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Are children with special risk medical conditions receiving influenza vaccination? Validity of parental and provider report, and to a National Immunisation Register.
Hum Vaccin Immunother. 2019; 15(4):951-958.HV

Abstract

BACKGROUND

To investigate the validity of parent reported influenza vaccination and provider reporting to the Australian Immunisation Register (AIR) in children with special risk medical conditions (SRMC).

METHODS

Cross-sectional survey with parents of children with a SRMC aged ≥ 6 months and <18 years attending the Women's and Children's Hospital, Adelaide, Australia from September 2015 to February 2016. Children aged <7 years provided data to assess provider-AIR reporting. Influenza vaccination status was ascertained from the child's parent, immunisation provider and the AIR. Concordance was made using the Kappa index and the sensitivity, specificity, positive predictive value and negative predictive value were calculated.

RESULTS

389 and 395 parent-provider influenza vaccination records were available for 2014 and 2015 respectively. 78% of parent reported vaccinations were substantiated by a provider with the kappa indicating good (κ = 0.677) to very good agreement (κ = 0.814) for 2014 and 2015 respectively. Discordance was higher in 2014, largely attributable to parents over reporting vaccination. More fathers over reported compared to mothers (Fisher's exact = 0.052). There were 241 provider-AIR influenza vaccination records. Sensitivity of the AIR to reflect a child's influenza immunisation status was low (32.6%).

CONCLUSIONS

Parental report over estimates confirmed influenza vaccination status and is affected by time and relationship to the child. Only a third of influenza vaccinations were reported to the AIR. Timely accurate data is critical to facilitate vaccination and evaluate program coverage.

Authors+Show Affiliations

a Discipline of Paediatrics , Adelaide Medical School, University of Adelaide , Adelaide , South Australia , Australia. b Robinson Research Institute , University of Adelaide , Adelaide , South Australia , Australia.c Department of Paediatrics , University of Melbourne & Murdoch Children's Research Institute (MCRI) , Melbourne , Australia. d Department of General Medicine , Royal Children's Hospital , Melbourne , Australia.b Robinson Research Institute , University of Adelaide , Adelaide , South Australia , Australia. e School of Public Health, University of Adelaide , Adelaide , South Australia , Australia.a Discipline of Paediatrics , Adelaide Medical School, University of Adelaide , Adelaide , South Australia , Australia. b Robinson Research Institute , University of Adelaide , Adelaide , South Australia , Australia. f Vaccinology and Immunology Research Trials Unit , Women's and Children's Hospital , North Adelaide , South Australia , Australia. g South Australian Health and Medical Research Institute , Adelaide , South Australia , Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30507331

Citation

Tuckerman, Jane, et al. "Are Children With Special Risk Medical Conditions Receiving Influenza Vaccination? Validity of Parental and Provider Report, and to a National Immunisation Register." Human Vaccines & Immunotherapeutics, vol. 15, no. 4, 2019, pp. 951-958.
Tuckerman J, Crawford NW, Lynch J, et al. Are children with special risk medical conditions receiving influenza vaccination? Validity of parental and provider report, and to a National Immunisation Register. Hum Vaccin Immunother. 2019;15(4):951-958.
Tuckerman, J., Crawford, N. W., Lynch, J., & Marshall, H. S. (2019). Are children with special risk medical conditions receiving influenza vaccination? Validity of parental and provider report, and to a National Immunisation Register. Human Vaccines & Immunotherapeutics, 15(4), 951-958. https://doi.org/10.1080/21645515.2018.1554966
Tuckerman J, et al. Are Children With Special Risk Medical Conditions Receiving Influenza Vaccination? Validity of Parental and Provider Report, and to a National Immunisation Register. Hum Vaccin Immunother. 2019;15(4):951-958. PubMed PMID: 30507331.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are children with special risk medical conditions receiving influenza vaccination? Validity of parental and provider report, and to a National Immunisation Register. AU - Tuckerman,Jane,MPH AU - Crawford,Nigel W, AU - Lynch,John, AU - Marshall,Helen S, Y1 - 2018/12/20/ PY - 2018/12/7/pubmed PY - 2020/2/29/medline PY - 2018/12/4/entrez KW - Special risk medical condition KW - immunisation register KW - influenza vaccination KW - parental report KW - validity SP - 951 EP - 958 JF - Human vaccines & immunotherapeutics JO - Hum Vaccin Immunother VL - 15 IS - 4 N2 - BACKGROUND: To investigate the validity of parent reported influenza vaccination and provider reporting to the Australian Immunisation Register (AIR) in children with special risk medical conditions (SRMC). METHODS: Cross-sectional survey with parents of children with a SRMC aged ≥ 6 months and <18 years attending the Women's and Children's Hospital, Adelaide, Australia from September 2015 to February 2016. Children aged <7 years provided data to assess provider-AIR reporting. Influenza vaccination status was ascertained from the child's parent, immunisation provider and the AIR. Concordance was made using the Kappa index and the sensitivity, specificity, positive predictive value and negative predictive value were calculated. RESULTS: 389 and 395 parent-provider influenza vaccination records were available for 2014 and 2015 respectively. 78% of parent reported vaccinations were substantiated by a provider with the kappa indicating good (κ = 0.677) to very good agreement (κ = 0.814) for 2014 and 2015 respectively. Discordance was higher in 2014, largely attributable to parents over reporting vaccination. More fathers over reported compared to mothers (Fisher's exact = 0.052). There were 241 provider-AIR influenza vaccination records. Sensitivity of the AIR to reflect a child's influenza immunisation status was low (32.6%). CONCLUSIONS: Parental report over estimates confirmed influenza vaccination status and is affected by time and relationship to the child. Only a third of influenza vaccinations were reported to the AIR. Timely accurate data is critical to facilitate vaccination and evaluate program coverage. SN - 2164-554X UR - https://www.unboundmedicine.com/medline/citation/30507331/Are_children_with_special_risk_medical_conditions_receiving_influenza_vaccination_Validity_of_parental_and_provider_report_and_to_a_National_Immunisation_Register_ L2 - https://www.tandfonline.com/doi/full/10.1080/21645515.2018.1554966 DB - PRIME DP - Unbound Medicine ER -