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Disparities in parental awareness of children's seasonal influenza vaccination recommendations and influencers of vaccination.
PLoS One. 2020; 15(4):e0230425.Plos

Abstract

OBJECTIVE

To determine parental awareness of influenza vaccination recommendations for children and explore associations with awareness.

DESIGN

Cross-sectional survey.

SETTING/PARTICIPANTS

South Australian parents with a telephone listing in the Electronic White Pages were randomly selected.

METHODS

Participants were interviewed using Computer Assisted Telephone Interviewing (CATI) during May-July 2016. Univariable and multivariable analyses explored characteristics associated with awareness; with the survey data weighted to reflect the population of SA and the probability of selection within a household.

RESULTS

Of 539 parents, 33% were aware of the recommendation that all children (<5 years) should receive the influenza vaccine annually with 51.9% aware that children with special risk medical conditions (SRMC) should also receive the vaccine annually. Characteristics strongly associated with parental awareness of the recommendation for children aged < 5 years were knowledge of recommendation for children with a SRMC (adjusted Odds Ratio [aOR] 10.46, CI 4.44-24.63) or living in a metropolitan area (aOR 2.91, CI 1.19-7.09). There was lack of awareness in those not working (aOR 0.13, CI 0.04-0.47), with trade level education (compared with high school) (aOR 0.25 CI, 0.09-0.71) and in those born in the UK or Ireland (aOR 0.19, CI 0.04-0.85). Awareness of the recommendation for children with SRMC to receive the vaccine was strongly associated with knowledge of the influenza recommendation for children <5 years (aOR 10.22, CI 4.39-23.77) or not being born in Australia [UK/ Ireland (aOR 7.63, CI 1.86-31.31); other (aOR 3.93, CI 0.94-16.42)]. The most influential cues to future receipt were a general practitioner (GP) recommendation (63.8%) and providing influenza vaccine free for all children (37.6%). More parents who delayed or excluded vaccines believed that their children's vaccinations (in general) were unnecessary, as other children were vaccinated (42.8%) compared to those with no or minor concerns (11.1%) (p<0.0001).

CONCLUSIONS

Parental awareness of children's influenza vaccine recommendations is low. Targeted communication strategies and resources are required to establish broader community awareness of recommendations. Healthcare provider endorsement of the vaccine remains key and health care professionals, particularly GPs and paediatric specialists should be encouraged to discuss influenza vaccine with parents at every opportunity. Many parents have vaccine concerns and addressing concerns across the spectrum of hesitancy is crucial.

Authors+Show Affiliations

Discipline of Paediatrics, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia. Robinson Research Institute, University of Adelaide, 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.Discipline of Paediatrics, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia. Robinson Research Institute, University of Adelaide, 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, Adelaide, South Australia, Australia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32271793

Citation

Tuckerman, Jane, et al. "Disparities in Parental Awareness of Children's Seasonal Influenza Vaccination Recommendations and Influencers of Vaccination." PloS One, vol. 15, no. 4, 2020, pp. e0230425.
Tuckerman J, Crawford NW, Marshall HS. Disparities in parental awareness of children's seasonal influenza vaccination recommendations and influencers of vaccination. PLoS One. 2020;15(4):e0230425.
Tuckerman, J., Crawford, N. W., & Marshall, H. S. (2020). Disparities in parental awareness of children's seasonal influenza vaccination recommendations and influencers of vaccination. PloS One, 15(4), e0230425. https://doi.org/10.1371/journal.pone.0230425
Tuckerman J, Crawford NW, Marshall HS. Disparities in Parental Awareness of Children's Seasonal Influenza Vaccination Recommendations and Influencers of Vaccination. PLoS One. 2020;15(4):e0230425. PubMed PMID: 32271793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Disparities in parental awareness of children's seasonal influenza vaccination recommendations and influencers of vaccination. AU - Tuckerman,Jane, AU - Crawford,Nigel W, AU - Marshall,Helen S, Y1 - 2020/04/09/ PY - 2019/08/01/received PY - 2020/02/28/accepted PY - 2020/4/10/entrez PY - 2020/4/10/pubmed PY - 2020/7/22/medline SP - e0230425 EP - e0230425 JF - PloS one JO - PLoS One VL - 15 IS - 4 N2 - OBJECTIVE: To determine parental awareness of influenza vaccination recommendations for children and explore associations with awareness. DESIGN: Cross-sectional survey. SETTING/PARTICIPANTS: South Australian parents with a telephone listing in the Electronic White Pages were randomly selected. METHODS: Participants were interviewed using Computer Assisted Telephone Interviewing (CATI) during May-July 2016. Univariable and multivariable analyses explored characteristics associated with awareness; with the survey data weighted to reflect the population of SA and the probability of selection within a household. RESULTS: Of 539 parents, 33% were aware of the recommendation that all children (<5 years) should receive the influenza vaccine annually with 51.9% aware that children with special risk medical conditions (SRMC) should also receive the vaccine annually. Characteristics strongly associated with parental awareness of the recommendation for children aged < 5 years were knowledge of recommendation for children with a SRMC (adjusted Odds Ratio [aOR] 10.46, CI 4.44-24.63) or living in a metropolitan area (aOR 2.91, CI 1.19-7.09). There was lack of awareness in those not working (aOR 0.13, CI 0.04-0.47), with trade level education (compared with high school) (aOR 0.25 CI, 0.09-0.71) and in those born in the UK or Ireland (aOR 0.19, CI 0.04-0.85). Awareness of the recommendation for children with SRMC to receive the vaccine was strongly associated with knowledge of the influenza recommendation for children <5 years (aOR 10.22, CI 4.39-23.77) or not being born in Australia [UK/ Ireland (aOR 7.63, CI 1.86-31.31); other (aOR 3.93, CI 0.94-16.42)]. The most influential cues to future receipt were a general practitioner (GP) recommendation (63.8%) and providing influenza vaccine free for all children (37.6%). More parents who delayed or excluded vaccines believed that their children's vaccinations (in general) were unnecessary, as other children were vaccinated (42.8%) compared to those with no or minor concerns (11.1%) (p<0.0001). CONCLUSIONS: Parental awareness of children's influenza vaccine recommendations is low. Targeted communication strategies and resources are required to establish broader community awareness of recommendations. Healthcare provider endorsement of the vaccine remains key and health care professionals, particularly GPs and paediatric specialists should be encouraged to discuss influenza vaccine with parents at every opportunity. Many parents have vaccine concerns and addressing concerns across the spectrum of hesitancy is crucial. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/32271793/Disparities_in_parental_awareness_of_children's_seasonal_influenza_vaccination_recommendations_and_influencers_of_vaccination_ L2 - https://dx.plos.org/10.1371/journal.pone.0230425 DB - PRIME DP - Unbound Medicine ER -