title: Parental risk perception and influenza vaccination of children in daycare centres.
abstract: Little information is available about perceptions of influenza vaccination of parents with healthy children in daycare. Therefore, we systematically explored the relationship between parental risk perception and influenza vaccination in children attending daycare. We distributed a self-administered paper survey to parents of children aged 6-59 months attending licensed daycare centres in Tarrant County, Texas. We used conditional logistic regression with penalized conditional likelihood to estimate odds ratios (ORs) and 95% profile likelihood confidence limits (PL) for parental risk-perception factors and influenza vaccination. A high level of parental prevention behaviours (OR 9.1, 95% PL 3.2, 31) and physician recommendation (OR 8.2, 95% PL 2.7, 30) had the highest magnitudes of association with influenza vaccination of healthy children in daycare. Our results provide evidence about critical determinants of influenza vaccination of healthy children in daycare, which could help inform public health interventions aimed at increasing influenza vaccination coverage in this population.
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: T N
authors.initials: TN
authors.lastname: Offutt-Powell
authors.forename: R P
authors.initials: RP
authors.lastname: Ojha
authors.forename: R
authors.initials: R
authors.lastname: Qualls-Hampton
authors.forename: S
authors.initials: S
authors.lastname: Stonecipher
authors.forename: K P
authors.initials: KP
authors.lastname: Singh
authors.forename: K M
authors.initials: KM
authors.lastname: Cardarelli
mesh_terms: D000328:Adult; D002656:Child Day Care Centers / Q000706:statistics & numerical data*; D002675:Child, Preschool; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011795:Surveys and Questionnaires; D013781:Texas / Q000453:epidemiology; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines