Prevalence and determinants of influenza vaccine coverage at tertiary pediatric hospitals

Newcombe, James; Kaur, Rajneesh; Wood, Nicholas; Seale, Holly; Palasanthiran, Pamela; Snelling, Tom

doi:10.1016/j.vaccine.2014.06.044

Cited by 35 publications

(44 citation statements)

References 20 publications

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“…An excess of influenza deaths (7/15) occurred in children with comorbidities. While influenza vaccination is recommended and funded under the NIP for children with specified medical conditions, low vaccination coverage has been well documented . Another seven influenza deaths occurred in children over 6 months of age with no documented comorbidities and all influenza cases who died before arrival at hospital were previously healthy children under 5 years of age.…”

Section: Discussionmentioning

confidence: 99%

Vaccine‐preventable child deaths in New South Wales from 2005 to 2014: How much is preventable?

Phillips

Beard

Macartney

et al. 2018

J Paediatrics Child Health

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Section: Discussionmentioning

confidence: 99%

Vaccine‐preventable child deaths in New South Wales from 2005 to 2014: How much is preventable?

Phillips

Beard

Macartney

et al. 2018

J Paediatrics Child Health

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“…3,4 It is well recognised that vaccine uptake may be greatly influenced by multiple factors such as, for example, lack of recommendation by general practitioners, concerns about vaccination effectiveness and safety, lack of knowledge and information, low perception of risk, difficult access to preventive activities, and socio-economic predictors. [5][6][7][8][9][10] Among the userrelated determinants affecting decisions about whether to vaccinate, parents' vaccine hesitancy represents a recent and growing concern in developed and developing countries. 11 It is well known that vaccine hesitancy refers to all kind of concerns that parents express by refusing some vaccines, delaying vaccines or accepting others, but they are unsure of doing so, despite availability of services and it is complex and context specific, varying across time, place, and vaccines.…”

Section: Introductionmentioning

confidence: 99%

Investigating Italian parents' vaccine hesitancy: A cross-sectional survey

Napolitano

D’Alessandro

Angelillo

2018

Human Vaccines & Immunotherapeutics

164

126

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This cross-sectional survey was designed to assess the prevalence of vaccine hesitancy and to identify factors associated among a randomly selected sample of parents. A questionnaire was self-administered from October to December 2017 to a sample of parents of children aged 2 to 6 years attending five randomly selected pre-schools in the geographic area of Naples, Italy. Out of the 727 selected parents, 437 returned the questionnaires for a response rate of 60.1%. The median of Parent Attitudes about Childhood Vaccines Survey (PACV) score among participants was 45.8 with a total of 141 parents (34.7%) scored a value ≥50 and were defined hesitant about the childhood vaccinations. Vaccine hesitancy was significantly more common among those who were concerned and among those were not sure that any one of the childhood shots might not be safe, among those who were concerned that their children might have a serious side effect from a shot, among those who were concerned that a shot might not prevent the disease, among those who delayed and refused at least a shot of vaccine for their children, and in those who are not sure and uncertain in the pediatrician. More than half of parents (53.8%) expressed a desire to receive additional information about the childhood vaccinations. Parents who were not sure and uncertain that to follow the recommended shot schedule is a good idea for their children and those who were parents of first-born children were more likely to need additional information. This study finds a high prevalence of vaccine hesitancy among parents suggesting that in the immunization program is necessary to achieve a higher quality of the relationship between pediatricians and the community.

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“…In addition to common reasons for underimmunization described in primary care, such as lack of knowledge, fear or mistrust, and poor healthcare access, hospitalized children may experience additional barriers to immunization. Parents and providers may be reluctant to accept inpatient vaccination due to illness or fever, or believe that vaccination should occur in the primary care setting .…”

Section: Introductionmentioning

confidence: 99%

“…2,3 However, influenza vaccination can be performed even in the setting of acute illness, and hospitalizations provide ideal opportunities for immunization, particularly for individuals with underlying conditions increasing their risk of influenza-related complications. [4][5][6] In addition to common reasons for underimmunization described in primary care, such as lack of knowledge, fear or mistrust, and poor healthcare access, 7,8 hospitalized children may experience additional barriers to immunization. Parents and providers may be reluctant to accept inpatient vaccination due to illness or fever, or believe that vaccination should occur in the primary care setting.…”

Section: Introductionmentioning

confidence: 99%

Exploring provider and parental perceptions to influenza vaccination in the inpatient setting

Rao

Fischman

Moss

et al. 2017

Influenza Resp Viruses

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BackgroundHospitalization provides an ideal opportunity for immunization, but few studies have explored provider and parental attitudes toward pediatric inpatient vaccination against influenza.ObjectivesThe objectives were to determine provider and caregiver attitudes and explore potential barriers to inpatient influenza vaccination.MethodsWe developed and distributed two surveys to parents/caregivers as well as providers of general pediatric inpatients at Children's Hospital Colorado between October 2014 and March 2015 assessing attitudes toward influenza and inpatient influenza vaccination. We analyzed the Likert scale responses using univariate analyses and multiple logistic regression to assess associations between responses and vaccination status.ResultsThe overall response rate was 95% and 58% for parents and providers, respectively. Parents of hospitalized children who agreed that flu vaccines are safe (adjusted OR 2.50 [95%CI 1.76‐3.58]), and that the influenza vaccine is needed every year had higher odds of having a vaccinated child (adjusted OR 3.30 [95%CI 2.30‐4.81]). Most providers (91%) agree that influenza vaccination is an important priority among inpatients, but believe that parental misconceptions and their reluctance for inpatient vaccination are the most important barriers to influenza vaccination. Providers forgetting to ask about vaccination status and order the vaccine are the next most commonly identified barriers. In contrast, most parents surveyed had favorable attitudes toward inpatient influenza vaccination and disagreed that their child was too sick to receive the vaccine during hospitalization.

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Prevalence and determinants of influenza vaccine coverage at tertiary pediatric hospitals

Cited by 35 publications

References 20 publications

Vaccine‐preventable child deaths in New South Wales from 2005 to 2014: How much is preventable?

Vaccine‐preventable child deaths in New South Wales from 2005 to 2014: How much is preventable?

Investigating Italian parents' vaccine hesitancy: A cross-sectional survey

Exploring provider and parental perceptions to influenza vaccination in the inpatient setting

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