title: Parental views of school-located delivery of adolescent vaccines.
abstract: OBJECTIVE
  School-located immunization has the potential to increase adolescent vaccination rates. This study assessed parents' attitudes toward administration of adolescent vaccines (tetanus, diphtheria, acellular pertussis [Tdap], meningococcal conjugate [MenACWY], human papillomavirus [HPV], and influenza) at school.
  
  
  METHODS
  We conducted a mailed survey of parents of sixth graders from July 2009 to September 2009 in three urban/suburban (Aurora, CO) middle schools assessing barriers and facilitators to school vaccination and willingness to consent for vaccines at school. Unadjusted and adjusted analyses examined the association of parent and student characteristics with parent willingness to consent to school-located vaccination.
  
  
  RESULTS
  The response rate was 62% (500/806). Parents reported 82% of teens had a regular site of health care, and 17% were uninsured. Overall, 71% of parents would consent for vaccines at school; 72% for Tdap, 71% for MenACWY, 53% for HPV (parents of girls), and 67% for seasonal influenza. Among parents who answered it was important their child receives recommended vaccines, (88%) would consent for influenza vaccine at school, compared with Tdap (76%), MenACWY (74%), and HPV (72%). Multivariable logistic regression analysis demonstrated parents of uninsured teens (odds ratio [OR] 3.77, 95% confidence interval [CI]: 1.40, 12.23), who were unmarried (OR 1.90, 95% CI: 1.14, 3.25), or had a child attending the school with the highest percent eligibility for free/reduced lunch (OR 2.75, 95% CI: 1.36, 5.80) were significantly more willing to consent for vaccines at school.
  
  
  CONCLUSIONS
  These data suggest parents are generally supportive of school-located vaccine delivery, particularly for annual influenza vaccination and for uninsured and low-income adolescents.
authors: Departments of Pediatrics, University of Colorado, Anschutz Medical Campus, Aurora, Colorado 80045, USA. Karen.Kelminson@childrenscolorado.org
authors: Karen
authors: K
authors: Kelminson
authors: Alison
authors: A
authors: Saville
authors: Laura
authors: L
authors: Seewald
authors: Shannon
authors: S
authors: Stokley
authors: L Miriam
authors: LM
authors: Dickinson
authors: Matthew F
authors: MF
authors: Daley
authors: Christina
authors: C
authors: Suh
authors: Allison
authors: A
authors: Kempe
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003120:Colorado; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006801:Humans; D017589:Immunization Programs; D007182:Income; D007252:Influenza Vaccines / Q000008:administration & dosage; D008297:Male; D017057:Medically Uninsured; D008875:Middle Aged; D016017:Odds Ratio; D010290:Parents; D010342:Patient Acceptance of Health Care; D012572:School Health Services; D014612:Vaccines / Q000008:administration & dosage
chemical_list: D007252:Influenza Vaccines; D014612:Vaccines