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Association between provider recommendation and influenza vaccination status among children

tetano

Editor, Senior Moderator
Vaccine. 2018 May 12. pii: S0264-410X(18)30584-X. doi: 10.1016/j.vaccine.2018.04.077. [Epub ahead of print]
[h=1]Association between provider recommendation and influenza vaccination status among children.[/h] Kahn KE[SUP]1[/SUP], Santibanez TA[SUP]2[/SUP], Zhai Y[SUP]3[/SUP], Bridges CB[SUP]4[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Provider recommendation is associated with influenza vaccination receipt. The objectives of this study were to estimate the percentage of children 6 months-17 years for whom a provider recommendation for influenza vaccination was received, identify factors associated with receipt of provider recommendation, and evaluate the association between provider recommendation and influenza vaccination status among children.
[h=4]METHODS:[/h] National Immunization Survey-Flu (NIS-Flu) parentally reported data for the 2013-14, 2014-15, and 2015-16 seasons were analyzed. Tests of association between provider recommendation and demographic characteristics were conducted using Wald chi-square tests and pairwise comparison t-tests. Multivariable logistic regression was used to determine variables independently associated with receiving provider recommendation and the association between provider recommendation and influenza vaccination status.
[h=4]RESULTS:[/h] Approximately 70% of children had a parent report receiving a provider recommendation for influenza vaccination for their child. The strongest association between receipt of provider recommendation and demographic characteristics was with child's age, with younger children (6-23 months, 2-4 years, and 5-12 years) being more likely to have a provider recommendation than older children (13-17 years). In addition, children living in a household above poverty with household income >$75,000 were more likely to have a parent report receipt of a provider recommendation than children living below poverty. Children with a provider recommendation were twice as likely to be vaccinated than those without.
[h=4]CONCLUSIONS:[/h] This study affirms the importance of provider recommendation for influenza vaccination among children. Ensuring that parents of all children receive a provider recommendation may improve vaccination coverage.
Published by Elsevier Ltd.


[h=4]KEYWORDS:[/h] Child; Immunization; Influenza, human; Surveys and questionnaires; Vaccination; Vaccination coverage

PMID: 29764679 DOI: 10.1016/j.vaccine.2018.04.077
 
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