title: Misperceptions regarding influenza vaccine safety for individuals with chronic medical illness.
abstract: BACKGROUND
  Influenza immunization is recommended for adults >or=50 years, healthy children 6-59 months and individuals with a chronic medical condition.
  
  
  OBJECTIVE
  To compare respondents' perceptions of safety of immunization for children and adults both with and without chronic medical conditions.
  
  
  METHODS
  We surveyed parents of 828 randomly selected healthy children aged 6-21 months of age from 5 pediatric practices in Denver, Colorado between August and October of 2003.
  
  
  RESULTS
  The survey response rate was 57% (n=472). Although 65% of parents thought influenza immunization was safe for healthy 1 year olds, only 40% considered it safe for 1 year olds with a chronic condition. Similarly, 86% judged it safe in healthy 70 year olds versus 50% in 70 year olds with a chronic condition.
  
  
  CONCLUSIONS
  Educational efforts to encourage influenza immunization in individuals with chronic illnesses should highlight the message that a chronic medical condition is an indication for immunization and does not confer additional risk of complications from vaccination. Further research is needed to confirm and better understand the observed perception of vulnerability to adverse events of vaccines in those with chronic illness.
authors.affiliation: Departments of Pediatrics, University of Colorado School of Medicine, Denver, CO, USA. kempe.allison@tchden.org
authors.forename: Allison
authors.initials: A
authors.lastname: Kempe
authors.forename: Matthew F
authors.initials: MF
authors.lastname: Daley
authors.forename: Lori A
authors.initials: LA
authors.lastname: Crane
authors.forename: Jennifer
authors.initials: J
authors.lastname: Barrow
authors.forename: Vijayalaxmi
authors.initials: V
authors.lastname: Chandramouli
authors.forename: Brenda L
authors.initials: BL
authors.lastname: Beaty
authors.forename: Norma J
authors.initials: NJ
authors.lastname: Allred
authors.forename: Stephen
authors.initials: S
authors.lastname: Berman
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003120:Colorado; D064420:Drug-Related Side Effects and Adverse Reactions; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data*; D007223:Infant; D007252:Influenza Vaccines / Q000008:administration & dosage / Q000009:adverse effects*; D007251:Influenza, Human / Q000517:prevention & control*; D010290:Parents / Q000193:education / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010372:Pediatrics; D010465:Perception
chemical_list: D007252:Influenza Vaccines