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Influenza vaccination: Uptake and associations in a cross-sectional study of children with special risk medical conditions.
Vaccine. 2018 12 18; 36(52):8138-8147.V

Abstract

OBJECTIVE

To determine uptake of influenza vaccination in children with special risk medical conditions (SRMC) and to explore associations with vaccination.

DESIGN

Cross-sectional study.

SETTING/PARTICIPANTS

Parents of children with a SRMC attending either outpatient department clinics or being an inpatient at the Women's and Children's Hospital (WCH), Adelaide, Australia from September 2015 to February 2016 were recruited using convenience sampling.

METHODS

Data were collected using a face-to-face survey. Influenza vaccination was verified with providers. Characteristics associated with uptake were explored using univariable and multivariable analyses.

RESULTS

There were 410 participants with complete data. Confirmed influenza vaccination at least once in the last two years was 50%, annual uptake was 32.8%. 63.9% of parents were aware of the vaccination recommendation and 57.9% had been recommended by a specialist or general practitioner (GP). Characteristics strongly associated with uptake included: receiving a recommendation from a specialist or GP and having a parent receive the influenza vaccine annually.

CONCLUSIONS

Despite a long standing funded program, influenza vaccination uptake in children with SRMC is suboptimal. Parental vaccination behaviour, along with medical practitioner recommendation, particularly specialist recommendation, appear to be key influences in facilitating vaccination. Potential interventions could target the family rather than just the individual child. Understanding the barriers to recommendation from the perspective of general medical practitioners and specialists who treat these children is needed.

Authors+Show Affiliations

Discipline of Paediatrics, Adelaide Medical School, University of Adelaide, South Australia, Australia; Robinson Research Institute, University of Adelaide, South Australia, Australia.Central Adelaide Local Health Network, SA Health, South Australia, Australia.Adelaide Medical School, University of Adelaide, South Australia, Australia.Adelaide Medical School, University of Adelaide, South Australia, Australia.Department of Paediatrics, University of Melbourne & Murdoch Children's Research Institute (MCRI), Melbourne, Australia; Department of General Medicine, Royal Children's Hospital, Melbourne, Australia.Robinson Research Institute, University of Adelaide, South Australia, Australia; School of Public Health, University of Adelaide, South Australia, Australia.Discipline of Paediatrics, Adelaide Medical School, University of Adelaide, South Australia, Australia; Robinson Research Institute, University of Adelaide, South Australia, Australia; Vaccinology and Immunology Research Trials Unit, Women's and Children's Hospital, North Adelaide, South Australia, Australia; South Australian Health and Medical Research Institute. Electronic address: helen.marshall@adelaide.edu.au.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30454947

Citation

Tuckerman, Jane, et al. "Influenza Vaccination: Uptake and Associations in a Cross-sectional Study of Children With Special Risk Medical Conditions." Vaccine, vol. 36, no. 52, 2018, pp. 8138-8147.
Tuckerman J, Misan S, Salih S, et al. Influenza vaccination: Uptake and associations in a cross-sectional study of children with special risk medical conditions. Vaccine. 2018;36(52):8138-8147.
Tuckerman, J., Misan, S., Salih, S., Joseph Xavier, B., Crawford, N. W., Lynch, J., & Marshall, H. S. (2018). Influenza vaccination: Uptake and associations in a cross-sectional study of children with special risk medical conditions. Vaccine, 36(52), 8138-8147. https://doi.org/10.1016/j.vaccine.2018.09.039
Tuckerman J, et al. Influenza Vaccination: Uptake and Associations in a Cross-sectional Study of Children With Special Risk Medical Conditions. Vaccine. 2018 12 18;36(52):8138-8147. PubMed PMID: 30454947.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influenza vaccination: Uptake and associations in a cross-sectional study of children with special risk medical conditions. AU - Tuckerman,Jane, AU - Misan,Siobhan, AU - Salih,Salma, AU - Joseph Xavier,Bridget, AU - Crawford,Nigel W, AU - Lynch,John, AU - Marshall,Helen S, Y1 - 2018/11/16/ PY - 2018/05/08/received PY - 2018/09/17/revised PY - 2018/09/18/accepted PY - 2018/11/21/pubmed PY - 2019/6/4/medline PY - 2018/11/21/entrez KW - Children KW - Facilitators KW - Influenza KW - Recommendation KW - Special risk medical condition KW - Vaccination SP - 8138 EP - 8147 JF - Vaccine JO - Vaccine VL - 36 IS - 52 N2 - OBJECTIVE: To determine uptake of influenza vaccination in children with special risk medical conditions (SRMC) and to explore associations with vaccination. DESIGN: Cross-sectional study. SETTING/PARTICIPANTS: Parents of children with a SRMC attending either outpatient department clinics or being an inpatient at the Women's and Children's Hospital (WCH), Adelaide, Australia from September 2015 to February 2016 were recruited using convenience sampling. METHODS: Data were collected using a face-to-face survey. Influenza vaccination was verified with providers. Characteristics associated with uptake were explored using univariable and multivariable analyses. RESULTS: There were 410 participants with complete data. Confirmed influenza vaccination at least once in the last two years was 50%, annual uptake was 32.8%. 63.9% of parents were aware of the vaccination recommendation and 57.9% had been recommended by a specialist or general practitioner (GP). Characteristics strongly associated with uptake included: receiving a recommendation from a specialist or GP and having a parent receive the influenza vaccine annually. CONCLUSIONS: Despite a long standing funded program, influenza vaccination uptake in children with SRMC is suboptimal. Parental vaccination behaviour, along with medical practitioner recommendation, particularly specialist recommendation, appear to be key influences in facilitating vaccination. Potential interventions could target the family rather than just the individual child. Understanding the barriers to recommendation from the perspective of general medical practitioners and specialists who treat these children is needed. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/30454947/Influenza_vaccination:_Uptake_and_associations_in_a_cross_sectional_study_of_children_with_special_risk_medical_conditions_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(18)31299-4 DB - PRIME DP - Unbound Medicine ER -