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

Abstract

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.

Demographics, perceptions, and socioeconomic factors affecting influenza vaccination among adults in the United States

“…Vaccine hesitancy and negative vaccine sentiment continues to contribute to suboptimal vaccination coverage in the United States for influenza and other vaccine-preventable diseases, posing significant risk of disease outbreaks ( Kang, Culp & Abbas, 2017 ; Kang et al., 2017 ). The perception of negative sentiment in vaccine effectiveness, risk for influenza infection and risky side effects lends to vaccine hesitancy and reduces trust and confidence in influenza vaccines.…”

Factors associated with childhood influenza vaccination in Israel: a cross-sectional evaluation

“…Those suggested, with moderate evidence of certainty, that reminder and recall activities probably improve vaccine acceptance [26]. School-based influenza vaccination represents a powerful method of outreach due to its convenience [27–29] and the potential to reach large numbers of children. In this regard, such programs were found to be associated with decreased influenza-like illness and respiratory infection in vaccinated children, their contacts, and the community, as well as decreased excess respiratory mortality [9, 30–34].…”

Semantic network analysis of vaccine sentiment in online social media

“…Vaccine hesitancy refers to a combination of beliefs, attitudes, and behaviors that influence an individual’s decision to vaccinate despite vaccine availability; these behaviors include refusal, delay, or reluctant acceptance despite having active concerns [2,3]. Strategies to address vaccine refusal have focused on individual reasons for not vaccinating, however, evidence of successful interventions remains limited.…”