The role of parental attitudes and provider discussions in uptake of adolescent vaccines |
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| Affiliation: | 1. Indiana University School of Medicine, Indianapolis, IN, United States;2. Cleveland Clinic, Cleveland, OH, United States;1. Electrical Engineering Department, Islamic Azad University, Central Tehran Branch, Tehran, Iran;2. Computer Engineering Department, Iran University of Science and Technology, Iran;2. U.S. Geological Survey, Wisconsin Water Science Center, Middleton, Wisconsin, USA;1. Immunisation, Hepatitis and Blood Safety Department, Public Health England, London, United Kingdom;2. Statistics, Modelling and Economics and Immunisation, Public Health England, London, United Kingdom;3. Immunoassay Laboratory, Public Health England, Porton Down, United Kingdom;4. Vaccine Evaluation Unit, Public Health England, Manchester Royal Infirmary, Manchester, United Kingdom;5. Immunobiology Unit, Institute of Child Health, University College, London, United Kingdom;1. School of Nursing, University of South Florida, Tampa, Florida;2. National Healthy Mothers, Healthy Babies Coalition, Alexandria, Virginia;3. Consultant, Decatur, Georgia;4. Voxiva, Inc., Washington, District of Columbia;5. Biostatistics Center, Department of Biostatistics, Johns Hopkins University, Baltimore, Maryland;6. Johns Hopkins Global mHealth Initiative, Johns Hopkins University, Baltimore, Maryland;1. Department of Chest Surgery, Onga Nakama Medical Association Onga Hospital, Onga-gun, Japan;2. Department of Surgery, Onga Nakama Medical Association Onga Hospital, Onga-gun, Japan;3. Department of Emergency, Onga Nakama Medical Association Onga Hospital, Onga-gun, Japan;4. Department of Radiology, Onga Nakama Medical Association Onga Hospital, Onga-gun, Japan;5. Second Department of Surgery, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan |
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| Abstract: | The purpose of this study was to examine the relationship between parental vaccine attitudes, the number of specific vaccines discussed with a provider, and immunization outcomes including discussing immunization with their teen, knowledge of adolescent vaccine schedule, and their son or daughter being up-to-date on recommended vaccines using a nationally weight sample. Parents completed an internet-based survey between December 2012 and January 2013 and we computed a vaccine attitude scale (higher scores indicating stronger and more positive attitudes toward vaccination of teen) for each parent and categorized them into one of three groups: low (n = 76), medium (n = 207) or high (n = 215). We also constructed a vaccine discussion scale representing the number of vaccines discussed with their adolescent's physician. Parents who were identified as having high vaccine attitudes were significantly more likely to report their physician talked with them about a particular vaccine. Using logistic regression and controlling for respondent's gender and age, income, and teen's gender, we found medium as compared to low-attitude parents had a 6.21 (95%CI = 3.08, 12.51) greater odds of reporting that their teen had all recommended vaccines. Similarly, high as compared to low-attitude parents reported a 23.02 (95% CI = 11.27, 46.99) greater odds of having a teen who was up-to-date on recommended vaccines. We detected that for each additional vaccine discussed, there was a 1.24 (95%CI = 1.11, 1.39) increase in odds of the teen having all recommended vaccines. Parental immunization attitudes and provider discussion about vaccines are key ingredients to improving immunization rates among adolescents. While some parents may be reluctant to immunize their son or daughter with a recommended vaccine, vaccine-specific discussions between physicians and parents represent an important first step to continued discussions with providers regarding vaccination. Moreover, vaccine discussions must occur within the context of ongoing conversations about health and disease prevention. |
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| Keywords: | Immunization Parental attitudes Physician communication Self-reported vaccination |
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