141st APHA Annual Meeting

In This section

285689
School health professional's attitudes about school-located vaccination for influenza

Wednesday, November 6, 2013 : 8:30 AM - 8:50 AM

Yoonjae Kang, MPH , Health Services Research and Evaluation Branch, Immunizations Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA
Fan Zhang, PhD , Health Services Research and Evaluation Branch, Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA
Hodan Guled, MPH , RTI International, Research Triangle Park, NC
Nina Pagadala, MPH , Health Services Research and Evaluation Branch, Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA
Amanda Honeycutt, PhD , RTI International, Public Health Economics Program, Research Triangle Park, NC
Tara Vogt, PhD, MPH , Health Services Research and Evaluation Branch, Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA
Background: School health professionals' attitudes toward school-located vaccination for influenza (SLV-I) are unknown. This study examines their attitudes about SLV-I and identifies factors associated with SLV-I support. Methods: A nationally representative sample of 1,172 public schools was selected using stratified, simple random sampling. The school health professional from each selected school was asked to complete a survey designed to assess his or her attitudes about SLV-I and experience with school-located vaccination (SLV). The survey focused on routine SLV-I, but included a question about the appropriateness of pandemic SLV-I. Bivariate logistic regression analysis was used to assess associations with support for routine SLV-I (=0.05), as measured by principal component analysis on a group of correlated questions. Results: School health professionals from 837 schools (71.4%) completed the survey; most (76.5%) were school nurses. The majority believed that both routine and pandemic SLV-I was appropriate (63.1% and 81.9%, respectively). About half (55.2%) reported previous experience with SLV. Support for routine SLV-I was significantly associated with having previous SLV experience, and believing that influenza can be serious and that vaccination is important for school-aged children. Believing that school staff do not have adequate time to dedicate to SLV-I and that billing parents for SLV-I services is inappropriate were significantly associated with lack of support. Conclusions: School health professionals, particularly those with previous experience, generally believe that both routine and pandemic SLV-I are appropriate. Addressing concerns about challenges of routine SLV-I may improve support and contribute to SLV-I program sustainability.

Learning Areas:
Protection of the public in relation to communicable diseases including prevention or control
Public health or related nursing
Public health or related research

Learning Objectives:
Describe school health professionals' attitudes about school-located vaccination for influenza and factors associated with a favorable attitude.

Keywords: Immunizations, School-Based Programs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal researcher of the analysis of school health professionals' attitudes about school-located vaccination for influenza in the School-Located Vaccination Evaluation study conducted by RTI International and Centers for Disease Control and Prevention.
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.