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Parental views of school-located delivery of adolescent vaccines.
J Adolesc Health. 2012 Aug; 51(2):190-6.JA

Abstract

PURPOSE

School-located immunization has the potential to increase adolescent vaccination rates. This study assessed parents' attitudes toward administration of adolescent vaccines (tetanus, diphtheria, acellular pertussis [Tdap], meningococcal conjugate [MenACWY], human papillomavirus [HPV], and influenza) at school.

METHODS

We conducted a mailed survey of parents of sixth graders from July 2009 to September 2009 in three urban/suburban (Aurora, CO) middle schools assessing barriers and facilitators to school vaccination and willingness to consent for vaccines at school. Unadjusted and adjusted analyses examined the association of parent and student characteristics with parent willingness to consent to school-located vaccination.

RESULTS

The response rate was 62% (500/806). Parents reported 82% of teens had a regular site of health care, and 17% were uninsured. Overall, 71% of parents would consent for vaccines at school; 72% for Tdap, 71% for MenACWY, 53% for HPV (parents of girls), and 67% for seasonal influenza. Among parents who answered it was important their child receives recommended vaccines, (88%) would consent for influenza vaccine at school, compared with Tdap (76%), MenACWY (74%), and HPV (72%). Multivariable logistic regression analysis demonstrated parents of uninsured teens (odds ratio [OR] 3.77, 95% confidence interval [CI]: 1.40, 12.23), who were unmarried (OR 1.90, 95% CI: 1.14, 3.25), or had a child attending the school with the highest percent eligibility for free/reduced lunch (OR 2.75, 95% CI: 1.36, 5.80) were significantly more willing to consent for vaccines at school.

CONCLUSIONS

These data suggest parents are generally supportive of school-located vaccine delivery, particularly for annual influenza vaccination and for uninsured and low-income adolescents.

Authors+Show Affiliations

Departments of Pediatrics, University of Colorado, Anschutz Medical Campus, Aurora, Colorado 80045, USA. Karen.Kelminson@childrenscolorado.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, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

22824451

Citation

Kelminson, Karen, et al. "Parental Views of School-located Delivery of Adolescent Vaccines." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 51, no. 2, 2012, pp. 190-6.
Kelminson K, Saville A, Seewald L, et al. Parental views of school-located delivery of adolescent vaccines. J Adolesc Health. 2012;51(2):190-6.
Kelminson, K., Saville, A., Seewald, L., Stokley, S., Dickinson, L. M., Daley, M. F., Suh, C., & Kempe, A. (2012). Parental views of school-located delivery of adolescent vaccines. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 51(2), 190-6. https://doi.org/10.1016/j.jadohealth.2011.11.016
Kelminson K, et al. Parental Views of School-located Delivery of Adolescent Vaccines. J Adolesc Health. 2012;51(2):190-6. PubMed PMID: 22824451.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parental views of school-located delivery of adolescent vaccines. AU - Kelminson,Karen, AU - Saville,Alison, AU - Seewald,Laura, AU - Stokley,Shannon, AU - Dickinson,L Miriam, AU - Daley,Matthew F, AU - Suh,Christina, AU - Kempe,Allison, Y1 - 2012/02/22/ PY - 2011/07/13/received PY - 2011/11/18/revised PY - 2011/11/20/accepted PY - 2012/7/25/entrez PY - 2012/7/25/pubmed PY - 2012/10/26/medline SP - 190 EP - 6 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 51 IS - 2 N2 - PURPOSE: School-located immunization has the potential to increase adolescent vaccination rates. This study assessed parents' attitudes toward administration of adolescent vaccines (tetanus, diphtheria, acellular pertussis [Tdap], meningococcal conjugate [MenACWY], human papillomavirus [HPV], and influenza) at school. METHODS: We conducted a mailed survey of parents of sixth graders from July 2009 to September 2009 in three urban/suburban (Aurora, CO) middle schools assessing barriers and facilitators to school vaccination and willingness to consent for vaccines at school. Unadjusted and adjusted analyses examined the association of parent and student characteristics with parent willingness to consent to school-located vaccination. RESULTS: The response rate was 62% (500/806). Parents reported 82% of teens had a regular site of health care, and 17% were uninsured. Overall, 71% of parents would consent for vaccines at school; 72% for Tdap, 71% for MenACWY, 53% for HPV (parents of girls), and 67% for seasonal influenza. Among parents who answered it was important their child receives recommended vaccines, (88%) would consent for influenza vaccine at school, compared with Tdap (76%), MenACWY (74%), and HPV (72%). Multivariable logistic regression analysis demonstrated parents of uninsured teens (odds ratio [OR] 3.77, 95% confidence interval [CI]: 1.40, 12.23), who were unmarried (OR 1.90, 95% CI: 1.14, 3.25), or had a child attending the school with the highest percent eligibility for free/reduced lunch (OR 2.75, 95% CI: 1.36, 5.80) were significantly more willing to consent for vaccines at school. CONCLUSIONS: These data suggest parents are generally supportive of school-located vaccine delivery, particularly for annual influenza vaccination and for uninsured and low-income adolescents. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/22824451/Parental_views_of_school_located_delivery_of_adolescent_vaccines_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(11)00649-5 DB - PRIME DP - Unbound Medicine ER -