Influenza vaccination in children with pulmonary disease during the COVID-19 pandemic

Copyright © 2023 Elsevier Ltd. All rights reserved..

INTRODUCTION: Influenza is associated with considerable respiratory morbidity and mortality. Healthcare authorities recommend immunization of all children as vaccinations protect vulnerable populations, minimize influenza triggered asthma attacks, and reduced the burden of respiratory illnesses during the SARS-CoV-2 pandemic. Medical professionals should counsel parents of children with chronic lung disease to receive annual influenza vaccinations as part of supportive care. We aimed to describe adherence to influenza vaccination in respiratory patients and identify potential reasons for non-vaccination.

METHODS: This study included questionnaires reviewing personal experience and beliefs regarding influenza vaccination, provided by parents of patients who visited the Pediatric Pulmonary Institute at Schneider Children's Medical Center with their children, during March-August 2021.

RESULTS: Of 198 parents who completed our questionnaire, 114 (57.3 %) vaccinated their children against influenza during that year. Average age was 6.9 ± 4.5 years. Demographic data were similar between the vaccinated and unvaccinated groups. Influenza vaccination rates differed significantly between parents who received an explanation from their primary physician and those who did not (65.4 % vs. 43.7 %, respectfully, p = 0.003), and parents who received explanations from a pulmonary specialist and those who did not (77.3 % vs. 48.8 %, respectively, p = 0.004). The combined recommendation of a primary physician and pulmonologist translated to a significantly higher vaccination rate among those who received such recommendations, as compared to those who did not (p < 0.001). Parents who believed in vaccine efficacy and safety were more likely to vaccinate their children (p < 0.001). Factors significantly affecting the decision of the parents to have their child vaccinated were their knowledge, beliefs, and conceptions about the vaccine.

CONCLUSIONS: Pediatric respiratory patients' influenza vaccination rate was 57 %. Major factors encouraging vaccination were correct parental knowledge and receiving recommendations from their primary physician\pulmonologist. This emphasizes the need for providing patients with information, by first explaining the vaccine's importance to physicians.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Vaccine - 41(2023), 50 vom: 07. Dez., Seite 7532-7538

Sprache:

Englisch

Beteiligte Personen:

Amitai, Nofar [VerfasserIn]
Wertheimer, Reut [VerfasserIn]
Prais, Dario [VerfasserIn]
Wertheimer, Keren-Or [VerfasserIn]
Livni, Gilat [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Hesitancy
Immunization
Influenza
Influenza Vaccines
Journal Article
Pulmonary disease
Vaccination

Anmerkungen:

Date Completed 04.12.2023

Date Revised 04.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.vaccine.2023.11.026

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364694726