Influenza vaccine coverage and predictive factors associated with influenza vaccine uptake among pediatric patients

Ewig, Celeste Lom-Ying; Tang, Ka Ming; Leung, Ting Fan; You, Joyce H. S.

doi:10.1016/j.ajic.2018.04.219

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…The reported VCRs among the three different age groups were lower than in other districts and countries, such as Hong Kong, 8 the USA 9 and some EU/EEA member states, 10 especially the VCR among elderly people. The VCR rate of the elderly was not only markedly lower than the rates reported in European countries, 10 the United States, 9 Japan, 11 Korea 12 and Singapore, 13 but it was also much lower than reported by studies in Beijing, 14 which is similar in size to Shanghai.…”

Section: Discussionmentioning

confidence: 66%

Barriers to influenza vaccination among different populations in Shanghai

Yan

Wang

Zhu

et al. 2020

Human Vaccines & Immunotherapeutics

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Background: Seasonal influenza vaccination coverage remains low in most areas of China. Its influencing factors and barriers in various populations receiving influenza vaccinations need to be well understood to promote vaccination. Methods: A cross-sectional survey was conducted with residents in 48 communities. Vaccination status in the 2018–2019 influenza season and reasons for or against vaccination were surveyed. The potential factors influencing vaccination uptake were determined using bivariate logistic regression. Results: In total, 1301 of the 11053 respondents received an influenza vaccine during the 2018–2019 season with a coverage rate of 11.8% (95% CI, 11.2–12.4). The vaccine coverage was highest among children (26.6%, 95%CI: 24.8–28.5), followed by adults (8.2%, 95%CI: 7.4–9.0) and elderly people (7.3%, 95%CI: 6.5–8.1) ( p < .001). Those with chronic underlying conditions all had higher vaccine coverage than did those without for different groups ( p < .001). Among the three groups, the most common reason for being unvaccinated was worrying about the side effects (45.0%), believing they were healthy and did not need to get vaccinated (42.2%), and lack of influenza vaccine awareness (48.3%). Low education level and lack of awareness were identified as predictors of low coverage rate. Conclusion: Influenza vaccination coverage is low among different populations in Shanghai. Our study highlights the need for appropriate influenza vaccination strategies and programmes targeting different populations.

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Section: Discussionmentioning

confidence: 66%

Barriers to influenza vaccination among different populations in Shanghai

Yan

Wang

Zhu

et al. 2020

Human Vaccines & Immunotherapeutics

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“…49,50 Perceptions about the severity of influenza disease can influence the intent to vaccinate. 51,53 In our study, a third of caregivers believed that children "cannot die from the flu," and almost half thought that "the flu is just a bad cold," suggesting that not all caregivers were aware of the seriousness of influenza infection. In a study of caregivers of children 6 to 23 months, 7.2% of caregivers reported "flu is not serious" as the primary driver of the decision not to have their child receive the influenza vaccine.…”

Section: Discussionmentioning

confidence: 60%

“…[43][44][45] Despite increased public health efforts to promote accurate information about vaccination, myths about influenza disease and vaccine among caregivers remain common. [46][47][48][49][50][51][52][53] While prior research focused on influenza knowledge in targeted populations, such as caregivers of children with chronic conditions, little is known about caregiver knowledge, attitudes, and beliefs about influenza disease and influenza vaccine after the receipt of the first of the two required influenza vaccine doses in a season. 49,50 Perceptions about the severity of influenza disease can influence the intent to vaccinate.…”

