title: Physician attitudes regarding school-located vaccinations.
abstract: OBJECTIVE
  To assess physician attitudes regarding school-located adolescent vaccination and influenza vaccination.
  
  
  METHODS
  From July through September 2010, a 20-item survey was mailed to 1337 practicing Colorado family physicians and pediatricians. Standard statistical methods were used to examine unadjusted and adjusted odds ratios of factors associated with physician support for school-located vaccination programs.
  
  
  RESULTS
  Overall, 943 physicians were survey-eligible, and 584 (62%) responded. More than half of physicians supported both school-located influenza and adolescent vaccination. However, fewer physicians supported school-located adolescent vaccination compared with influenza vaccination. More physicians supported school-located vaccination for their publicly insured patients compared with their privately insured patients. Some family physicians (32%) and pediatricians (39%) believed that school-located vaccination would make their patients less likely to attend well-child visits, and half of respondents believed that school-located vaccination would have a negative financial impact on their practice. In multivariate analyses, physicians concerned about the financial impact of school-located vaccination were less likely to support such programs.
  
  
  CONCLUSIONS
  Although a majority of Colorado physicians supported influenza and adolescent vaccination at school, they expressed concerns regarding the implications on their practice. Lesser support for vaccination of their privately insured patients and concerns regarding attendance at well-child visits suggests the perceived financial impact from school-located vaccination is a barrier and merits additional examination.
authors.affiliation: Public Health Prevention Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. emily.mccormick@dhha.org
authors.forename: Emily V
authors.initials: EV
authors.lastname: McCormick
authors.forename: Josh
authors.initials: J
authors.lastname: Durfee
authors.forename: Tara M
authors.initials: TM
authors.lastname: Vogt
authors.forename: Matthew F
authors.initials: MF
authors.lastname: Daley
authors.forename: Simon J
authors.initials: SJ
authors.lastname: Hambidge
authors.forename: Judith
authors.initials: J
authors.lastname: Shlay
mesh_terms: D000293:Adolescent; D001291:Attitude of Health Personnel; D003120:Colorado; D005260:Female; D006801:Humans; D007252:Influenza Vaccines; D007348:Insurance, Health; D008297:Male; D010820:Physicians; D012572:School Health Services; D014611:Vaccination
chemical_list: D007252:Influenza Vaccines