Predictors of influenza vaccination in the U.S. among children 9–13 years of age

Teresa M. Imburgia, Kristin S. Hendrix, Kelly L. Donahue, Lynne A. Sturm, Gregory Zimet

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background and objectives U.S. estimates of seasonal influenza (flu) vaccine uptake in 2014–2015 were 62% for 5–12 year olds, dropping to 47% for 13–17 year olds. The Healthy People 2020 goal for these age groups is 80%. It is important to understand factors associated with influenza vaccination, especially for those ages where rates begin to decline. The objective of this study was to identify factors associated with influenza vaccination acceptance in 9–13 year old children. Methods An online U.S. survey of mothers of children aged 9–13 assessed children's influenza vaccine uptake in the previous season, healthcare utilization, sociodemographics, and vaccine attitudes. Multivariable logistic regression identified independent predictors of influenza vaccine status. Results There were 2363 respondents (Mean age = 38 years old). Referent children were 57% female and 66% non-minority race/ethnicity with a mean age of 10.6 years. By maternal report, 59% of children had received an influenza vaccine in the previous season. Predictors of influenza vaccine uptake included a recommendation or strong recommendation from a health care provider, seeing a health care provider in the past year, positive attitudes regarding the influenza vaccine, and being a minority race. Child gender, age, insurance coverage, and whether the child had a regular healthcare provider were not associated with influenza vaccine uptake (p = n.s.). Conclusions This sample reported overall rates of influenza vaccine uptake similar to national surveillance data, but still lower than national goals. Provider recommendations along with health attitudes and seeing a health care provider were associated with vaccine uptake. Promising interventions may include more directive physician messaging for influenza vaccine uptake in youth, encouraging more regular well-child visits during the adolescent years, and promoting influenza vaccination at alternative sites.

Original languageEnglish (US)
Pages (from-to)2338-2342
Number of pages5
JournalVaccine
Volume35
Issue number18
DOIs
StatePublished - Apr 25 2017

Fingerprint

Influenza Vaccines
influenza
Human Influenza
Vaccination
vaccination
vaccines
Health Personnel
uptake mechanisms
health care workers
Vaccines
health services
Mothers
Attitude to Health
Insurance Coverage
human influenza
insurance
nationalities and ethnic groups
physicians
Age Groups
Logistic Models

Keywords

  • Adolescents
  • Attitudes
  • Child
  • Children
  • Early adolescence
  • Immunization
  • Influenza
  • Vaccination

ASJC Scopus subject areas

  • Molecular Medicine
  • Immunology and Microbiology(all)
  • veterinary(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Predictors of influenza vaccination in the U.S. among children 9–13 years of age. / Imburgia, Teresa M.; Hendrix, Kristin S.; Donahue, Kelly L.; Sturm, Lynne A.; Zimet, Gregory.

In: Vaccine, Vol. 35, No. 18, 25.04.2017, p. 2338-2342.

Research output: Contribution to journalArticle

Imburgia, Teresa M. ; Hendrix, Kristin S. ; Donahue, Kelly L. ; Sturm, Lynne A. ; Zimet, Gregory. / Predictors of influenza vaccination in the U.S. among children 9–13 years of age. In: Vaccine. 2017 ; Vol. 35, No. 18. pp. 2338-2342.
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T1 - Predictors of influenza vaccination in the U.S. among children 9–13 years of age

AU - Imburgia, Teresa M.

AU - Hendrix, Kristin S.

AU - Donahue, Kelly L.

AU - Sturm, Lynne A.

AU - Zimet, Gregory

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N2 - Background and objectives U.S. estimates of seasonal influenza (flu) vaccine uptake in 2014–2015 were 62% for 5–12 year olds, dropping to 47% for 13–17 year olds. The Healthy People 2020 goal for these age groups is 80%. It is important to understand factors associated with influenza vaccination, especially for those ages where rates begin to decline. The objective of this study was to identify factors associated with influenza vaccination acceptance in 9–13 year old children. Methods An online U.S. survey of mothers of children aged 9–13 assessed children's influenza vaccine uptake in the previous season, healthcare utilization, sociodemographics, and vaccine attitudes. Multivariable logistic regression identified independent predictors of influenza vaccine status. Results There were 2363 respondents (Mean age = 38 years old). Referent children were 57% female and 66% non-minority race/ethnicity with a mean age of 10.6 years. By maternal report, 59% of children had received an influenza vaccine in the previous season. Predictors of influenza vaccine uptake included a recommendation or strong recommendation from a health care provider, seeing a health care provider in the past year, positive attitudes regarding the influenza vaccine, and being a minority race. Child gender, age, insurance coverage, and whether the child had a regular healthcare provider were not associated with influenza vaccine uptake (p = n.s.). Conclusions This sample reported overall rates of influenza vaccine uptake similar to national surveillance data, but still lower than national goals. Provider recommendations along with health attitudes and seeing a health care provider were associated with vaccine uptake. Promising interventions may include more directive physician messaging for influenza vaccine uptake in youth, encouraging more regular well-child visits during the adolescent years, and promoting influenza vaccination at alternative sites.

AB - Background and objectives U.S. estimates of seasonal influenza (flu) vaccine uptake in 2014–2015 were 62% for 5–12 year olds, dropping to 47% for 13–17 year olds. The Healthy People 2020 goal for these age groups is 80%. It is important to understand factors associated with influenza vaccination, especially for those ages where rates begin to decline. The objective of this study was to identify factors associated with influenza vaccination acceptance in 9–13 year old children. Methods An online U.S. survey of mothers of children aged 9–13 assessed children's influenza vaccine uptake in the previous season, healthcare utilization, sociodemographics, and vaccine attitudes. Multivariable logistic regression identified independent predictors of influenza vaccine status. Results There were 2363 respondents (Mean age = 38 years old). Referent children were 57% female and 66% non-minority race/ethnicity with a mean age of 10.6 years. By maternal report, 59% of children had received an influenza vaccine in the previous season. Predictors of influenza vaccine uptake included a recommendation or strong recommendation from a health care provider, seeing a health care provider in the past year, positive attitudes regarding the influenza vaccine, and being a minority race. Child gender, age, insurance coverage, and whether the child had a regular healthcare provider were not associated with influenza vaccine uptake (p = n.s.). Conclusions This sample reported overall rates of influenza vaccine uptake similar to national surveillance data, but still lower than national goals. Provider recommendations along with health attitudes and seeing a health care provider were associated with vaccine uptake. Promising interventions may include more directive physician messaging for influenza vaccine uptake in youth, encouraging more regular well-child visits during the adolescent years, and promoting influenza vaccination at alternative sites.

KW - Adolescents

KW - Attitudes

KW - Child

KW - Children

KW - Early adolescence

KW - Immunization

KW - Influenza

KW - Vaccination

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