Current experience with school-located influenza vaccination programs in the United States

Hull, Harry F.; Ambrose, Christopher S.

doi:10.4161/hv.7.2.13668

Cited by 39 publications

(56 citation statements)

References 25 publications

(57 reference statements)

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“…In contrast, school-located vaccination (SLV) programs, and specifically school-located influenza vaccination (SLIV), are dedicated programs for targeted vaccination of school-aged children [1,2]. SLV programs have been adopted worldwide in countries such as Canada [3], the United Kingdom [4], and Australia [5].…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers of parental attitudes and beliefs toward school-located influenza vaccination in the United States: Systematic review

Kang

Culp

Abbas

2017

Vaccine

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The study objective was to identify facilitators and barriers of parental attitudes and beliefs toward school-located influenza vaccination in the United States. In 2009, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention expanded their recommendations for influenza vaccination to include school-aged children. We conducted a systematic review of studies focused on facilitators and barriers of parental attitudes toward school-located influenza vaccination in the United States from 1990 to 2016. We reviewed 11 articles by use of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework. Facilitators were free/low cost vaccination; having belief in vaccine efficacy, influenza severity, and susceptibility; belief that vaccination is beneficial, important, and a social norm; perception of school setting advantages; trust; and parental presence. Barriers were cost; concerns regarding vaccine safety, efficacy, equipment sterility, and adverse effects; perception of school setting barriers; negative physician advice of contraindications; distrust in vaccines and school-located vaccination programs; and health information privacy concerns. We identified the facilitators and barriers of parental attitudes and beliefs toward school-located influenza vaccination to assist in the evidence-based design and implementation of influenza vaccination programs targeted for children in the United States and to improve influenza vaccination coverage for population-wide health benefits.

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Section: Introductionmentioning

confidence: 99%

Facilitators and barriers of parental attitudes and beliefs toward school-located influenza vaccination in the United States: Systematic review

Kang

Culp

Abbas

2017

Vaccine

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“…Children are often underrepresented in influenza prevention interventions despite their critical role in spreading the disease (1, 2). Furthermore, the greatest opportunity for enhancing lifelong knowledge, attitudes and behaviors regarding influenza prevention may lie in interventions targeting young children (3).…”

Section: Introductionmentioning

confidence: 99%

Influenza Knowledge, Attitude, and Behavior Survey for Grade School Students: Design and Novel Assessment Methodology

et al. 2014

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Background Despite the fact infectious diseases can spread readily in grade schools, few studies have explored prevention in this setting. Additionally, we lack valid tools for students to self-report knowledge, attitudes, and behaviors. As part of an ongoing study of a curriculum intervention to promote healthy behaviors, we developed and evaluated age-appropriate surveys to determine students’ understanding of influenza prevention. Methods Surveys were adapted from adolescent and adult influenza surveys and administered to students in grades 2–5 (ages 7–11) at two Rochester public schools. We assessed student understanding by analyzing percent repeatability of 20 survey questions and compared percent “Don’t Know” (DK) responses across grades, gender, and race. Questions thought to be ambiguous after early survey administration were investigated in student focus groups, modified as appropriate, and reassessed. Results The response rate across all surveys was > 87%. Survey questions were well understood; 17 of 20 questions demonstrated strong pre/post repeatability (> 70%). Only 1 question showed an increase in DK response for higher grades (p <.0001). Statistical analysis and qualitative feedback led to modification of 3 survey questions and improved measures of understanding in the final survey administration. Conclusions Grade-school students’ knowledge, attitudes and behavior toward influenza prevention can be assessed using surveys. Quantitative and qualitative analysis may be used to assess participant understanding and refine survey development for pediatric survey instruments. These methods may be used to assess the repeatability and validity of surveys to assess the impact of health education interventions in young children.

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“…A review of the literature written by Harry Hull and Christopher Ambrose in 2011 examined program outcomes and effectiveness; 13 published articles and 25 conference presentations were identified for the paper. 23 Most programs reported coverage rates of approximately 40-50% (range 7-73%), with elementary schools reporting higher rates than middle or high schools. Some programs reported differences in immunization rates based on socioeconomic and demographic indicators -a pattern seen in the hepatitis B experience as well, 24,20,19,25 ] while some programs found no such associations.…”

Section: Influenza Vaccine: An Annual Eventmentioning

confidence: 99%

School-located vaccination for adolescents: Past, present, and future and implications for HPV vaccine delivery

Middleman

2016

Human Vaccines & Immunotherapeutics

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Adolescents were first specifically targeted for school-located vaccination (SLV) in the 1990s when hepatitis B catch-up vaccination was recommended for all adolescents. SLV affords the opportunity to access adolescents at a time when their activities have developmental import and the patients have the capacity to decline repeatedly missing school and extracurricular events to get vaccinated. As noted above, SLV has been primarily reserved for brief catch-up interventions among youth, with routine vaccination recommendations quickly defaulting to the primary care provider. Now in 2016, with relatively disappointing adolescent immunization rates for the routinely recommended human papillomavirus (HPV) vaccine, the SLV option is one that could potentially help increase vaccination rates for a particularly effective, life-saving, 3-dose vaccination series. This article will serve as a brief review of the successful use of SLV in other countries, lessons learned when SLV was employed to immunize adolescents against hepatitis B in the United States in the late 1990s and early 2000s, and the current hopes and challenges for the future of adolescent SLV programming in the United States. Overall, the shift to the use of SLV to administer routinely recommend vaccine for adolescents will require careful planning to implement known strategies for accessing youth and in addition to new strategies designed to assure appropriate reimbursement for cost-effect SLV services. While not the best option for all adolescents, SLV provides an important opportunity to immunize youth with limited access to healthcare services in the community at large.

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Current experience with school-located influenza vaccination programs in the United States

Cited by 39 publications

References 25 publications

Facilitators and barriers of parental attitudes and beliefs toward school-located influenza vaccination in the United States: Systematic review

Facilitators and barriers of parental attitudes and beliefs toward school-located influenza vaccination in the United States: Systematic review

Influenza Knowledge, Attitude, and Behavior Survey for Grade School Students: Design and Novel Assessment Methodology

School-located vaccination for adolescents: Past, present, and future and implications for HPV vaccine delivery

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