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Association between provider recommendation and influenza vaccination status among children

Katherine E Kahn1, Tammy A Santibanez2, Yusheng Zhai1

  • 1Leidos, Inc., Atlanta, Georgia, USA; Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Vaccine
|May 17, 2018
PubMed

Insights

Provider recommendations significantly increase influenza vaccination rates in children. Younger children and those from higher-income households are more likely to receive these recommendations, highlighting areas for improved vaccine access.

Area of Science:

  • Pediatric Health
  • Public Health
  • Vaccinology

Background:

  • Provider recommendation is a key factor in influenza vaccination receipt among children.
  • Understanding factors influencing recommendation receipt is crucial for improving vaccination coverage.
  • Influenza vaccination remains a critical preventive measure for pediatric populations.

Purpose of the Study:

  • To estimate the proportion of children (6 months-17 years) receiving a provider recommendation for influenza vaccination.
  • To identify demographic and socioeconomic factors associated with receiving such recommendations.
  • To evaluate the impact of provider recommendations on influenza vaccination status in children.

Main Methods:

  • Analysis of National Immunization Survey-Flu (NIS-Flu) data from 2013-2016.
  • Utilized Wald chi-square tests and t-tests for demographic associations.
  • Employed multivariable logistic regression to identify independent predictors and vaccination associations.

Main Results:

  • Approximately 70% of children received a provider recommendation for influenza vaccination.
  • Younger children (6 months-12 years) and those from households above poverty with income >$75,000 were more likely to receive recommendations.
  • Children with a provider recommendation were twice as likely to be vaccinated compared to those without.

Conclusions:

  • Provider recommendations are strongly associated with increased influenza vaccination rates in children.
  • Targeted efforts to ensure all children receive provider recommendations could significantly improve vaccination coverage.
  • Addressing disparities in recommendation receipt may enhance public health outcomes.
Abstract

Keywords:
ChildImmunizationInfluenza, humanSurveys and questionnairesVaccinationVaccination coverage

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