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Factors Associated With Repeat Pediatric Influenza Vaccination Among Inconsistent Vaccinators

Claire Abraham1,2,3, Melissa B Gilkey4, Kathleen E Walsh1,2

  • 1Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA.

Clinical Pediatrics
|October 18, 2024
PubMed

Insights

Consistent influenza vaccination is key to improving rates. School policies encouraging flu shots may boost repeat vaccination among children previously inconsistently vaccinated.

Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • Suboptimal influenza vaccination rates remain a public health concern.
  • Consistent vaccination practices are crucial for improving population immunity.
  • Understanding factors influencing repeat vaccination is essential for targeted interventions.

Purpose of the Study:

  • To evaluate the prevalence of repeat influenza vaccination.
  • To identify correlates of repeat influenza vaccination.
  • To examine factors associated with consistent flu vaccination in previously inconsistently vaccinated children.

Main Methods:

  • An online survey was conducted in 2022.
  • Parents of commercially insured children aged 3-19 years with prior inconsistent flu vaccination were recruited.
  • Data on vaccination status and reasons for vaccination were collected.

Main Results:

  • 85% of surveyed children received an influenza vaccine in the 2021-2022 season.
  • Parental concern about the child getting sick from flu was the primary vaccination driver for 61% of parents.
  • Repeat vaccination was less likely if school/daycare requirements were cited as a reason for prior vaccination (OR=0.17, CI=0.05-0.55).

Conclusions:

  • School and daycare vaccination policies may be effective in increasing repeat influenza vaccination rates.
  • Targeting interventions towards parents citing school requirements could enhance vaccination coverage.
  • Addressing parental concerns about illness is important for promoting consistent flu vaccination.

Keywords:
influenzainfluenza vaccinevaccine acceptancevaccine hesitancy

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