Vaccination against influenza: Coverage and adherence in children under 15 years with high-risk medical conditions in the Community of Madrid

Díaz-García, Rosa S; Sánchez-Gómez, Amaya; López-Zambrano, María Alejandra; Esteban‐Vasallo, María D; Llabrés, Soledad Cañellas; Rodríguez, María Ángeles Gutiérrez; Carbajo, María Dolores Lasheras

doi:10.1016/j.anpede.2022.07.006

Cited by 1 publication

(5 citation statements)

References 34 publications

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“…We did not find significant differences in the frequency of vaccination depending on the children’s origin, but there were differences considering the origin of parents (Spanish vs. other countries). These differences were also found in other studies [ 9 , 11 , 29 ] and may be associated with sociocultural factors and, again, barriers to access to healthcare services.…”

Section: Discussionsupporting

confidence: 80%

“…The uptake of VC aged 6 to 59 months of age was 45.1% of all children registered in the database, exceeding the rates of vaccination in children published up to date in other Spanish regions [9][10][11] and other European countries [12,13,24,25], although these works were undertaken before the new recommendations. It is worth mentioning that even though the desired coverage of 50% was not achieved [20], the results are promising taking into account that it was the first vaccination campaign, and it started in November instead of October.…”

Section: Discussionmentioning

confidence: 74%

“…The univariable and multivariable models are depicted in Table 3. Influenza vaccination in the previous year (parent) (10) 2.27 (2.09-2.48) <0.001 --Influenza vaccination (or intention) this campaign (parent) (11) 5.04 (460-5.52) <0.001 4.75 (4.27-5.28) <0.0001…”

Section: Reasons For Vaccination and Satisfaction With Vaccinesmentioning

confidence: 99%

“…Chronic (a) disease (parent) (12) 1.24 (1.11-1.37) <0.001 --Reference categories: (1) no premature birth (≥37 weeks); (2) none; (3) no influenza vaccination last campaign; (4) no acute infectious disease in 2022; (5) no kindergarten attendance; (6) no up-to-date vaccination schedule; (7) no non-funded vaccines; (8) no cohabitants with chronic disease and/or older than 60 years; (9) influenza vs. measles, pneumonia, meningitis and rotavirus gastroenteritis; (10) no influenza vaccination in the previous year (parent); (11) no influenza vaccination (or intention) this campaign (parent); (12) no chronic disease (parent). The variables "Influenza vaccination last year (parents)" and "Chronic disease (parent)" were no longer significant when adjusted with the rest of the variables in the multivariable model.…”

Section: Reasons For Vaccination and Satisfaction With Vaccinesmentioning

confidence: 99%

“…[ 7 ]. Despite these recommendations, the pediatric vaccination rate in groups at risk was still a target, being significantly lower than that of adult vaccination, and with remarkable differences among autonomous communities [ 9 , 10 , 11 ]. Low vaccination coverage was observed not only in Spain, but also in other European regions [ 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Influenza Vaccination in Children Younger than 5 Years in the Region of Murcia (Spain), a Comparative Analysis among Vaccinating and Non-Vaccinating Parents: Data from the FLUTETRA Study

Pérez Martín,

Zornoza Moreno,

Tornel Miñarro

et al. 2024

Vaccines

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The high burden of influenza in children has driven numerous countries towards universal vaccination of healthy children from 6 to 59 months of age. The Region of Murcia was one of the pioneer Spanish regions to conduct a universal vaccination campaign and to use live-attenuated intranasal vaccine (LAIV) if age appropriate. This study aims to evaluate the parents’ likeliness to vaccinate their children and to compare the profile of vaccinating/non-vaccinating parents. This study was designed as a prospective, real-world, survey-based data collection in the 2022–2023 season campaign. This study’s sample was selected from those children whose information was available in the local Public Health System databases PERSAN and VACUSAN. Children received LAIV or intramuscular vaccine (IIV) depending on their age as per standard practice. The parent self-vaccination/intention to vaccinate themselves in this campaign (OR = 4.75), the compliance with the official vaccination schedule (OR = 3.41), and the prescription of antibiotics more than twice in the previous year (OR = 2.24) were strongly associated with children’s vaccination. Overall, vaccinating parents were very satisfied with the vaccine (IIV: 67.5% vs. LAIV: 68.8%, p = 0.320), and most parents would rather have their children vaccinated with LAIV for the next campaign (43.0%). The main reasons for vaccinating were to protect the child (LAIV: 85.9% vs. IIV: 89.4%), and the predominant reasons for not vaccinating were a lack of healthcare professional recommendation (30.9%), and lack of information about the vaccination campaign (21.5%) and the vaccine itself (21.0%). The clinical context of parents and children was determinant in decision making, which was also influenced by the presence or absence of recommendation by healthcare professionals. Parents were generally very satisfied with the vaccine and showed their preference towards LAIV for future campaigns.

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Section: Discussionsupporting

confidence: 80%