Chyongchiou J. Lin1, Richard K. Zimmerman
2, Mary Patricia Nowalk
2, Feng-Shou Ko
3, Mahlon Raymund
4, Alejandro Hoberman
5, Diana H. Kearney
5, and Bruce Block
6. (1) Radiation Oncology, University of Pittsburgh, Shadyside Place 110, 580 South Aiken Avenue, Pittsburgh, PA, USA, (2) Family Medicine & Clinical Epidemiology, University of Pittsburgh, 3518 Fifth Avenue, Pittsburgh, PA, USA, (3) Family Medicine and Clinical Epidemiology, University of Pittsburgh, 3518 5th Ave, Pittsburgh, PA, USA, (4) University of Pittsburgh, Pittsburgh, PA, USA, (5) Department of Pediatrics, Children's Hospital of Pittsburgh, 3705 5th Avenue, Pittsburgh, PA, USA, (6) UPMC-Shadyside Primary Care Institute, UPMC Health System, UPMC-Shadyside Family Health Center, 5215 Centre Avenue, Pittsburgh, PA, USA
Learning Objectives for this Presentation:
By the end of this presentation, participants will better understand parental attitudes toward influenza vaccination for children with chronic medical conditions.
Background:
Annual influenza vaccination has long been recommended by the Advisory Committee on Immunization Practices and the American Academy of Pediatrics for children who have any chronic medical conditions that place them at increased risk for serious complications from influenza. However, influenza vaccination rates in children with chronic medical conditions remain low. Minorities and those living in the inner city have a higher respiratory disease burden than other groups.
Objectives:
This study is designed to assess parental attitudes toward influenza vaccination.
Methods:
Parents of 2- to 13-year-old children with high risk medical conditions (based on selected ICD-9-CM codes) from health centers in low-income urban neighborhoods completed a mailed 19-question survey. Immunization status from medical records was used to calculate validity measures. Survey data are presented for those whose vaccination status was concordant between parental report and the medical record (n=183).
Results:
Parent-reported influenza vaccination versus medical record review showed 84.9% sensitivity, 68.7% specificity, 49.1% positive predictive value, and 92.7% negative predictive value, with a kappa of 0.43. Vaccination rate was 30.6%. Medical record-verified vaccination status was associated with parental beliefs that the doctor recommends flu shot (Odds Ratio (OR), 40.9; 95% Confidence Interval (CI), 9.0–184.9; P<0.001); relatives recommend flu shot (OR, 4.3; 95% CI, 1.7–10.5; P = 0.002); and the belief that the child will get the flu if a household member is infected (OR, 0.2; 95% CI, 0.1–0.6; P = 0.001).
Conclusions:
The message that influenza vaccination is important to protect children with chronic medical conditions may be relayed through physician recommendation or a relative's suggestion and may be more effective if it addresses parental concern about household contagion.
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