title: School-Located Vaccination Clinics for Adolescents: Correlates of Acceptance Among Parents.
abstract: Four vaccines are recommended by The Advisory Committee for Immunization Practices for adolescents: tetanus, diphtheria, acellular pertussis vaccine (Tdap), meningococcal conjugate vaccine (MCV4), human papillomavirus vaccine (HPV), and annual seasonal influenza vaccine. However, coverage among adolescents is suboptimal. School-located vaccination clinics (SLVCs) offer vaccines to students at school, increasing access. This study seeks to determine the relationship between attitudes of parents of middle- and high-school students and acceptance of SLVCs for all four adolescent recommended vaccines. We conducted a telephone and web-based survey among parents of students enrolled in six middle and five high schools in Georgia. Analyses were conducted to examine associations between parental attitudes and willingness to allow their child to be vaccinated at school. Tdap and influenza vaccine had the highest rates of parental SLVC acceptance while HPV vaccine had the lowest. Parents who accepted SLVCs had higher perceived severity of influenza, meningococcal, and HPV illnesses compared to parents who did not accept SLVC. Intention to vaccinate was associated with SLVC acceptance for Tdap [Adjusted OR (AOR) 7.38; 95% confidence interval (CI) 2.44-22.31], MCV4 (AOR 2.97; 95% CI 1.67-5.28), and HPV vaccines (AOR 7.61; 95% CI 3.43-16.89). Social norms were associated with acceptance of SLVCs for influenza vaccine (AOR 1.44; 95% CI 1.12-1.84). These findings suggest parents of adolescents are generally supportive of SLVCs for recommended adolescent vaccines. Perceived severity of illness and intention to get their adolescent vaccinated were the most consistent correlates of parental SLVC acceptance for all vaccines. Future SLVC planning should focus on perceptions of disease severity and benefits of vaccination.
authors.affiliation: Emory University, 1462 Clifton Road Room 446, Atlanta, GA, 30329, USA, lisa.gargano@gmail.com.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Gargano
authors.forename: Paul
authors.initials: P
authors.lastname: Weiss
authors.forename: Natasha L
authors.initials: NL
authors.lastname: Underwood
authors.forename: Katherine
authors.initials: K
authors.lastname: Seib
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Sales
authors.forename: Tara M
authors.initials: TM
authors.lastname: Vogt
authors.forename: Kimberly
authors.initials: K
authors.lastname: Rask
authors.forename: Christopher
authors.initials: C
authors.lastname: Morfaw
authors.forename: Dennis L
authors.initials: DL
authors.lastname: Murray
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: DiClemente
authors.forename: James M
authors.initials: JM
authors.lastname: Hughes
mesh_terms: D000293:Adolescent; D022681:Diphtheria-Tetanus-acellular Pertussis Vaccines / Q000008:administration & dosage; D005260:Female; D005845:Georgia; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration*; D007252:Influenza Vaccines / Q000008:administration & dosage; D008297:Male; D022401:Meningococcal Vaccines / Q000008:administration & dosage; D053918:Papillomavirus Vaccines / Q000008:administration & dosage; D010290:Parents; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012572:School Health Services / Q000458:organization & administration*; D012959:Socioeconomic Factors
chemical_list: D022681:Diphtheria-Tetanus-acellular Pertussis Vaccines; D007252:Influenza Vaccines; D022401:Meningococcal Vaccines; D053918:Papillomavirus Vaccines