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Published on: June 25, 2015
Influenza vaccine coverage and predictive factors associated with influenza vaccine uptake among pediatric patients
Celeste L Y Ewig1, Ka Ming Tang1, Ting Fan Leung2
1School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
Insights
Influenza vaccine coverage remains low in children, with only 35.1% fully vaccinated. Improving parental understanding of influenza and its vaccine is key to increasing pediatric vaccination rates.
Area of Science:
- Pediatric infectious diseases
- Vaccinology
- Public health
Background:
- Severe influenza cases are reported annually in unvaccinated infants and children, despite health authority recommendations.
- Influenza vaccination is crucial for pediatric populations to prevent severe illness.
Purpose of the Study:
- To investigate influenza vaccine coverage among pediatric patients.
- To identify predictive factors associated with influenza vaccination status in children.
Main Methods:
- A cross-sectional survey was conducted with parents of pediatric patients (aged 6 months to 17 years) at a Hong Kong outpatient clinic.
- Questionnaires assessed child's vaccination status, parental understanding, beliefs about influenza, and vaccine perceptions.
- Backward logistic regression analysis identified factors influencing influenza vaccine uptake.
Main Results:
- Full vaccination was achieved by 35.1% of the 405 pediatric patients studied.
- Positive vaccination status was linked to "very good" parental understanding of influenza and its vaccine (aOR, 6.7).
- Other predictors included children with chronic conditions and "high" cues to action (aOR, 5.7), and "high" perceived susceptibility to influenza (aOR, 4.8).
Conclusions:
- The study highlights low influenza vaccine coverage in the pediatric population.
- Targeted interventions to enhance parental knowledge and understanding of influenza vaccination are recommended.
- Improving parental awareness may significantly increase future pediatric vaccine uptake.
Background:
Despite recommendations from health care authorities, reports of severe influenza occur yearly among unvaccinated infants and children.
Objectives:
This study investigated influenza vaccine coverage and predictive factors for vaccination status among pediatric patients during the 2016-2017 winter influenza season.
Methods:
A cross-sectional survey was conducted among parents of our study population identified through a major pediatric outpatient clinic in Hong Kong. Parents with a child aged 6 months to 17 years were invited to complete a questionnaire that assessed the current influenza vaccine status of the child and the parents' understanding and beliefs regarding influenza and its vaccine. A backward logistic regression was conducted to determine predictive factors and adjusted odds ratios associated with influenza vaccine uptake.
Results:
Our study included 348 parents and 405 pediatric patients. Of these, 142 pediatric patients (35.1%) received full vaccination. Predictive factors associated with the child's positive influenza vaccine status include a "very good" parental understanding of influenza and its vaccine (adjusted odds ratio, 6.7; 95% confidence interval, 2.1-21.5), a child with chronic medical condition and a "high" cue to action (adjusted odds ratio, 5.7; 95% confidence interval, 2.8-11.6), and a "high" perceived susceptibility toward influenza (adjusted odds ratio, 4.8; 95% confidence interval, 2.1-10.8).
Conclusions:
This study reflects the low influenza vaccine coverage among pediatric patients. Interventions focusing on parental knowledge and understanding of influenza and its vaccine may improve future vaccine uptake among the pediatric population.
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