TY - JOUR
T1 - School-located vaccination clinics for adolescents
T2 - Correlates of acceptance among parents
AU - Gargano, Lisa M.
AU - Weiss, Paul
AU - Underwood, Natasha L.
AU - Seib, Katherine
AU - Sales, Jessica M.
AU - Vogt, Tara M.
AU - Rask, Kimberly
AU - Morfaw, Christopher
AU - Murray, Dennis L.
AU - Diclemente, Ralph J.
AU - Hughes, James M.
N1 - Funding Information:
We would like to thank Dianne Miller at Emory University, Dr. Ketty M Gonzalez, District Health Director for the East Central Health District, the school district administrators, principals, teachers, and staff of participating schools. We would also like to thank our survey participants. This project is funded by the Centers for Disease Control and Prevention cooperative agreement 5UO1IP000413. Dr. Sales was supported by Grant K01 MH085506 from the National Institute of Mental Health, NIH.
Publisher Copyright:
© Springer Science+Business Media New York 2014.
PY - 2015/8/1
Y1 - 2015/8/1
N2 - Four vaccines are recommended by The Advisory Committee for Immunization Practices for adolescents: tetanus, diphtheria, acellular pertussis vaccine (Tdap), meningococcal conjugate vaccine (MCV4), human papillomavirus vaccine (HPV), and annual seasonal influenza vaccine. However, coverage among adolescents is suboptimal. School-located vaccination clinics (SLVCs) offer vaccines to students at school, increasing access. This study seeks to determine the relationship between attitudes of parents of middle- and high-school students and acceptance of SLVCs for all four adolescent recommended vaccines. We conducted a telephone and web-based survey among parents of students enrolled in six middle and five high schools in Georgia. Analyses were conducted to examine associations between parental attitudes and willingness to allow their child to be vaccinated at school. Tdap and influenza vaccine had the highest rates of parental SLVC acceptance while HPV vaccine had the lowest. Parents who accepted SLVCs had higher perceived severity of influenza, meningococcal, and HPV illnesses compared to parents who did not accept SLVC. Intention to vaccinate was associated with SLVC acceptance for Tdap [Adjusted OR (AOR) 7.38; 95 % confidence interval (CI) 2.44-22.31], MCV4 (AOR 2.97; 95 % CI 1.67-5.28), and HPV vaccines (AOR 7.61; 95 % CI 3.43-16.89). Social norms were associated with acceptance of SLVCs for influenza vaccine (AOR 1.44; 95 % CI 1.12-1.84). These findings suggest parents of adolescents are generally supportive of SLVCs for recommended adolescent vaccines. Perceived severity of illness and intention to get their adolescent vaccinated were the most consistent correlates of parental SLVC acceptance for all vaccines. Future SLVC planning should focus on perceptions of disease severity and benefits of vaccination.
AB - Four vaccines are recommended by The Advisory Committee for Immunization Practices for adolescents: tetanus, diphtheria, acellular pertussis vaccine (Tdap), meningococcal conjugate vaccine (MCV4), human papillomavirus vaccine (HPV), and annual seasonal influenza vaccine. However, coverage among adolescents is suboptimal. School-located vaccination clinics (SLVCs) offer vaccines to students at school, increasing access. This study seeks to determine the relationship between attitudes of parents of middle- and high-school students and acceptance of SLVCs for all four adolescent recommended vaccines. We conducted a telephone and web-based survey among parents of students enrolled in six middle and five high schools in Georgia. Analyses were conducted to examine associations between parental attitudes and willingness to allow their child to be vaccinated at school. Tdap and influenza vaccine had the highest rates of parental SLVC acceptance while HPV vaccine had the lowest. Parents who accepted SLVCs had higher perceived severity of influenza, meningococcal, and HPV illnesses compared to parents who did not accept SLVC. Intention to vaccinate was associated with SLVC acceptance for Tdap [Adjusted OR (AOR) 7.38; 95 % confidence interval (CI) 2.44-22.31], MCV4 (AOR 2.97; 95 % CI 1.67-5.28), and HPV vaccines (AOR 7.61; 95 % CI 3.43-16.89). Social norms were associated with acceptance of SLVCs for influenza vaccine (AOR 1.44; 95 % CI 1.12-1.84). These findings suggest parents of adolescents are generally supportive of SLVCs for recommended adolescent vaccines. Perceived severity of illness and intention to get their adolescent vaccinated were the most consistent correlates of parental SLVC acceptance for all vaccines. Future SLVC planning should focus on perceptions of disease severity and benefits of vaccination.
KW - Adolescent
KW - Attitudes
KW - Parent
KW - School-located vaccination clinics
UR - http://www.scopus.com/inward/record.url?scp=84943358157&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84943358157&partnerID=8YFLogxK
U2 - 10.1007/s10900-014-9982-z
DO - 10.1007/s10900-014-9982-z
M3 - Article
C2 - 25528325
AN - SCOPUS:84943358157
SN - 0094-5145
VL - 40
SP - 660
EP - 669
JO - Journal of Community Health
JF - Journal of Community Health
IS - 4
M1 - A007
ER -