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Influenza among healthy young children: changes in parental attitudes and predictors of immunization during the 2003 to 2004 influenza season.
Pediatrics. 2006 Feb; 117(2):e268-77.Ped

Abstract

BACKGROUND

In Colorado, the 2003 to 2004 influenza season was unusually early and severe and received substantial media attention.

OBJECTIVES

Among parents of healthy young children, to determine how parental knowledge and attitudes regarding influenza infection and immunization changed during the 2003 to 2004 influenza season and to identify factors predictive of influenza immunization.

METHODS

The study was conducted in 5 metropolitan Denver pediatric practices. A total of 839 healthy children age 6 to 21 months and their parents were randomly selected for participation. Parents were surveyed by telephone before (August 18 to October 7, 2003) and after (March 31 to June 10, 2004) the influenza season.

RESULTS

Among 828 eligible parents, 472 (57%) completed the preseason survey; 316 (67%) of these parents subsequently completed the postseason survey. All analyses were performed for the 316 subjects who completed both preseason and postseason surveys. Compared with their attitudes before the influenza season, 48% of parents interviewed after the season viewed their child as more susceptible to influenza, 58% viewed influenza infections as more severe, and 66% perceived fewer risks associated with influenza vaccine. Ninety-five percent of parents reported hearing in the media about Colorado's influenza outbreak, and having heard about the outbreak in the media was associated with viewing influenza infections as more severe. A total of 258 parents (82%) immunized their child against influenza. In multivariate analyses, positive predictors of immunization included a physician recommendation for immunization and a preseason to postseason increase in the perception that immunization was the social norm. Negative predictors of immunization included high perceived barriers to immunization, less parental education, and preseason intention not to immunize.

CONCLUSIONS

Parent attitudes about influenza infection and immunization changed substantially during the 2003 to 2004 influenza season, with changes favoring increased parental acceptance of influenza vaccination for young children. During an intensively publicized influenza outbreak, a physician recommendation of vaccination was an important predictor of influenza immunization.

Authors+Show Affiliations

Pediatrics, University of Colorado, Health Sciences Center, Denver, Colorado, USA. daley.matthew@tchden.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16452334

Citation

Daley, Matthew F., et al. "Influenza Among Healthy Young Children: Changes in Parental Attitudes and Predictors of Immunization During the 2003 to 2004 Influenza Season." Pediatrics, vol. 117, no. 2, 2006, pp. e268-77.
Daley MF, Crane LA, Chandramouli V, et al. Influenza among healthy young children: changes in parental attitudes and predictors of immunization during the 2003 to 2004 influenza season. Pediatrics. 2006;117(2):e268-77.
Daley, M. F., Crane, L. A., Chandramouli, V., Beaty, B. L., Barrow, J., Allred, N., Berman, S., & Kempe, A. (2006). Influenza among healthy young children: changes in parental attitudes and predictors of immunization during the 2003 to 2004 influenza season. Pediatrics, 117(2), e268-77.
Daley MF, et al. Influenza Among Healthy Young Children: Changes in Parental Attitudes and Predictors of Immunization During the 2003 to 2004 Influenza Season. Pediatrics. 2006;117(2):e268-77. PubMed PMID: 16452334.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influenza among healthy young children: changes in parental attitudes and predictors of immunization during the 2003 to 2004 influenza season. AU - Daley,Matthew F, AU - Crane,Lori A, AU - Chandramouli,Vijayalaxmi, AU - Beaty,Brenda L, AU - Barrow,Jennifer, AU - Allred,Norma, AU - Berman,Stephen, AU - Kempe,Allison, PY - 2006/2/3/pubmed PY - 2006/2/28/medline PY - 2006/2/3/entrez SP - e268 EP - 77 JF - Pediatrics JO - Pediatrics VL - 117 IS - 2 N2 - BACKGROUND: In Colorado, the 2003 to 2004 influenza season was unusually early and severe and received substantial media attention. OBJECTIVES: Among parents of healthy young children, to determine how parental knowledge and attitudes regarding influenza infection and immunization changed during the 2003 to 2004 influenza season and to identify factors predictive of influenza immunization. METHODS: The study was conducted in 5 metropolitan Denver pediatric practices. A total of 839 healthy children age 6 to 21 months and their parents were randomly selected for participation. Parents were surveyed by telephone before (August 18 to October 7, 2003) and after (March 31 to June 10, 2004) the influenza season. RESULTS: Among 828 eligible parents, 472 (57%) completed the preseason survey; 316 (67%) of these parents subsequently completed the postseason survey. All analyses were performed for the 316 subjects who completed both preseason and postseason surveys. Compared with their attitudes before the influenza season, 48% of parents interviewed after the season viewed their child as more susceptible to influenza, 58% viewed influenza infections as more severe, and 66% perceived fewer risks associated with influenza vaccine. Ninety-five percent of parents reported hearing in the media about Colorado's influenza outbreak, and having heard about the outbreak in the media was associated with viewing influenza infections as more severe. A total of 258 parents (82%) immunized their child against influenza. In multivariate analyses, positive predictors of immunization included a physician recommendation for immunization and a preseason to postseason increase in the perception that immunization was the social norm. Negative predictors of immunization included high perceived barriers to immunization, less parental education, and preseason intention not to immunize. CONCLUSIONS: Parent attitudes about influenza infection and immunization changed substantially during the 2003 to 2004 influenza season, with changes favoring increased parental acceptance of influenza vaccination for young children. During an intensively publicized influenza outbreak, a physician recommendation of vaccination was an important predictor of influenza immunization. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/16452334/Influenza_among_healthy_young_children:_changes_in_parental_attitudes_and_predictors_of_immunization_during_the_2003_to_2004_influenza_season_ L2 - https://publications.aap.org/pediatrics/article-lookup/doi/10.1542/peds.2005-1752 DB - PRIME DP - Unbound Medicine ER -