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Factors associated with receipt of 2009 pandemic influenza A (H1N1) monovalent and seasonal influenza vaccination among school-aged children: Maricopa County, Arizona, 2009-2010 influenza season.
J Public Health Manag Pract. 2013 Sep-Oct; 19(5):436-43.JP

Abstract

CONTEXT

To target school-aged children (SAC), who were identified as a priority for pandemic 2009 Influenza A (pH1N1) vaccination, Maricopa County (MC) initiated school-based influenza vaccination in 69% of its 706 schools during the 2009-2010 influenza season.

OBJECTIVE

To determine factors associated with receipt of pH1N1 monovalent and 2009-2010 seasonal influenza vaccination among SAC and evaluate the association of school-based vaccination with vaccination status of SAC.

DESIGN

Random-digit dialing was used to survey 600 MC households with willing adult participants and children grades K-12. Logistic regression was used to identify factors associated with pH1N1 and seasonal vaccine receipt.

SETTING

Arizona.

PARTICIPANTS

Household adults with children grades K-12.

MAIN OUTCOME MEASURE

Characteristics of children, parents, and households were obtained.

RESULTS

Among 909 SAC, 402 (44%) received pH1N1 and 436 (48%) received seasonal vaccination. Factors associated with pH1N1 vaccination included vaccine availability at school (adjusted odds ratio [AOR]: 1.6; 95% confidence interval [CI]: 1.0-2.7), high-risk medical condition in child (AOR: 2.4; 95% CI: 1.4-4.0), elementary versus high school attendance (AOR: 1.6; 95% CI: 1.0-2.7), and seasonal influenza vaccination (AOR: 10.0; 95% CI: 6.4-15.6). Factors associated with seasonal vaccination included Hispanic ethnicity (AOR: 2.2; 95% CI: 1.1-4.2), health insurance coverage (AOR: 4.8; 95% CI: 1.7-13.7), elementary versus high school attendance (AOR: 1.5; 95% CI: 1.0-2.5), and pH1N1 vaccination (AOR: 10.5; 95% CI: 6.7-16.6).

CONCLUSIONS

Availability of pH1N1 vaccine at school was independently associated with pH1N1 vaccination of MC school-aged children. School-based influenza vaccination campaigns should be considered to increase vaccination among this population.

Authors+Show Affiliations

Arizona Department of Health Services, Centers for Disease Control and Prevention, Epidemic Intelligence Service Field Assignments Branch, Atlanta, Georgia 30333 , USA. steven.baty@us.army.milNo 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

23549371

Citation

Baty, Steven A., et al. "Factors Associated With Receipt of 2009 Pandemic Influenza a (H1N1) Monovalent and Seasonal Influenza Vaccination Among School-aged Children: Maricopa County, Arizona, 2009-2010 Influenza Season." Journal of Public Health Management and Practice : JPHMP, vol. 19, no. 5, 2013, pp. 436-43.
Baty SA, Ayala A, Odish M, et al. Factors associated with receipt of 2009 pandemic influenza A (H1N1) monovalent and seasonal influenza vaccination among school-aged children: Maricopa County, Arizona, 2009-2010 influenza season. J Public Health Manag Pract. 2013;19(5):436-43.
Baty, S. A., Ayala, A., Odish, M., Cadwell, B. L., Schumacher, M., & Sunenshine, R. H. (2013). Factors associated with receipt of 2009 pandemic influenza A (H1N1) monovalent and seasonal influenza vaccination among school-aged children: Maricopa County, Arizona, 2009-2010 influenza season. Journal of Public Health Management and Practice : JPHMP, 19(5), 436-43. https://doi.org/10.1097/PHH.0b013e3182751d1c
Baty SA, et al. Factors Associated With Receipt of 2009 Pandemic Influenza a (H1N1) Monovalent and Seasonal Influenza Vaccination Among School-aged Children: Maricopa County, Arizona, 2009-2010 Influenza Season. J Public Health Manag Pract. 2013 Sep-Oct;19(5):436-43. PubMed PMID: 23549371.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with receipt of 2009 pandemic influenza A (H1N1) monovalent and seasonal influenza vaccination among school-aged children: Maricopa County, Arizona, 2009-2010 influenza season. AU - Baty,Steven A, AU - Ayala,Aurimar, AU - Odish,Mazen, AU - Cadwell,Betsy L, AU - Schumacher,Mare, AU - Sunenshine,Rebecca H, PY - 2013/4/4/entrez PY - 2013/4/4/pubmed PY - 2014/5/10/medline SP - 436 EP - 43 JF - Journal of public health management and practice : JPHMP JO - J Public Health Manag Pract VL - 19 IS - 5 N2 - CONTEXT: To target school-aged children (SAC), who were identified as a priority for pandemic 2009 Influenza A (pH1N1) vaccination, Maricopa County (MC) initiated school-based influenza vaccination in 69% of its 706 schools during the 2009-2010 influenza season. OBJECTIVE: To determine factors associated with receipt of pH1N1 monovalent and 2009-2010 seasonal influenza vaccination among SAC and evaluate the association of school-based vaccination with vaccination status of SAC. DESIGN: Random-digit dialing was used to survey 600 MC households with willing adult participants and children grades K-12. Logistic regression was used to identify factors associated with pH1N1 and seasonal vaccine receipt. SETTING: Arizona. PARTICIPANTS: Household adults with children grades K-12. MAIN OUTCOME MEASURE: Characteristics of children, parents, and households were obtained. RESULTS: Among 909 SAC, 402 (44%) received pH1N1 and 436 (48%) received seasonal vaccination. Factors associated with pH1N1 vaccination included vaccine availability at school (adjusted odds ratio [AOR]: 1.6; 95% confidence interval [CI]: 1.0-2.7), high-risk medical condition in child (AOR: 2.4; 95% CI: 1.4-4.0), elementary versus high school attendance (AOR: 1.6; 95% CI: 1.0-2.7), and seasonal influenza vaccination (AOR: 10.0; 95% CI: 6.4-15.6). Factors associated with seasonal vaccination included Hispanic ethnicity (AOR: 2.2; 95% CI: 1.1-4.2), health insurance coverage (AOR: 4.8; 95% CI: 1.7-13.7), elementary versus high school attendance (AOR: 1.5; 95% CI: 1.0-2.5), and pH1N1 vaccination (AOR: 10.5; 95% CI: 6.7-16.6). CONCLUSIONS: Availability of pH1N1 vaccine at school was independently associated with pH1N1 vaccination of MC school-aged children. School-based influenza vaccination campaigns should be considered to increase vaccination among this population. SN - 1550-5022 UR - https://www.unboundmedicine.com/medline/citation/23549371/Factors_associated_with_receipt_of_2009_pandemic_influenza_A__H1N1__monovalent_and_seasonal_influenza_vaccination_among_school_aged_children:_Maricopa_County_Arizona_2009_2010_influenza_season_ L2 - https://doi.org/10.1097/PHH.0b013e3182751d1c DB - PRIME DP - Unbound Medicine ER -