Factors Determining the Uptake of Influenza Vaccination Among Children With Chronic Conditions

Chau, Janita Pak Chun; Lo, Suzanne Hoi Shan; Choi, Kai Chow; Chau, Matthew Hoi Kin; Tong, Danny Wah Kun; Kwong, Tany Kam Yuk; Thompson, David R.

doi:10.1097/inf.0000000000001550

Cited by 13 publications

(15 citation statements)

References 29 publications

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“…Subjective health status was not a significant factor in nonhigh-risk respondents, but poor subjective health status was associated with a higher vaccination rate in the high-risk group, which has also been reported in other studies. 9,10,16,19,20 In KAP variables, awareness of symptomatic differences between influenza disease and the common cold was a significant factor in the high-risk group. Schmid et al commented that lack of knowledge of influenza disease and vaccination acted as a barrier against influenza vaccination.…”

Section: Discussionmentioning

confidence: 99%

“…Trust in vaccine efficacy and concerns regarding vaccine safety were significantly associated with vaccine uptake in high-risk individuals, which was also supported by the majority of related studies. 9,10,18,20 In the non-high-risk group, individuals who had experienced influenza after vaccination during the previous flu seasons reported a significantly higher vaccination rate than individuals who had not experienced influenza after vaccination. To the best of our knowledge, no similar study assessing this factor has been carried out.…”

Section: Discussionmentioning

confidence: 99%

“…We selected questions following a literature review for behavioural vaccination studies. 4,[13][14][15][16][18][19][20][21][22] Based on the healthbelief model and literature review, we identified seven factors that can also be defined as the model's independent variables 1) perceived susceptibility, 2) perceived severity, 3) perceived benefits, 4) perceived barriers, 5) cues to action, 6) socioeconomic factors and, 7) knowledge of vaccination ( Figure 2). 18,23 Each factor included two to five questions on knowledge, attitude (belief), and practice (KAP) experience.…”

Section: Conceptual Modelmentioning

confidence: 99%

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Factors affecting influenza vaccination in adults aged 50-64 years with high-risk chronic diseases in South Korea

Jang

Kim

2019

Human Vaccines & Immunotherapeutics

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Influenza is a communicable disease with most of the mortality burden falling on high-risk populations and those with pre-existing comorbidities and chronic diseases. In South Korea, adults aged 50–64 years are recommended for influenza vaccination, but no government financial support is offered to encourage vaccination uptake, which has led to suboptimal vaccination rates and significant public health concerns. The purpose of this study was to identify the factors affecting influenza vaccine uptake in adults aged 50–64 years and to compare high-risk and non-high-risk groups. We conducted randomized telephone questionnaires in South Korea on influenza vaccination-related behavioural factors in adults aged 50–64 years based on their vaccination history during the 2015–2016 flu season. The vaccination rate was 29.9% in non-high-risk adults aged 50–64 years and 41.3% in high-risk adults aged 50–64 years, which is considerably lower than the 81.7% rate in adults aged ≥65 years. Individuals who reported awareness of the potential severity of influenza, the importance and safety of vaccination, and who had experienced influenza after immunization or received a healthcare recommendation reported higher influenza vaccination rates. Therefore, highlighting awareness of influenza disease and vaccination through public campaigns and by information from healthcare professionals could represent opportunities to improve vaccination uptake in this population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Conceptual Modelmentioning

confidence: 99%

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Factors affecting influenza vaccination in adults aged 50-64 years with high-risk chronic diseases in South Korea

Jang

Kim

2019

Human Vaccines & Immunotherapeutics

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“…While a doctor's recommendation is considered central to influenza vaccine uptake in children [12,17,[20][21][22][23][24], much of the previous research examining factors related to vaccine uptake in children in both Australia and elsewhere [12,17,[20][21][22][23][25][26][27][28] was undertaken in children hospitalised or with SRMC. However, it is likely that general parental awareness of children's influenza recommendations also contributes to uptake and there is limited research on parental awareness from a community perspective.…”

Section: Plos Onementioning

confidence: 99%

Disparities in parental awareness of children’s seasonal influenza vaccination recommendations and influencers of vaccination

2020

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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]

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“…A variety of theoretical frameworks were used to inform the design of the questionnaires used in the studies. The most common was the Health Belief Model (HBM), which was explicitly stated as having been used to inform the questions in 22 (19.0%) studies (26,28,(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), followed by the Theory of Planned Behaviour, which was used in 5 (4.3%) studies (50)(51)(52)(53)(54)(55). Other studies that were adapted from existing questionnaires may have implicitly been based on these or other theoretical frameworks as a consequence of having adapted from other questionnaires but did not explicitly claim the theoretical framework as a basis for their questions.…”

Section: Use Of Questionnaires and Survey Instrumentsmentioning

confidence: 99%

A systematic review of parental vaccine hesitancy and refusal in childhood vaccination

Dyda¹,

King²,

Dey³

et al. 2019

Preprint

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Background Acceptance of vaccines is an important predictor of vaccine uptake. This has public health implications as those who are not vaccinated are at a higher risk of infection from vaccine preventable diseases. We aimed to systematically review studies of parental attitudes and beliefs in childhood vaccination, with a focus on the methods used to measure hesitancy and refusal.Methods We identified and reviewed primary research studies using quantitative methods and investigating vaccine attitudes and beliefs published between January 2012 and May 2018. Studies were included if they involved a quantitative survey of the attitudes and beliefs of parents about vaccinations recommended for children. We undertook a narrative synthesis of the results with a focus on evaluating variation in the use of behavioural theories, validated survey instruments, and localisation and adaptation of questions to suit local context.Results A total of 116 studies met the inclusion criteria; 99 used a cross sectional study design, 5 used a case control study design, 4 used a pre-post study design and 8 used mixed methods study designs. Sample sizes of included studies ranged from 49 to 12,259. Thirty-six countries were represented in the included studies. The most commonly used tool was the Parent Attitudes about Childhood Vaccines (PACV) Survey. Questions eliciting vaccination attitudes and beliefs varied widely.Conclusions There was heterogeneity in the types of measures used in studies investigating attitudes and beliefs about vaccination in parents. Broader and more consistent use of validated survey instruments for measuring parental attitudes and beliefs about childhood vaccination would help to better understand localised differences in the reasons for vaccine hesitancy and refusal.

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Factors Determining the Uptake of Influenza Vaccination Among Children With Chronic Conditions

Cited by 13 publications

References 29 publications

Factors affecting influenza vaccination in adults aged 50-64 years with high-risk chronic diseases in South Korea

Factors affecting influenza vaccination in adults aged 50-64 years with high-risk chronic diseases in South Korea

Disparities in parental awareness of children’s seasonal influenza vaccination recommendations and influencers of vaccination

A systematic review of parental vaccine hesitancy and refusal in childhood vaccination

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