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Factors associated with childhood influenza vaccination in Israel: a cross-sectional evaluation.
Isr J Health Policy Res. 2019 11 26; 8(1):82.IJ

Abstract

BACKGROUND

Vaccinating children against influenza has shown both direct and indirect beneficial effects. However, despite being offered free of charge, childhood influenza vaccine coverage in Israel has been low. Our objective was to evaluate the factors associated with childhood influenza vaccination in Israel.

METHODS

A cross-sectional language-specific telephone survey was conducted among adults 18 years or older, to examine childhood influenza vaccination practices and their associations with socio-demographic and relevant health variables. We further explored the reasons for these practices among parents. Multivariate logistic regression was used to identify factors associated with childhood influenza vaccine acceptance.

RESULTS

Of a total of 6518 individuals contacted by mobile phone, 1165 eligible parents, ≥18 years old with children 1-18 years of age, were interviewed, and 1040 of them completed the survey successfully. Overall, factors associated with childhood influenza vaccination were younger child's age, influenza vaccination of other family members and belonging to the Arab population group. No association was found between childhood influenza vaccination and routine childhood vaccine uptake. Several of the parents' reasons for vaccine acceptance - preventing influenza or its transmission, awareness regarding the need for influenza vaccination and receipt of invitation to get vaccinated - differed significantly between Jewish and Arab parents. Several reasons reported by parents for not vaccinating children against influenza, indicated a likelihood to accept influenza vaccine outreach efforts. Such reasons were reported by 27.5% of Jewish parents and 37.5% of Arab parents.

CONCLUSIONS

We found that certain demographic factors were associated with childhood influenza vaccination in Israel. Several reasons described by the parent for not vaccinating their children indicate that outreach efforts are likely to increase childhood influenza vaccination. Addressing population group-specific needs is recommended to optimize the success of influenza vaccine outreach efforts.

Authors+Show Affiliations

Israel Center for Disease Control, Israel Ministry of Health, Tel-Hashomer, Ramat-Gan, Israel. Aharona.Freedman@moh.health.gov.il. Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Aharona.Freedman@moh.health.gov.il.Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Israel Center for Disease Control, Israel Ministry of Health, Tel-Hashomer, Ramat-Gan, Israel.Israel Center for Disease Control, Israel Ministry of Health, Tel-Hashomer, Ramat-Gan, Israel.Israel Center for Disease Control, Israel Ministry of Health, Tel-Hashomer, Ramat-Gan, Israel.Israel Center for Disease Control, Israel Ministry of Health, Tel-Hashomer, Ramat-Gan, Israel.Israel Center for Disease Control, Israel Ministry of Health, Tel-Hashomer, Ramat-Gan, Israel.Israel Center for Disease Control, Israel Ministry of Health, Tel-Hashomer, Ramat-Gan, Israel. Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31771629

Citation

Glatman-Freedman, Aharona, et al. "Factors Associated With Childhood Influenza Vaccination in Israel: a Cross-sectional Evaluation." Israel Journal of Health Policy Research, vol. 8, no. 1, 2019, p. 82.
Glatman-Freedman A, Amir K, Dichtiar R, et al. Factors associated with childhood influenza vaccination in Israel: a cross-sectional evaluation. Isr J Health Policy Res. 2019;8(1):82.
Glatman-Freedman, A., Amir, K., Dichtiar, R., Zadka, H., Vainer, I., Karolinsky, D., Enav, T., & Shohat, T. (2019). Factors associated with childhood influenza vaccination in Israel: a cross-sectional evaluation. Israel Journal of Health Policy Research, 8(1), 82. https://doi.org/10.1186/s13584-019-0349-x
Glatman-Freedman A, et al. Factors Associated With Childhood Influenza Vaccination in Israel: a Cross-sectional Evaluation. Isr J Health Policy Res. 2019 11 26;8(1):82. PubMed PMID: 31771629.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with childhood influenza vaccination in Israel: a cross-sectional evaluation. AU - Glatman-Freedman,Aharona, AU - Amir,Kanar, AU - Dichtiar,Rita, AU - Zadka,Hila, AU - Vainer,Ifat, AU - Karolinsky,Dolev, AU - Enav,Teena, AU - Shohat,Tamy, Y1 - 2019/11/26/ PY - 2019/03/20/received PY - 2019/10/25/accepted PY - 2019/11/28/entrez PY - 2019/11/28/pubmed PY - 2020/5/26/medline KW - Influenza vaccine KW - Influenza vaccine acceptance KW - Population groups SP - 82 EP - 82 JF - Israel journal of health policy research JO - Isr J Health Policy Res VL - 8 IS - 1 N2 - BACKGROUND: Vaccinating children against influenza has shown both direct and indirect beneficial effects. However, despite being offered free of charge, childhood influenza vaccine coverage in Israel has been low. Our objective was to evaluate the factors associated with childhood influenza vaccination in Israel. METHODS: A cross-sectional language-specific telephone survey was conducted among adults 18 years or older, to examine childhood influenza vaccination practices and their associations with socio-demographic and relevant health variables. We further explored the reasons for these practices among parents. Multivariate logistic regression was used to identify factors associated with childhood influenza vaccine acceptance. RESULTS: Of a total of 6518 individuals contacted by mobile phone, 1165 eligible parents, ≥18 years old with children 1-18 years of age, were interviewed, and 1040 of them completed the survey successfully. Overall, factors associated with childhood influenza vaccination were younger child's age, influenza vaccination of other family members and belonging to the Arab population group. No association was found between childhood influenza vaccination and routine childhood vaccine uptake. Several of the parents' reasons for vaccine acceptance - preventing influenza or its transmission, awareness regarding the need for influenza vaccination and receipt of invitation to get vaccinated - differed significantly between Jewish and Arab parents. Several reasons reported by parents for not vaccinating children against influenza, indicated a likelihood to accept influenza vaccine outreach efforts. Such reasons were reported by 27.5% of Jewish parents and 37.5% of Arab parents. CONCLUSIONS: We found that certain demographic factors were associated with childhood influenza vaccination in Israel. Several reasons described by the parent for not vaccinating their children indicate that outreach efforts are likely to increase childhood influenza vaccination. Addressing population group-specific needs is recommended to optimize the success of influenza vaccine outreach efforts. SN - 2045-4015 UR - https://www.unboundmedicine.com/medline/citation/31771629/Factors_associated_with_childhood_influenza_vaccination_in_Israel:_a_cross_sectional_evaluation_ L2 - https://ijhpr.biomedcentral.com/articles/10.1186/s13584-019-0349-x DB - PRIME DP - Unbound Medicine ER -