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Vaccination against influenza at a European pediatric cancer center: immunization rates and attitudes among staff, patients, and their families.
Support Care Cancer. 2017 12; 25(12):3815-3822.SC

Abstract

BACKGROUND

Influenza is an important cause of infectious morbidity in pediatric cancer patients. We conducted a single-center survey to explore adherence and attitudes towards the recommended annual influenza vaccination.

METHODS

Self-administered, standardized questionnaires were distributed to 143 staff members and 264 families. Items analyzed included demographic data, knowledge about influenza, history of prior influenza infections and vaccinations, routes of information and education, and attitudes towards the recommended influenza. Variables associated with vaccination were explored by univariate and multivariate analyses.

RESULTS

One hundred six staff members with patient contact and 139 primary caretakers completed the questionnaire. Fifty-nine percent of staff members and 60% of the caretakers provided correct answers to all four knowledge questions; 32 and 54% reported a history of prior influenza, and 61 and 47% had received at least one influenza vaccination in the past. Vaccination rates for the previous season were 47, 34, 30, 25, and 29% in staff members, primary caretakers, their partners, diseased children, and their siblings, respectively. Main motivations (>75% in ≥ 1 cohort) for vaccination were prevention of influenza disease and concerns to transmit it to others (77-100%) and reasons for not being immunized concerns of adverse effects and use of alternative protection (33-83%). Variables significantly associated with vaccination by multivariate analysis included receipt of influenza vaccinations in the past (OR 2.2-20.5), recommendations by health care providers (OR 4.8-45.5), a lower level of education (caretakers; OR 2.2), and younger age (children; OR 0.9).

CONCLUSIONS

The results of this survey indicate insufficient vaccination rates and provide potential approaches for improved vaccination strategies in the setting of pediatric cancer care.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Pettke A
Institute of Medical Microbiology - Clinical Virology, University Hospital Münster, Münster, Germany.
Jocham S
Infectious Disease Research Program, Center for Bone Marrow Transplantation and Department of Pediatric Hematology/Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany.
Wiener A
Infectious Disease Research Program, Center for Bone Marrow Transplantation and Department of Pediatric Hematology/Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany.
Löcken A
Infectious Disease Research Program, Center for Bone Marrow Transplantation and Department of Pediatric Hematology/Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany.
Groenefeld J
Infectious Disease Research Program, Center for Bone Marrow Transplantation and Department of Pediatric Hematology/Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany.
Ahlmann M
Infectious Disease Research Program, Center for Bone Marrow Transplantation and Department of Pediatric Hematology/Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany.
Groll AH
Infectious Disease Research Program, Center for Bone Marrow Transplantation and Department of Pediatric Hematology/Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany. grollan@ukmuenster.de.

MeSH

AdultAttitude of Health PersonnelChildFemaleGuideline AdherenceHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansInfluenza VaccinesInfluenza, HumanMaleMiddle AgedMotivationMultivariate AnalysisNeoplasmsSiblingsSurveys and QuestionnairesVaccinationYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28733696

Citation

Pettke, Aleksandra, et al. "Vaccination Against Influenza at a European Pediatric Cancer Center: Immunization Rates and Attitudes Among Staff, Patients, and Their Families." Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, vol. 25, no. 12, 2017, pp. 3815-3822.
Pettke A, Jocham S, Wiener A, et al. Vaccination against influenza at a European pediatric cancer center: immunization rates and attitudes among staff, patients, and their families. Support Care Cancer. 2017;25(12):3815-3822.
Pettke, A., Jocham, S., Wiener, A., Löcken, A., Groenefeld, J., Ahlmann, M., & Groll, A. H. (2017). Vaccination against influenza at a European pediatric cancer center: immunization rates and attitudes among staff, patients, and their families. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 25(12), 3815-3822. https://doi.org/10.1007/s00520-017-3813-6
Pettke A, et al. Vaccination Against Influenza at a European Pediatric Cancer Center: Immunization Rates and Attitudes Among Staff, Patients, and Their Families. Support Care Cancer. 2017;25(12):3815-3822. PubMed PMID: 28733696.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaccination against influenza at a European pediatric cancer center: immunization rates and attitudes among staff, patients, and their families. AU - Pettke,Aleksandra, AU - Jocham,Sophie, AU - Wiener,Andreas, AU - Löcken,Andreas, AU - Groenefeld,Judith, AU - Ahlmann,Martina, AU - Groll,Andreas H, Y1 - 2017/07/21/ PY - 2017/02/15/received PY - 2017/07/03/accepted PY - 2017/7/25/pubmed PY - 2018/2/1/medline PY - 2017/7/23/entrez KW - Adherence KW - Cancer KW - Caretakers KW - Children KW - Immunization rates KW - Influenza KW - Leukemia KW - Parents KW - Recommendations KW - Staff KW - Transplantation KW - Vaccination SP - 3815 EP - 3822 JF - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JO - Support Care Cancer VL - 25 IS - 12 N2 - BACKGROUND: Influenza is an important cause of infectious morbidity in pediatric cancer patients. We conducted a single-center survey to explore adherence and attitudes towards the recommended annual influenza vaccination. METHODS: Self-administered, standardized questionnaires were distributed to 143 staff members and 264 families. Items analyzed included demographic data, knowledge about influenza, history of prior influenza infections and vaccinations, routes of information and education, and attitudes towards the recommended influenza. Variables associated with vaccination were explored by univariate and multivariate analyses. RESULTS: One hundred six staff members with patient contact and 139 primary caretakers completed the questionnaire. Fifty-nine percent of staff members and 60% of the caretakers provided correct answers to all four knowledge questions; 32 and 54% reported a history of prior influenza, and 61 and 47% had received at least one influenza vaccination in the past. Vaccination rates for the previous season were 47, 34, 30, 25, and 29% in staff members, primary caretakers, their partners, diseased children, and their siblings, respectively. Main motivations (>75% in ≥ 1 cohort) for vaccination were prevention of influenza disease and concerns to transmit it to others (77-100%) and reasons for not being immunized concerns of adverse effects and use of alternative protection (33-83%). Variables significantly associated with vaccination by multivariate analysis included receipt of influenza vaccinations in the past (OR 2.2-20.5), recommendations by health care providers (OR 4.8-45.5), a lower level of education (caretakers; OR 2.2), and younger age (children; OR 0.9). CONCLUSIONS: The results of this survey indicate insufficient vaccination rates and provide potential approaches for improved vaccination strategies in the setting of pediatric cancer care. SN - 1433-7339 UR - https://www.unboundmedicine.com/medline/citation/28733696/Vaccination_against_influenza_at_a_European_pediatric_cancer_center:_immunization_rates_and_attitudes_among_staff_patients_and_their_families_ DB - PRIME DP - Unbound Medicine ER -