title: Parents' and staff's support for a childcare agency employee mandatory vaccination policy or agency certification program.
abstract: Vaccine-preventable diseases pose a significant risk to children in childcare. However, few regulations exist regarding childcare staff vaccination. This study aimed to assess support for a childcare agency staff mandatory vaccination policy.
  
  
  
  Surveys were distributed to staff and parents at 23 St Louis, Mo, childcare agencies during fall 2014. Staff and parents' support for a mandatory vaccination and/or agency certification program were compared using χ(2) tests. Multivariate logistic regression was conducted using a 2-level nested design and controlling for gender, race, age, and income to determine predictive models for support for a mandatory staff vaccination policy and/or agency certification program.
  
  
  
  Overall, 354 parents and staff participated (response rate, 32%). Most supported a mandatory staff vaccination policy (80.0%; n = 280) or agency certification program (81.2%; n = 285), and there were no differences between parents versus staff. Determinants of support for a mandatory policy included willingness to receive influenza vaccine annually, belief that vaccines are safe and effective, and support for the policy only if there were no costs.
  
  
  
  There is strong support for some type of childcare agency staff vaccination policy. Implementing such a policy/program should be a collaborative endeavor that addresses vaccine cost and access.
authors.affiliation: Institute for Biosecurity, Saint Louis University, College for Public Health & Social Justice, St Louis, MO. Electronic address: rebmannt@slu.edu.
authors.forename: Terri
authors.initials: T
authors.lastname: Rebmann
authors.affiliation: Department of Biostatistics, Saint Louis University, College for Public Health & Social Justice, St Louis, MO.
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Health Management and Policy, Saint Louis University, College for Public Health & Social Justice, St Louis, MO.
authors.forename: Kristin D
authors.initials: KD
authors.lastname: Wilson
authors.affiliation: Institute for Biosecurity, Saint Louis University, College for Public Health & Social Justice, St Louis, MO.
authors.forename: Philip G
authors.initials: PG
authors.lastname: Gilbertson
authors.affiliation: Institute for Biosecurity, Saint Louis University, College for Public Health & Social Justice, St Louis, MO.
authors.forename: Mary
authors.initials: M
authors.lastname: Wakefield
mesh_terms: D000328:Adult; D002568:Certification; D002654:Child Care; D002675:Child, Preschool; D005260:Female; D006282:Health Personnel; D006291:Health Policy; D006801:Humans; D007223:Infant; D008297:Male; D037141:Mandatory Programs; D008875:Middle Aged; D008923:Missouri; D010290:Parents; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Daycare; Immunization; Pediatric; Uptake; Vaccine