School-located vaccination clinics for adolescents: Correlates of acceptance among parents

Lisa M. Gargano, Paul Weiss, Natasha L. Underwood, Katherine Seib, Jessica M. Sales, Tara M. Vogt, Kimberly Rask, Christopher Morfaw, Dennis L. Murray, Ralph J. Diclemente, James M. Hughes

Research output: Contribution to journalArticle

14 Citations (Scopus)

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.

Original languageEnglish (US)
Article numberA007
Pages (from-to)660-669
Number of pages10
JournalJournal of Community Health
Volume40
Issue number4
DOIs
StatePublished - Aug 1 2015

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vaccination
Vaccination
parents
acceptance
Parents
adolescent
school
Vaccines
Papillomavirus Vaccines
Diphtheria-Tetanus-acellular Pertussis Vaccines
contagious disease
Influenza Vaccines
confidence
Confidence Intervals
Students
illness
Meningococcal Vaccines
Conjugate Vaccines
student
Advisory Committees

Keywords

  • Adolescent
  • Attitudes
  • Parent
  • School-located vaccination clinics

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Gargano, L. M., Weiss, P., Underwood, N. L., Seib, K., Sales, J. M., Vogt, T. M., ... Hughes, J. M. (2015). School-located vaccination clinics for adolescents: Correlates of acceptance among parents. Journal of Community Health, 40(4), 660-669. [A007]. https://doi.org/10.1007/s10900-014-9982-z

School-located vaccination clinics for adolescents : Correlates of acceptance among parents. / Gargano, Lisa M.; Weiss, Paul; Underwood, Natasha L.; Seib, Katherine; Sales, Jessica M.; Vogt, Tara M.; Rask, Kimberly; Morfaw, Christopher; Murray, Dennis L.; Diclemente, Ralph J.; Hughes, James M.

In: Journal of Community Health, Vol. 40, No. 4, A007, 01.08.2015, p. 660-669.

Research output: Contribution to journalArticle

Gargano, LM, Weiss, P, Underwood, NL, Seib, K, Sales, JM, Vogt, TM, Rask, K, Morfaw, C, Murray, DL, Diclemente, RJ & Hughes, JM 2015, 'School-located vaccination clinics for adolescents: Correlates of acceptance among parents', Journal of Community Health, vol. 40, no. 4, A007, pp. 660-669. https://doi.org/10.1007/s10900-014-9982-z
Gargano, Lisa M. ; Weiss, Paul ; Underwood, Natasha L. ; Seib, Katherine ; Sales, Jessica M. ; Vogt, Tara M. ; Rask, Kimberly ; Morfaw, Christopher ; Murray, Dennis L. ; Diclemente, Ralph J. ; Hughes, James M. / School-located vaccination clinics for adolescents : Correlates of acceptance among parents. In: Journal of Community Health. 2015 ; Vol. 40, No. 4. pp. 660-669.
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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.",
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