224862 Changes in rural parents' vaccination-related attitudes and intention to vaccinate middle and high school children against influenza following influenza vaccination intervention

Wednesday, November 10, 2010 : 10:45 AM - 11:00 AM

Jessica Sales, PhD , Rollins School of Public Health Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Julia Painter, PhD, MPH , Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Karen Pazol, PhD , Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA
Lisa Gargano, PhD , Division of Infectious Diseases, Emory University, Atlanta, GA
LaDawna Jones, MPH , Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Walter Orenstein, MD , Bill and Melinda Gates Foundation, Seattle, WA
James Hughes, MD , School of Medicine, Emory University, Atlanta, GA
Ralph J. DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Background: The CDC's Advisory Committee on Immunization Practices recently recommended that annual influenza vaccination be administered to children aged 5–18 years. Parental attitudes toward influenza vaccination play a key role in immunization outcomes as parental consent to vaccinate is required. This study examined changes in influenza vaccination attitudes and intentions among parents participating in school-based influenza vaccination intervention. Methods: Participants were drawn from three counties participating in a school-based influenza vaccination intervention in rural Georgia (baseline N=324; follow-up N=328). Data were collected pre- and post-intervention from phone surveys of parents' with children attending middle- and high-school. Attitudes, beliefs, vaccination history, and intention to vaccinate were assessed. ANOVAs were conducted to examine change in study variables by county and overtime. Results: Parents in the two intervention counties self-reported a significant increase post-intervention in whether their child had “ever” received an influenza vaccination (p = .04 and .001) compared to the control county (p = .49). Intervention parents also reported a significant increase in intention to vaccinate in the coming year (p = .05 and .01) compared to the control county (p = .44), and significant reductions in vaccination-related barriers over time in comparison to the control county, F(2,394) =6.45, p = .002. Conclusions: These findings suggest that a school-based influenza vaccination intervention targeting parents and teens may influence influenza vaccination in rural communities. Future influenza vaccination efforts geared toward the parents of rural middle- and high-school students may benefit from addressing barriers and benefits of influenza vaccination.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Describe change in parental attitudes regarding influenza vaccination post-intervention. 2. Describe self-reported change in adolescent vaccination rates and intention to vaccinate post-intervention. 3. Discuss the implications for designing effective influenza vaccination interventions geared toward parents of rural adolescents.

Keywords: Adolescents, Infectious Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I'm a research assistant professor in the Behavioral Sciences and Health Education Department at Rollins School of Public Health at Emory University
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.