title: Influenza vaccination among household contacts of children with cystic fibrosis and healthy children.
abstract: BACKGROUND
  It is recommended that household contacts of children with cystic fibrosis and household contacts of children <2 years of age receive annual influenza vaccinations. There is little information documenting whether this recommendation is being followed.
  
  
  METHODS
  A 20-question survey was distributed to caregivers of children with cystic fibrosis and to caregivers of healthy children <17 years of age seen in a Saskatoon (Saskatchewan) tertiary care centre. Survey questions addressed the influenza vaccination status of the child and household contacts. Respondents were also asked to rate the influence of various factors on the decision to vaccinate, using a 5-point Likert scale.
  
  
  RESULTS
  Reported vaccination rates were 21%, 25% and 7% among household contacts of children with cystic fibrosis, children <2 years of age and children ≥2 years of age, respectively. Advice from their physician, belief that they were too healthy, and inconvenient times and locations of vaccination centres were significant influences when compared among the three groups. Other main deterrents to vaccination were belief that the vaccine does not prevent influenza and belief that its side effects are greater than its benefits.
  
  
  CONCLUSIONS
  By understanding motivators and barriers to vaccination among household contacts of children with cystic fibrosis, effective strategies may be implemented to improve vaccination coverage against influenza. Strong recommendations by clinicians and improved access to vaccination centres are essential components in improving influenza vaccination coverage.
authors.affiliation: Section of Respiratory Medicine, Alberta Children's Hospital, Calgary, Alberta;
authors.forename: Karen
authors.initials: K
authors.lastname: Kam
authors.affiliation: Department of Pediatrics, University of Saskatchewan, Saskatoon, Saskatchewan.
authors.forename: Athena
authors.initials: A
authors.lastname: McConnell
keywords: Attitudes; Children; Cystic fibrosis; Household contacts; Influenza; Vaccination