Section: Discussionmentioning

confidence: 99%

Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study

Nekrasova

Stockwell

Localio

et al. 2020

Human Vaccines & Immunotherapeutics

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To receive adequate protection against influenza, some children 6 months through 8 y old need two doses of influenza vaccine in a given season. Currently, only half of those receiving the first dose receive a second. Our objective was to assess vaccine hesitancy and influenza disease and vaccine knowledge, attitudes, and beliefs among caregivers of children who received the first of their two needed doses. As part of a national-randomized control trial of second dose text-message influenza vaccine reminders (2017-2018 season), a telephone survey collected caregiver and index child demographic information. Each child had received the first of two needed influenza vaccine doses. Caregivers completed a measure of general vaccine hesitancythe five-question Parent Attitudes About Childhood Vaccines Survey Tool (PACV-5)and questions about influenza infection and vaccine. We assessed associations between participant demographic characteristics, vaccine hesitancy, and influenza beliefs and calculated the standardized proportion of caregivers endorsing each outcome using logistic regression. Analyses included responses from 256 participants from 36 primary care practices in 24 states. Some caregivers (11.7%) reported moderate/high vaccine hesitancy and many had misperceptions about influenza disease and vaccine. In multivariable models, no single variable was consistently associated with inaccurate knowledge, attitudes, and beliefs. These results demonstrate that caregivers whose children received the first dose of influenza vaccine may still be vaccine hesitant and have inaccurate influenza beliefs. Pediatricians should consider broadly addressing inaccurate beliefs and promoting vaccination even after caregivers agree to the first dose.

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“…38 Commonly reported reasons for parents and/or caregivers to not vaccinate their children include lack of awareness of influenza vaccine recommendations and fear of side effects. 39 Hesitancy toward vaccinations is also an increasing trend. 14,35,40 However, pharmacists can play an essential role in educating patients and caregivers about the benefits of vaccination and correcting any misconceptions they may have, 14,35 which has been shown to increase vaccination rates in adults.…”

Section: Discussionmentioning

confidence: 99%

Demographic and Clinical Predictors of Pharmacist-Administered Pediatric Influenza Immunization

Gates

Cohen

Orr

et al. 2023

Journal of Pharmacy Practice

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Background: Pediatricians’ offices are primary locations for pediatric influenza vaccination; however, pharmacists are also well-positioned as immunizers. Considering the current COVID-19 pandemic and Public Readiness and Emergency Preparedness (PREP) Act, pharmacists’ authority to vaccinate children has been recently expanded. Methods: We used the de-identified Optum ClinformaticsTM Data Mart database to identify demographic and clinical predictors of pharmacist-administered pediatric influenza vaccination compared with influenza vaccination in pediatricians’ offices. Procedures codes for influenza vaccinations among children were captured for the 2016-2017 influenza season. Logistic regression was used to identify significant predictors. Results: We included 336 841 children receiving influenza vaccines by a pharmacist (5.2%) or in pediatricians’ offices (94.8%). The following significant predictors were identified: older pediatric age groups (13-17 years odds ratio [OR] 91.51, 5-12 years OR 35.41), states allowing pharmacist-administered influenza vaccination at younger ages (no age restrictions OR, 26.68, minimum age 2-4 years old OR, 33.76), influenza vaccination outside of pediatricians’ offices in the previous year (pharmacist-administered OR, 22.18, convenience care OR 4.15, emergency care OR 1.69), geographic region (South OR, 2.02, Midwest OR 1.60, and West OR 1.38), and routine health exam or follow-up in the prior 6-months (OR, 1.59). Conclusions: The strongest drivers of pharmacist-administered pediatric influenza vaccination were older pediatric age, more lenient minimum age restrictions, and previous influenza vaccination in a pharmacy. Due to the COVID-19 pandemic, the PREP Act, and forthcoming pediatric COVID-19 vaccines for children, pharmacists may play a greater role in pediatric vaccination resulting in sustained changes in pediatric vaccination practices.

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Influenza vaccine coverage and predictive factors associated with influenza vaccine uptake among pediatric patients

Cited by 5 publications

References 18 publications

Barriers to influenza vaccination among different populations in Shanghai

Barriers to influenza vaccination among different populations in Shanghai

Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study

Demographic and Clinical Predictors of Pharmacist-Administered Pediatric Influenza Immunization

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