building interventions on parental trust and participation in SLIPs.

Main Methods:

  • A randomized controlled trial was conducted across eight schools, with four assigned to a trust-building intervention and four as controls.
  • Parents completed a five-item trust survey before SLIP implementation in two consecutive years (2012 and 2013).
  • Multiple linear regression analyzed associations between demographic/experiential variables and trust scores; intervention vs. control group trust scores and SLIP participation rates were compared.

Main Results:

  • Baseline trust scores averaged 3.59 out of 5. Significant predictors of trust included household income, survey language, prior SLIP participation, child's insurance status, and perceived vaccine importance (R² = .06, p < .001).
  • No significant difference in trust was found between intervention and control schools in year 1 (p = .8). A modest, non-significant difference emerged in year 2 (3.66 vs. 3.57, p = .07).
  • Year 1 SLIP participation rates were higher in intervention schools (7.7%) compared to control schools (4.3%).

Conclusions:

  • Parental trust in SLIPs among a low-income, predominantly Hispanic population in Texas was moderately high.
  • Demographic and experiential factors significantly influence parental trust in SLIPs.
  • Interventions focusing on enhancing perceived vaccine importance and program participation show potential for increasing parental trust in SLIPs.