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Adolescent attitudes toward influenza vaccination and vaccine uptake in a school-based influenza vaccination intervention: a mediation analysis.
J Sch Health. 2011 Jun; 81(6):304-12.JS

Abstract

BACKGROUND

School-based vaccination programs may provide an effective strategy to immunize adolescents against influenza. This study examined whether adolescent attitudes toward influenza vaccination mediated the relationship between receipt of a school-based influenza vaccination intervention and vaccine uptake.

METHODS

Participants were recruited from 2 counties participating in a school-based influenza vaccination intervention trial in rural Georgia (N = 337). Data were collected from surveys distributed to adolescents at pre- and post-intervention time points and from documents indicating vaccine uptake. Guided by the Health Belief Model and the Integrated Behavioral Model, surveys assessed demographic, behavioral, and psychosocial variables. A mediation analysis was used to test whether changes in psychosocial variables from baseline to follow-up mediated the relationship between study condition and influenza vaccine uptake.

RESULTS

Controlling for background variables, step 1 of the mediation analysis revealed a significant relationship between study condition and vaccine uptake (odds ratio = 1.77, p = .038). Step 2 of the mediation analysis revealed a significant relationship between study condition and changes in psychosocial variables from baseline to follow-up. Steps 3 and 4 of the mediation analysis revealed that there was full mediation of the relationship between study condition and receipt of an influenza vaccination by intention to receive an influenza vaccination.

CONCLUSION

Findings suggest that the success of our school-based influenza vaccination intervention in increasing vaccine uptake was mediated by adolescents' intention to receive an influenza vaccination. Future influenza vaccination efforts geared toward rural adolescents may benefit from addressing adolescent attitudes toward influenza vaccination, particularly increasing intention to receive a vaccine.

Authors+Show Affiliations

Department of Behavioral Sciences and Health Education, Rollins School of Public Health and Emory Vaccine Center, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA. jellenb@emory.eduNo 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, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

21592125

Citation

Painter, Julia E., et al. "Adolescent Attitudes Toward Influenza Vaccination and Vaccine Uptake in a School-based Influenza Vaccination Intervention: a Mediation Analysis." The Journal of School Health, vol. 81, no. 6, 2011, pp. 304-12.
Painter JE, Sales JM, Pazol K, et al. Adolescent attitudes toward influenza vaccination and vaccine uptake in a school-based influenza vaccination intervention: a mediation analysis. J Sch Health. 2011;81(6):304-12.
Painter, J. E., Sales, J. M., Pazol, K., Wingood, G. M., Windle, M., Orenstein, W. A., & DiClemente, R. J. (2011). Adolescent attitudes toward influenza vaccination and vaccine uptake in a school-based influenza vaccination intervention: a mediation analysis. The Journal of School Health, 81(6), 304-12. https://doi.org/10.1111/j.1746-1561.2011.00595.x
Painter JE, et al. Adolescent Attitudes Toward Influenza Vaccination and Vaccine Uptake in a School-based Influenza Vaccination Intervention: a Mediation Analysis. J Sch Health. 2011;81(6):304-12. PubMed PMID: 21592125.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adolescent attitudes toward influenza vaccination and vaccine uptake in a school-based influenza vaccination intervention: a mediation analysis. AU - Painter,Julia E, AU - Sales,Jessica M, AU - Pazol,Karen, AU - Wingood,Gina M, AU - Windle,Michael, AU - Orenstein,Walter A, AU - DiClemente,Ralph J, PY - 2011/5/20/entrez PY - 2011/5/20/pubmed PY - 2011/9/8/medline SP - 304 EP - 12 JF - The Journal of school health JO - J Sch Health VL - 81 IS - 6 N2 - BACKGROUND: School-based vaccination programs may provide an effective strategy to immunize adolescents against influenza. This study examined whether adolescent attitudes toward influenza vaccination mediated the relationship between receipt of a school-based influenza vaccination intervention and vaccine uptake. METHODS: Participants were recruited from 2 counties participating in a school-based influenza vaccination intervention trial in rural Georgia (N = 337). Data were collected from surveys distributed to adolescents at pre- and post-intervention time points and from documents indicating vaccine uptake. Guided by the Health Belief Model and the Integrated Behavioral Model, surveys assessed demographic, behavioral, and psychosocial variables. A mediation analysis was used to test whether changes in psychosocial variables from baseline to follow-up mediated the relationship between study condition and influenza vaccine uptake. RESULTS: Controlling for background variables, step 1 of the mediation analysis revealed a significant relationship between study condition and vaccine uptake (odds ratio = 1.77, p = .038). Step 2 of the mediation analysis revealed a significant relationship between study condition and changes in psychosocial variables from baseline to follow-up. Steps 3 and 4 of the mediation analysis revealed that there was full mediation of the relationship between study condition and receipt of an influenza vaccination by intention to receive an influenza vaccination. CONCLUSION: Findings suggest that the success of our school-based influenza vaccination intervention in increasing vaccine uptake was mediated by adolescents' intention to receive an influenza vaccination. Future influenza vaccination efforts geared toward rural adolescents may benefit from addressing adolescent attitudes toward influenza vaccination, particularly increasing intention to receive a vaccine. SN - 1746-1561 UR - https://www.unboundmedicine.com/medline/citation/21592125/Adolescent_attitudes_toward_influenza_vaccination_and_vaccine_uptake_in_a_school_based_influenza_vaccination_intervention:_a_mediation_analysis_ L2 - https://doi.org/10.1111/j.1746-1561.2011.00595.x DB - PRIME DP - Unbound Medicine ER -