Pediatric influenza vaccination rates lower than previous estimates in the United States

Gates, Dana M.; Cohen, Steven A.; Orr, Kelly; Caffrey, Aisling R.

doi:10.1016/j.vaccine.2022.09.053

Cited by 10 publications

(5 citation statements)

References 21 publications

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“…Similarly, a study found that parents of children aged 7–12 years (OR: 1.923), 12–14 years (OR: 2.372) had higher seasonal influenza VH compared to the under-3 years age group ( 36 ). Gates et al ( 42 ) found that seasonal influenza vaccination coverage among children aged 5–12 years was 33.2%, which was lower than the rate reported among under-five children (52.6%). The result may be due to the fact that some parents assume that the risk of seasonal influenza infection and health threat is low and that their children’s immunity may improve with age.…”

Section: Discussionmentioning

confidence: 91%

Determinants of parental seasonal influenza vaccine hesitancy in the Eastern Mediterranean region: A cross-sectional study

Fadl

Awaidy

Elshabrawy

et al. 2023

Front. Public Health

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BackgroundSeasonal influenza vaccine can reduce the risk of influenza-associated hospitalizations and deaths among children. Given that parents are the primary decision makers, this study examined the parental attitude toward childhood influenza vaccine and identified determinants of vaccine hesitancy (VH) in the Eastern Mediterranean region (EMR).MethodsA cross-sectional study was conducted using an anonymous online survey in 14 EMR countries. Parents of children aged 6 months to 18 years were included. The Parent Attitude about Childhood Vaccines (PACV) was used to assess VH. Chi square test and independent t-test were used to test for association of qualitative and quantitative variables, respectively. A structural equations model (SEM) was used to identify direct and indirect determinants of parental VH.ResultsAlmost half of the parents were hesitant about vaccinating their children against influenza (50.8%). Parental VH was significantly higher among older mothers (37.06 ± 8.8 years, p = 0.006), rural residents (53.6%, p < 0.001), high-income countries residents (50.6%, p < 0.001), and mothers with higher educational levels (52.1%, p < 0.001). Parents of school-aged children (5–9 years) (55.6%, p < 0.001), children free from any comorbidities (52.5%, p < 0.001), children who did not receive routine vaccination at all (51.5%, p = 0.03), children who were not vaccinated against COVID-19 (54.3%, p < 0.001), in addition to parents who were not vaccinated against influenza (57.1%, p < 0.001) were significantly associated with increased likelihood of VH. Parents who were depending on healthcare provider as a source of information regarding vaccines were less likely to report VH (47.9%, p < 0.001), meanwhile those who used social media as their source of health information showed a significantly higher VH (57.2%, p < 0.001). The SEM suggested that mother’s age, residence, country income level, child gender, total number of children and source of information regarding vaccines had a direct effect on VH. Meanwhile, parents vaccinated against influenza, children completely or partially vaccinated with routine vaccines and children vaccinated against Coronavirus disease 2019 (COVID-19) had an indirect effect on VH.ConclusionA high proportion of included parents were hesitant to vaccinate their children against seasonal influenza. This attitude is due to many modifiable and non-modifiable factors that can be targeted to improve vaccination coverage.

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Section: Discussionmentioning

confidence: 91%

Determinants of parental seasonal influenza vaccine hesitancy in the Eastern Mediterranean region: A cross-sectional study

Fadl

Awaidy

Elshabrawy

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

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“…This aligns with previous studies that have also found perceived value as a predictor of health-related behavioral intentions. 4 , 12 One important factor contributing to the perceived value of LAIV is its convenience and ease of administration compared to traditional injectable flu vaccines. Parents may perceive LAIV as a more attractive option for their children due to its ease of use and reduced discomfort associated with receiving the vaccine.…”

Section: Discussionmentioning

confidence: 99%

“…3 Children are vulnerable to influenza infection due to their developing immune systems and close relationships within school settings. 4 Vaccination is considered the most effective way to protect children’s health from the impact of influenza. The World Health Organization (WHO) recommends that all children aged 6–59 months receive an annual flu vaccine, while children aged 3–12 years should receive it every two years.…”

Section: Introductionmentioning

confidence: 99%

Predictors of parental acceptance to live attenuated influenza vaccine for children

Qu,

Zhou,

Campy

et al. 2024

Human Vaccines & Immunotherapeutics

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“…And, although the Selected Metropoli-tan/Micropolitan Area Risk Trends of BRFSS [5] (SMART BRFSS) subset of the data contains some county-level information, it only focuses on a small collection (typically 4% each year) of counties in qualifying metropolitan and micropolitan statistical areas, meaning the spatial extent and utility of the data are limited. Additionally, while past studies have investigated historical US flu vaccination trends, especially among healthcare workers or older, more vulnerable populations [6][7][8][9][10][11][12], to our knowledge, there have been no national-level analyses that examined vaccination coverage in the broader population at a fine spatial scale and spanned recent seasons (namely 2020 onward).…”

Section: Introductionmentioning

confidence: 99%

Estimating county-level flu vaccination in the United States

Tiu,

Bansal

2023

Preprint

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In the United States, influenza vaccines are an important part of public health efforts to blunt the effects of seasonal influenza epidemics. This in turn emphasizes the importance of understanding the spatial distribution of influenza vaccination coverage. Despite this, high quality data at a fine spatial scale and spanning a multitude of recent flu seasons are not readily available. To address this gap, we develop county-level counts of vaccination across five recent, consecutive flu seasons and fit a series of regression models to these data that account for bias. We find that the spatial distribution of our bias-corrected vaccination coverage estimates is generally consistent from season to season, with the highest coverage in the Northeast and Midwest but is spatially heterogeneous within states. We also observe a negative relationship between a county's vaccination coverage and social vulnerability. Our findings stress the importance of quantifying flu vaccination coverage at a fine spatial scale, as relying on state or region-level estimates misses key heterogeneities.

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Pediatric influenza vaccination rates lower than previous estimates in the United States

Cited by 10 publications

References 21 publications

Determinants of parental seasonal influenza vaccine hesitancy in the Eastern Mediterranean region: A cross-sectional study

Determinants of parental seasonal influenza vaccine hesitancy in the Eastern Mediterranean region: A cross-sectional study

Predictors of parental acceptance to live attenuated influenza vaccine for children

Estimating county-level flu vaccination in the United States

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