Peter G Szilagyi1, Stanley Schaffer2, Cynthia M Rand2, Nicolas Pn Goldstein2, A Dirk Hightower3, Mary Younge4, Christina S Albertin5, Kristine DiBitetto2, Byung-Kwang Yoo6, Sharon G Humiston7. 1. Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, 10833. 2. Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642. 3. Department of Clinical and Social Psychology, University of Rochester and Children's Institute, Rochester, NY, 14642. 4. Department of Public Health, Monroe County, NY, 14620. 5. Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, 14642. 6. Department of Public Health Sciences, University of California at Davis, Davis, CA, 95616. 7. Department of Pediatrics, Children's Mercy, Kansas City, MO, 14534.
Abstract
BACKGROUND: Only half of US schoolchildren receive influenza vaccine. School-located influenza vaccination (SLIV) might raise vaccination rates but conducting flu vaccine clinics at schools is challenging to implement. We compared 2 school-based programs designed to raise influenza vaccination rates: parent reminder/educational messages sent to parents from schools which is a low-intensity intervention vs the combination of reminder/educational messages plus SLIV clinics which is a high-intensity intervention. METHODS: We assigned 36 schools (6 school districts, 2 per group) to 3 groups: (1) control, ie, no SLIV and no parent reminder/education, (2) parent reminder/education emailed by schools, and (3) parent reminder/education plus SLIV clinics. Some schools had SLIV clinics in prior years. Health department nurses conducted SLIV clinics. RESULTS: Among 24,832 children at 36 schools, vaccination rates were control (51.3%), parent reminder/education-only (41.2%), and reminder/education + SLIV (58.7%). On multivariate analyses which controlled for vaccination in prior seasons, children in reminder/education + SLIV schools had higher vaccination rates (OR 1.27, 95% CI 1.10-1.47), but children in reminder/education-only schools had lower rates (OR 0.87, 95% CI 0.75-1.00) than children in control schools. CONCLUSIONS: Parent reminder/education combined with SLIV clinics raise vaccination rates, but parent reminder/education alone does not.
BACKGROUND: Only half of US schoolchildren receive influenza vaccine. School-located influenza vaccination (SLIV) might raise vaccination rates but conducting flu vaccine clinics at schools is challenging to implement. We compared 2 school-based programs designed to raise influenza vaccination rates: parent reminder/educational messages sent to parents from schools which is a low-intensity intervention vs the combination of reminder/educational messages plus SLIV clinics which is a high-intensity intervention. METHODS: We assigned 36 schools (6 school districts, 2 per group) to 3 groups: (1) control, ie, no SLIV and no parent reminder/education, (2) parent reminder/education emailed by schools, and (3) parent reminder/education plus SLIV clinics. Some schools had SLIV clinics in prior years. Health department nurses conducted SLIV clinics. RESULTS: Among 24,832 children at 36 schools, vaccination rates were control (51.3%), parent reminder/education-only (41.2%), and reminder/education + SLIV (58.7%). On multivariate analyses which controlled for vaccination in prior seasons, children in reminder/education + SLIV schools had higher vaccination rates (OR 1.27, 95% CI 1.10-1.47), but children in reminder/education-only schools had lower rates (OR 0.87, 95% CI 0.75-1.00) than children in control schools. CONCLUSIONS: Parent reminder/education combined with SLIV clinics raise vaccination rates, but parent reminder/education alone does not.
Authors: Jade Benjamin-Chung; Benjamin F Arnold; Kunal Mishra; Chris J Kennedy; Anna Nguyen; Nolan N Pokpongkiat; Stephanie Djajadi; Anmol Seth; Nicola P Klein; Alan E Hubbard; Arthur Reingold; John M Colford Journal: Vaccine Date: 2021-09-14 Impact factor: 3.641
Authors: Mohammad Javad Nasiri; Bardia Danaei; Niloofar Deravi; Alireza Salimi Chirani; Amir Hashem Shahidi Bonjar; Zohreh Khoshgoftar; Forouzan Karimi Journal: Front Public Health Date: 2022-09-20