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- Title
Urban and Rural Differences in Parental Attitudes About Influenza Vaccination and Vaccine Delivery Models.
- Authors
O'Leary, Sean T.; Barnard, Juliana; Lockhart, Steven; Kolasa, Maureen; Shmueli, Doron; Dickinson, L. Miriam; Kile, Deidre; Dibert, Eva; Kempe, Allison
- Abstract
Objectives: To assess and compare among parents of healthy children in urban and rural areas: (1) reported influenza vaccination status; (2) attitudes regarding influenza vaccination; and (3) attitudes about collaborative models for influenza vaccination delivery involving practices and public health departments. Methods: A mail survey to random samples of parents from 2 urban and 2 rural private practices in Colorado from April 2012 to June 2012. Results: The response rate was 58% (288/500). In the prior season, 63% of urban and 41% of rural parents reported their child received influenza vaccination (P <.001). No differences in attitudes about influenza infection or vaccination between urban and rural parents were found, with 75% of urban and 73% of rural parents agreeing their child should receive an influenza vaccine every year (P =.71). High proportions reported willingness to participate in a collaborative clinic in a community setting (59% urban, 70% rural, P =.05) or at their child's provider (73% urban, 73% rural, P =.99) with public health department assisting. Fewer (36% urban, 53% rural, P <.01) were likely to go to the public health department if referred by their provider. Rural parents were more willing for their child to receive vaccination outside of their provider's office (70% vs. 55%, P =.01). Conclusions: While attitudes regarding influenza vaccination were similar, rural children were much less likely to have received vaccination. Most parents were amenable to collaborative models of influenza vaccination delivery, but rural parents were more comfortable with influenza vaccination outside their provider's office, suggesting that other venues for influenza vaccination in rural settings should be promoted.
- Subjects
COLORADO; INFLUENZA prevention; CHI-squared test; COMPARATIVE studies; CONFIDENCE intervals; IMMUNIZATION; INFLUENZA vaccines; HEALTH insurance; MEDICAL protocols; METROPOLITAN areas; RESEARCH funding; RURAL conditions; STATISTICAL sampling; SCALE analysis (Psychology); STATISTICS; SURVEYS; MATHEMATICAL variables; DATA analysis; PARENT attitudes; DATA analysis software; HEALTH Belief Model; ODDS ratio; CHILDREN
- Publication
Journal of Rural Health, 2015, Vol 31, Issue 4, p421
- ISSN
0890-765X
- Publication type
Article
- DOI
10.1111/jrh.12119