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Parental perspectives on influenza vaccination of children with chronic medical conditions.
J Natl Med Assoc. 2006 Feb; 98(2):148-53.JN

Abstract

BACKGROUND

Minorities and those living in the inner city have a higher respiratory disease burden than other groups. Yet, influenza vaccination rates among all children with chronic medical conditions remain low.

METHODS

Parents of 2-13-year-old children with high-risk medical conditions from health centers in low-income urban neighborhoods completed a mailed survey. Immunization status from medical records was used to calculate validity measures. Survey data are presented for those whose vaccination status was concordant between parental report and the medical record (n=183).

RESULTS

Parent-reported influenza vaccination versus medical record review showed 84.9% sensitivity, 68.7% specificity, 49.1% positive predictive value and 92.7% negative predictive value, with a kappa of 0.43. Vaccination rate was 30.6%. Medical record-verified influenza vaccination was associated with parental beliefs that the doctor recommends a flu shot (OR, 40.9; 95% Cl, 9.0-184.9) and that relatives recommend a flu shot (OR, 4.3; 95% Cl, 1.7-10.5), and was less likely if the parent believed that the child will get the flu if a household member is infected (OR, 0.2; 95% Cl, 0.1-0.6).

CONCLUSIONS

The message that influenza vaccination is important to protect children with chronic medical conditions may be relayed through physician recommendation or a relative's suggestion and may be more effective if it addresses vaccine efficacy issues.

Authors+Show Affiliations

Department of Pediatrics, University of Pittsburgh School of Medicine Pittsburgh, PA 15261, USA.No 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, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16708499

Citation

Lin, Chyongchiou J., et al. "Parental Perspectives On Influenza Vaccination of Children With Chronic Medical Conditions." Journal of the National Medical Association, vol. 98, no. 2, 2006, pp. 148-53.
Lin CJ, Zimmerman RK, Nowalk MP, et al. Parental perspectives on influenza vaccination of children with chronic medical conditions. J Natl Med Assoc. 2006;98(2):148-53.
Lin, C. J., Zimmerman, R. K., Nowalk, M. P., Ko, F. S., Raymund, M., Hoberman, A., Kearney, D. H., & Block, B. (2006). Parental perspectives on influenza vaccination of children with chronic medical conditions. Journal of the National Medical Association, 98(2), 148-53.
Lin CJ, et al. Parental Perspectives On Influenza Vaccination of Children With Chronic Medical Conditions. J Natl Med Assoc. 2006;98(2):148-53. PubMed PMID: 16708499.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parental perspectives on influenza vaccination of children with chronic medical conditions. AU - Lin,Chyongchiou J, AU - Zimmerman,Richard K, AU - Nowalk,Mary Patricia, AU - Ko,Feng-Shou, AU - Raymund,Mahlon, AU - Hoberman,Alejandro, AU - Kearney,Diana H, AU - Block,Bruce, PY - 2006/5/20/pubmed PY - 2006/7/1/medline PY - 2006/5/20/entrez SP - 148 EP - 53 JF - Journal of the National Medical Association JO - J Natl Med Assoc VL - 98 IS - 2 N2 - BACKGROUND: Minorities and those living in the inner city have a higher respiratory disease burden than other groups. Yet, influenza vaccination rates among all children with chronic medical conditions remain low. METHODS: Parents of 2-13-year-old children with high-risk medical conditions from health centers in low-income urban neighborhoods completed a mailed survey. Immunization status from medical records was used to calculate validity measures. Survey data are presented for those whose vaccination status was concordant between parental report and the medical record (n=183). RESULTS: Parent-reported influenza vaccination versus medical record review showed 84.9% sensitivity, 68.7% specificity, 49.1% positive predictive value and 92.7% negative predictive value, with a kappa of 0.43. Vaccination rate was 30.6%. Medical record-verified influenza vaccination was associated with parental beliefs that the doctor recommends a flu shot (OR, 40.9; 95% Cl, 9.0-184.9) and that relatives recommend a flu shot (OR, 4.3; 95% Cl, 1.7-10.5), and was less likely if the parent believed that the child will get the flu if a household member is infected (OR, 0.2; 95% Cl, 0.1-0.6). CONCLUSIONS: The message that influenza vaccination is important to protect children with chronic medical conditions may be relayed through physician recommendation or a relative's suggestion and may be more effective if it addresses vaccine efficacy issues. SN - 0027-9684 UR - https://www.unboundmedicine.com/medline/citation/16708499/Parental_perspectives_on_influenza_vaccination_of_children_with_chronic_medical_conditions_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/16708499/ DB - PRIME DP - Unbound Medicine ER -