title: Pertussis vaccine for adults: Knowledge, attitudes, and vaccine receipt among adults with children in the household.
abstract: BACKGROUND
  Pertussis is a highly contagious vaccine preventable disease resulting in significant infant morbidity and mortality. Despite the recommendations for pertussis vaccine (Tdap) in adults, coverage rates in this age group remain suboptimal. We sought to determine factors associated with Tdap receipt among adults with children in the household who live in central New York.
  
  
  METHODS
  The study team surveyed Tdap immunization status of adults who accessed medical services for their children provided by Golisano Children's Hospital, Syracuse, New York. Adults who did not know their Tdap vaccine status were excluded. Each participant was asked a standard set of questions to determine factors associated with Tdap receipt. Logistic regression was used to calculate simple and adjusted odds ratios for Tdap receipt in relation to adults' demographic characteristics, knowledge of Tdap and physician recommendations.
  
  
  RESULTS
  Eight hundred twenty four participants were included in this study; 34% had received Tdap in the past 5 years; 58% reported that their provider or child's pediatrician recommended adult Tdap vaccination. Tdap receipt was associated with knowing the symptoms of pertussis infection, female gender, younger age, and provider recommendation (p<0.05). Participants whose provider recommended Tdap vaccine were 24.6 times more likely to receive vaccine when compared to those whose providers did not recommend vaccine (95% CI: 16.3, 37.2, p<0.05).
  
  
  CONCLUSIONS
  Tdap coverage rates are low among this study population, with provider recommendation most strongly associated with Tdap receipt. Future steps to improve vaccine coverage should include both increasing community awareness and determining barriers to provider recommendation.
authors.affiliation: Department of Pediatrics, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, United States. Electronic address: suryadem@upstate.edu.
authors.forename: Manika
authors.initials: M
authors.lastname: Suryadevara
authors.affiliation: Department of Pediatrics, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, United States.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Bonville
authors.affiliation: Department of Public Health and Preventive Medicine, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, United States.
authors.forename: Donald A
authors.initials: DA
authors.lastname: Cibula
authors.affiliation: Department of Pediatrics, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, United States.
authors.forename: Matthew
authors.initials: M
authors.lastname: Valente
authors.affiliation: Department of Pediatrics, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, United States.
authors.forename: Andrew
authors.initials: A
authors.lastname: Handel
authors.affiliation: UCLA School of Theater, Film, and Television, 225 Charles E Young Drive, Los Angeles, CA 90095, United States.
authors.forename: James R
authors.initials: JR
authors.lastname: Domachowse
authors.affiliation: Department of Pediatrics, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, United States.
authors.forename: Joseph B
authors.initials: JB
authors.lastname: Domachowske
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005191:Family Characteristics; D005192:Family Health; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009518:New York; D010567:Pertussis Vaccine / Q000008:administration & dosage*; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*; D014917:Whooping Cough / Q000453:epidemiology / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D010567:Pertussis Vaccine
keywords: Pertussis; Pertussis immunization; Whooping cough