Factors impacting influenza vaccination of urban low-income Latino children under nine years requiring two doses in the 2010-2011 season.
Factors impacting influenza vaccination of urban low-income Latino children under nine years requiring two doses in the 2010-2011 season.
复制标题
DOI：
10.1007/s10900-014-9921-z
复制
发表时间：
2015-04
影响因子：
5.9
通讯作者：
Stockwell, Melissa S.
中科院分区：
文献类型：
--
作者：
Hofstetter, Annika M.;Barrett, Angela;Stockwell, Melissa S.
免疫实践咨询委员会 (ACIP) 建议某些九岁以下的儿童在一个季节接种两剂流感疫苗，以获得最佳保护。最近的数据表明，其中许多儿童未能接受其中一种或两种所需剂量。导致该人群疫苗接种不足的因素尚不清楚。从参加四个城市启蒙计划的家庭中确定了 2010 年至 2011 年季节需要接种两剂流感疫苗的 6 个月至 8 岁儿童的照顾者。招募和调查管理于 2011 年 3 月至 6 月期间进行。使用双变量和多变量逻辑回归分析评估了护理人员、提供者和基于实践的因素对流感疫苗接种（0、1 或 2 剂）的影响。照顾者 (n=128) 主要是母亲、拉丁裔、说西班牙语和非美国出生的人。很少有儿童接种一剂 (31%) 或两剂 (7%) 流感疫苗。与提供者讨论流感疫苗接种的护理人员更有可能知道他们的孩子需要接种两剂（55% vs. 36%，p<0.05）并且孩子已完全接种疫苗（11% vs. 0%，p<0.05）。在孩子接受第一剂疫苗的护理人员中，那些报告被告知何时返回接种第二剂疫苗的护理人员也更有可能让孩子完全接种疫苗（35% vs. 0%，p=0.05）。对流感疫苗有效性的信念与疫苗接种呈正相关（p<0.001），而安全性担忧则呈负相关（p<0.05）。这项研究强调了提供者与家庭就两剂方案以及流感疫苗的有效性和安全性进行沟通的重要性。
The Advisory Committee on Immunization Practices (ACIP) recommends that certain children under nine years of age receive two influenza vaccine doses in a season for optimal protection. Recent data indicate that many of these children fail to receive one or both of these needed doses. Contributing factors to under-vaccination of this population remain unclear. Caregivers of children aged 6 months-8 years requiring two influenza vaccine doses in the 2010–2011 season were identified from households enrolled in four urban Head Start programs. Recruitment and survey administration were conducted between March and June 2011. The impact of caregiver, provider, and practice-based factors on influenza vaccine receipt (0, 1, or 2 doses) was assessed using bivariate and multivariable logistic regression analyses. Caregivers (n=128) were predominantly mothers, Latina, Spanish-speaking, and non-U.S. born. Few children received one (31%) or both (7%) influenza vaccine doses. Caregivers who discussed influenza vaccination with providers were more likely to know their child needed two doses (55% vs. 36%, p<0.05) and have a fully vaccinated child (11% vs. 0%, p<0.05). Among caregivers whose child received the first dose, those who reported being told when to return for the second dose were also more likely to have a fully vaccinated child (35% vs. 0%, p=0.05). Belief in influenza vaccine effectiveness was positively associated with vaccination (p<0.001), while safety concerns were negatively associated (p<0.05). This study highlights the importance of provider-family communication about the two-dose regimen as well as influenza vaccine effectiveness and safety.
登录
查看更多内容
DOI：
10.4161/hv.1.2.1604
发表时间：
2005-03-01
期刊：
HUMAN VACCINES
影响因子：
--
作者：
Dominguez, Samuel R.;Daum, Robert S.
通讯作者：
Daum, Robert S.
影响因子：
5.1
作者：
Birmingham, Eileen;Catallozzi, Marina;Stockwell, Melissa S.
通讯作者：
Stockwell, Melissa S.
影响因子：
5.6
作者：
Dee, Deborah L.;Bensyl, Diana M.;Finelli, Lyn
通讯作者：
Finelli, Lyn
影响因子：
6.3
作者：
Cohen B;Ferng YH;Wong-McLoughlin J;Jia H;Morse SS;Larson EL
通讯作者：
Larson EL
影响因子：
5.5
作者：
Nowalk, MP;Zimmerman, RK;Greenberg, DP
通讯作者：
Greenberg, DP