tetano
Editor, Senior Moderator
Vaccine. 2013 Dec 3. pii: S0264-410X(13)01665-4. doi: 10.1016/j.vaccine.2013.11.076. [Epub ahead of print]
Parent and provider perspectives on immunization: Are providers overestimating parental concerns?
Mary Healy C, Montesinos DP, Middleman AB.
Source
Department of Pediatrics, Section of Infectious Diseases, Texas Children's Hospital, 1102 Bates Street, Suite 1120, Houston, TX 77030, USA; Center for Vaccine Awareness and Research, Texas Children's Hospital, 1102 Bates Street, Suite 1120, Houston, TX 77030, USA. Electronic address: chealy@bcm.edu.
Abstract
OBJECTIVES:
Data are limited on whether providers understand parental attitudes to recommended childhood immunizations. We determined parental attitudes and assessed how accurately providers estimated parental opinions.
METHODS:
Survey of parents and providers (pediatricians, nurses, medical assistants) in randomly selected practices in Houston, Texas. Surveys assessed demographics, perceptions of immunization importance, safety and efficacy, and acceptability of vaccine delivery. Providers estimated parental responses.
RESULTS:
401 parents (82% mothers, 12% fathers, 6% other) and 105 providers participated. Parents thought vaccines were important for health (median score 9.5; 0=not important, 10=extremely important) but also were concerned regarding vaccine safety and side effects (8.9 on 0-10 scale). 309 (77%) agreed that vaccines effectively prevent disease. Route of administration mattered to 147 (37%), who preferred injection (9.0) over oral (7.3) or intranasal (4.8) routes. Although parents would prefer three or fewer injections per visit, preventing more diseases (189 [47.6%]) was more important than number of injections (167 [42.3%]) when deciding the number of vaccines allowed per visit. White parents rated vaccines less important in preventing some illnesses than did non-white (P≤0.006 for meningitis, hepatitis, HPV, influenza and rotavirus) and rated number of injections per visit more important than number of diseases prevented (51.6% white versus 34.2% non-white; P 0.002). Providers underestimated parental attitudes toward vaccine importance (particularly influenza and HPV), and overestimated the proportion of parents who thought route of administration mattered (63%) and that number of injections per visit was the most important factor (76%) around parental vaccine decisions (P<0.001 for parent-provider mismatch).
CONCLUSIONS:
Most surveyed parents believe vaccines are important for child health and rate disease prevention higher than number of injections entailed. Providers underestimate the importance of some vaccines to parents and overestimate parental concerns regarding route of administration. Future research should focus on how this mismatch impacts parental vaccine decisions.
Copyright ? 2013. Published by Elsevier Ltd.
KEYWORDS:
CDC, CHIP, Centers for Disease Control and Prevention, Children's Health Insurance Program, HIB, HPV, Haemophilus influenzae type B, Immunization, MA, Parent provider mismatch, Parental beliefs, Provider estimates, VPD, Vaccine hesitancy, human papillomavirus, medical assistant, vaccine-preventable disease
PMID:
24315883
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/24315883
Parent and provider perspectives on immunization: Are providers overestimating parental concerns?
Mary Healy C, Montesinos DP, Middleman AB.
Source
Department of Pediatrics, Section of Infectious Diseases, Texas Children's Hospital, 1102 Bates Street, Suite 1120, Houston, TX 77030, USA; Center for Vaccine Awareness and Research, Texas Children's Hospital, 1102 Bates Street, Suite 1120, Houston, TX 77030, USA. Electronic address: chealy@bcm.edu.
Abstract
OBJECTIVES:
Data are limited on whether providers understand parental attitudes to recommended childhood immunizations. We determined parental attitudes and assessed how accurately providers estimated parental opinions.
METHODS:
Survey of parents and providers (pediatricians, nurses, medical assistants) in randomly selected practices in Houston, Texas. Surveys assessed demographics, perceptions of immunization importance, safety and efficacy, and acceptability of vaccine delivery. Providers estimated parental responses.
RESULTS:
401 parents (82% mothers, 12% fathers, 6% other) and 105 providers participated. Parents thought vaccines were important for health (median score 9.5; 0=not important, 10=extremely important) but also were concerned regarding vaccine safety and side effects (8.9 on 0-10 scale). 309 (77%) agreed that vaccines effectively prevent disease. Route of administration mattered to 147 (37%), who preferred injection (9.0) over oral (7.3) or intranasal (4.8) routes. Although parents would prefer three or fewer injections per visit, preventing more diseases (189 [47.6%]) was more important than number of injections (167 [42.3%]) when deciding the number of vaccines allowed per visit. White parents rated vaccines less important in preventing some illnesses than did non-white (P≤0.006 for meningitis, hepatitis, HPV, influenza and rotavirus) and rated number of injections per visit more important than number of diseases prevented (51.6% white versus 34.2% non-white; P 0.002). Providers underestimated parental attitudes toward vaccine importance (particularly influenza and HPV), and overestimated the proportion of parents who thought route of administration mattered (63%) and that number of injections per visit was the most important factor (76%) around parental vaccine decisions (P<0.001 for parent-provider mismatch).
CONCLUSIONS:
Most surveyed parents believe vaccines are important for child health and rate disease prevention higher than number of injections entailed. Providers underestimate the importance of some vaccines to parents and overestimate parental concerns regarding route of administration. Future research should focus on how this mismatch impacts parental vaccine decisions.
Copyright ? 2013. Published by Elsevier Ltd.
KEYWORDS:
CDC, CHIP, Centers for Disease Control and Prevention, Children's Health Insurance Program, HIB, HPV, Haemophilus influenzae type B, Immunization, MA, Parent provider mismatch, Parental beliefs, Provider estimates, VPD, Vaccine hesitancy, human papillomavirus, medical assistant, vaccine-preventable disease
PMID:
24315883
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/24315883