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What a pandemic teaches us about vaccination attitudes of parents of children with asthma.
Vaccine. 2014 Apr 25; 32(20):2275-80.V

Abstract

BACKGROUND

During the recent pandemic, Influenza A/H1N1 vaccine uptake remained far below the targeted rates. Associated factors regarding vaccine refusal in the general population have been reported in many studies, however the reasons behind refusals for asthmatic children have not yet been identified. We aimed to investigate Influenza A/H1N1 virus vaccine acceptance for children with asthma, to determine the attitudes and beliefs of parents concerning Influenza A/H1N1 disease and vaccine and to identify the association of asthma control parameters with vaccination.

METHODS

The parents of asthmatic children aged 6-18 years participated in a cross-sectional survey study in three pediatric allergy outpatient clinics. The survey measured demographic factors, asthma control parameters, vaccination rates, and beliefs and attitudes regarding Influenza A/H1N1 vaccine.

RESULTS

Of the 625 asthmatic children, 16.8% (n=105) were immunized with Influenza A/H1N1 and 45.7% (n=286) with seasonal influenza vaccine. Educational background of parents (p<0.001 and p=0.002, for father's and mother's educational level, respectively), previous vaccination with seasonal influenza (p<0.001), and having a family member vaccinated against Influenza A/H1N1 (p<0.001) had a significant influence on vaccine acceptance, while fear of side effects (88.6%) was the major parental reason for refusing the vaccine. Asthma control parameters had no influence on uptake of the vaccine. Physician recommendation (84.8%) was important in the decision-making process for immunization. The statement "Children with asthma should receive swine flu vaccine" increased the likelihood of being vaccinated [OR: 2.160, (95%CI 1.135-4.111), p=0.019].

CONCLUSION

Although asthmatic children are considered to be a high-priority group for Influenza A/H1N1 vaccination, we found low uptake of vaccine among our patients. Beliefs and attitudes rather than asthma control parameters influenced parental decisions for immunization. Understanding the underlying determinants for refusing the vaccine will help to improve vaccine campaigns in advance of a future outbreak.

Authors+Show Affiliations

Hacettepe University, School of Medicine, Pediatric Allergy and Asthma Unit, Ankara, Turkey.Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.Ministry of Health, Ankara Hematology and Oncology Education and Research Hospital, Pediatric Allergy Clinic, Ankara, Turkey.Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.Ministry of Health, Ankara Hematology and Oncology Education and Research Hospital, Pediatric Allergy Clinic, Ankara, Turkey.Ministry of Health, Ankara Hematology and Oncology Education and Research Hospital, Pediatric Allergy Clinic, Ankara, Turkey.Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.Hacettepe University, School of Medicine, Pediatric Allergy and Asthma Unit, Ankara, Turkey.Hacettepe University, School of Medicine, Pediatric Allergy and Asthma Unit, Ankara, Turkey. Electronic address: b_sekerel@yahoo.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24631073

Citation

Buyuktiryaki, Betul, et al. "What a Pandemic Teaches Us About Vaccination Attitudes of Parents of Children With Asthma." Vaccine, vol. 32, no. 20, 2014, pp. 2275-80.
Buyuktiryaki B, Soyer OU, Erkocoglu M, et al. What a pandemic teaches us about vaccination attitudes of parents of children with asthma. Vaccine. 2014;32(20):2275-80.
Buyuktiryaki, B., Soyer, O. U., Erkocoglu, M., Dogan, A., Azkur, D., Kocabas, C. N., Dallar, Y., Tuncer, A., & Sekerel, B. E. (2014). What a pandemic teaches us about vaccination attitudes of parents of children with asthma. Vaccine, 32(20), 2275-80. https://doi.org/10.1016/j.vaccine.2014.02.076
Buyuktiryaki B, et al. What a Pandemic Teaches Us About Vaccination Attitudes of Parents of Children With Asthma. Vaccine. 2014 Apr 25;32(20):2275-80. PubMed PMID: 24631073.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What a pandemic teaches us about vaccination attitudes of parents of children with asthma. AU - Buyuktiryaki,Betul, AU - Soyer,Ozge Uysal, AU - Erkocoglu,Mustafa, AU - Dogan,Ayse, AU - Azkur,Dilek, AU - Kocabas,Can Naci, AU - Dallar,Yildiz, AU - Tuncer,Ayfer, AU - Sekerel,Bulent Enis, Y1 - 2014/03/12/ PY - 2013/10/16/received PY - 2014/01/17/revised PY - 2014/02/26/accepted PY - 2014/3/18/entrez PY - 2014/3/19/pubmed PY - 2014/10/4/medline KW - Asthma KW - Attitude KW - Influenza A/H1N1 KW - Survey KW - Vaccine SP - 2275 EP - 80 JF - Vaccine JO - Vaccine VL - 32 IS - 20 N2 - BACKGROUND: During the recent pandemic, Influenza A/H1N1 vaccine uptake remained far below the targeted rates. Associated factors regarding vaccine refusal in the general population have been reported in many studies, however the reasons behind refusals for asthmatic children have not yet been identified. We aimed to investigate Influenza A/H1N1 virus vaccine acceptance for children with asthma, to determine the attitudes and beliefs of parents concerning Influenza A/H1N1 disease and vaccine and to identify the association of asthma control parameters with vaccination. METHODS: The parents of asthmatic children aged 6-18 years participated in a cross-sectional survey study in three pediatric allergy outpatient clinics. The survey measured demographic factors, asthma control parameters, vaccination rates, and beliefs and attitudes regarding Influenza A/H1N1 vaccine. RESULTS: Of the 625 asthmatic children, 16.8% (n=105) were immunized with Influenza A/H1N1 and 45.7% (n=286) with seasonal influenza vaccine. Educational background of parents (p<0.001 and p=0.002, for father's and mother's educational level, respectively), previous vaccination with seasonal influenza (p<0.001), and having a family member vaccinated against Influenza A/H1N1 (p<0.001) had a significant influence on vaccine acceptance, while fear of side effects (88.6%) was the major parental reason for refusing the vaccine. Asthma control parameters had no influence on uptake of the vaccine. Physician recommendation (84.8%) was important in the decision-making process for immunization. The statement "Children with asthma should receive swine flu vaccine" increased the likelihood of being vaccinated [OR: 2.160, (95%CI 1.135-4.111), p=0.019]. CONCLUSION: Although asthmatic children are considered to be a high-priority group for Influenza A/H1N1 vaccination, we found low uptake of vaccine among our patients. Beliefs and attitudes rather than asthma control parameters influenced parental decisions for immunization. Understanding the underlying determinants for refusing the vaccine will help to improve vaccine campaigns in advance of a future outbreak. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/24631073/What_a_pandemic_teaches_us_about_vaccination_attitudes_of_parents_of_children_with_asthma_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(14)00303-X DB - PRIME DP - Unbound Medicine ER -