Vaccination for child clients and employees in St Louis childcare agencies: Vaccine uptake and policies versus parents' perceptions
Background Little is known about childcare agency staff vaccination requirements, parents' perceptions of these requirements, or vaccine uptake in these populations. Methods A questionnaire was administered to St Louis parents and childcare agency staff in fall of 2014. The χ2 tests compared st...
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| Veröffentlicht in: | American journal of infection control 2016-09, Vol.44 (9), p.1010-1015 |
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| creator | Rebmann, Terri, PhD, RN, CIC Arnold, Lauren D., PhD, MPH Elliott, Michael B., PhD Gilbertson, Philip G., MPH Wakefield, Mary, MPH |
| description | Background Little is known about childcare agency staff vaccination requirements, parents' perceptions of these requirements, or vaccine uptake in these populations. Methods A questionnaire was administered to St Louis parents and childcare agency staff in fall of 2014. The χ2 tests compared staff's versus parents' uptake of hepatitis A, pertussis, and seasonal influenza vaccines. Multivariate logistic regression was used to examine individuals being fully immunized (ie, having received influenza, hepatitis A, and pertussis vaccines). Results Overall, 351 parents and staff from 23 agencies participated (response rate, 32%). One-third of staff (34.4%, n = 33) and parents (37.6%, n = 96) were fully immunized. Parents and staff were equally likely to have received the influenza vaccine (48.8% and 47.3%, respectively), but more staff received the hepatitis A vaccine (85.3% vs 67.5%, χ2 = 11.0, P |
| doi_str_mv | 10.1016/j.ajic.2016.03.047 |
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Methods A questionnaire was administered to St Louis parents and childcare agency staff in fall of 2014. The χ2 tests compared staff's versus parents' uptake of hepatitis A, pertussis, and seasonal influenza vaccines. Multivariate logistic regression was used to examine individuals being fully immunized (ie, having received influenza, hepatitis A, and pertussis vaccines). Results Overall, 351 parents and staff from 23 agencies participated (response rate, 32%). One-third of staff (34.4%, n = 33) and parents (37.6%, n = 96) were fully immunized. Parents and staff were equally likely to have received the influenza vaccine (48.8% and 47.3%, respectively), but more staff received the hepatitis A vaccine (85.3% vs 67.5%, χ2 = 11.0, P < .001), and more parents received the pertussis vaccine (66.5% vs 45.8%, χ2 = 12.5, P < .001). Determinants of being fully immunized included having previously received the influenza vaccine, being offered the vaccines, belief that vaccination is important, having immunization recommendation awareness, and not having vaccine misperceptions. Conclusions Childcare agency staff vaccination can protect employees and children from disease, but their uptake of vaccines needs improvement. Future interventions should be aimed at increasing uptake to lower disease transmission in childcare settings.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2016.03.047</identifier><identifier>PMID: 27238943</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Child Day Care Centers ; Child, Preschool ; childcare ; day care ; Female ; Humans ; Immunization ; Infant ; Infection Control ; Infectious Disease ; Male ; Middle Aged ; Organizational Policy ; Parents ; Parents & parenting ; pediatric ; Perceptions ; presenteeism ; Regression analysis ; Surveys and Questionnaires ; uptake ; Vaccination - utilization ; vaccine ; Vaccines ; Young Adult</subject><ispartof>American journal of infection control, 2016-09, Vol.44 (9), p.1010-1015</ispartof><rights>Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2016 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.</rights><rights>Copyright Mosby-Year Book, Inc. Sep 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-5db1b8e61ce042bdd612ebe2ff56da38b39ad9d827200d75068ff9ec4f77b17c3</citedby><cites>FETCH-LOGICAL-c439t-5db1b8e61ce042bdd612ebe2ff56da38b39ad9d827200d75068ff9ec4f77b17c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0196655316302899$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27238943$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rebmann, Terri, PhD, RN, CIC</creatorcontrib><creatorcontrib>Arnold, Lauren D., PhD, MPH</creatorcontrib><creatorcontrib>Elliott, Michael B., PhD</creatorcontrib><creatorcontrib>Gilbertson, Philip G., MPH</creatorcontrib><creatorcontrib>Wakefield, Mary, MPH</creatorcontrib><title>Vaccination for child clients and employees in St Louis childcare agencies: Vaccine uptake and policies versus parents' perceptions</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Background Little is known about childcare agency staff vaccination requirements, parents' perceptions of these requirements, or vaccine uptake in these populations. Methods A questionnaire was administered to St Louis parents and childcare agency staff in fall of 2014. The χ2 tests compared staff's versus parents' uptake of hepatitis A, pertussis, and seasonal influenza vaccines. Multivariate logistic regression was used to examine individuals being fully immunized (ie, having received influenza, hepatitis A, and pertussis vaccines). Results Overall, 351 parents and staff from 23 agencies participated (response rate, 32%). One-third of staff (34.4%, n = 33) and parents (37.6%, n = 96) were fully immunized. Parents and staff were equally likely to have received the influenza vaccine (48.8% and 47.3%, respectively), but more staff received the hepatitis A vaccine (85.3% vs 67.5%, χ2 = 11.0, P < .001), and more parents received the pertussis vaccine (66.5% vs 45.8%, χ2 = 12.5, P < .001). Determinants of being fully immunized included having previously received the influenza vaccine, being offered the vaccines, belief that vaccination is important, having immunization recommendation awareness, and not having vaccine misperceptions. Conclusions Childcare agency staff vaccination can protect employees and children from disease, but their uptake of vaccines needs improvement. Future interventions should be aimed at increasing uptake to lower disease transmission in childcare settings.</description><subject>Adult</subject><subject>Aged</subject><subject>Child Day Care Centers</subject><subject>Child, Preschool</subject><subject>childcare</subject><subject>day care</subject><subject>Female</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>Infection Control</subject><subject>Infectious Disease</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Organizational Policy</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>pediatric</subject><subject>Perceptions</subject><subject>presenteeism</subject><subject>Regression analysis</subject><subject>Surveys and Questionnaires</subject><subject>uptake</subject><subject>Vaccination - utilization</subject><subject>vaccine</subject><subject>Vaccines</subject><subject>Young Adult</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk-L1TAUxYMoznP0C7iQgAvdtOZPmzYiggzqCA9cjLoNaXKr6fQlNWkH3tovPqmdGWEWrhLI75zce89F6DklJSVUvBlKPThTsnwvCS9J1TxAO1qzpuBMiodoR6gUhahrfoKepDQQQiQX9WN0whrGW1nxHfrzQxvjvJ5d8LgPEZtfbrTYjA78nLD2FsNhGsMRIGHn8cWM92FxaeOMjoD1T_DGQXqLNy_AyzTrS_grnsLo1kd8BTEtCU9ZkY1f4QmigWn9Nj1Fj3o9Jnh2c56i758-fjs7L_ZfP385-7AvTMXlXNS2o10LghogFeusFZRBB6zva2E1bzsutZW2zc0RYpuaiLbvJZiqb5qONoafoteb7xTD7wXSrA4uGRhH7SEsSdGWCsEkqWVGX95Dh7BEn6vLFCN1y9qqyhTbKBNDShF6NUV30PGoKFFrRGpQa0RqjUgRrnJEWfTixnrpDmDvJLeZZODdBkCexZWDqFKeoDdgXQQzKxvc__3f35PnML0zeryEI6R_fajEFFEX65KsO0IFJ6yVkl8DBrK44g</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Rebmann, Terri, PhD, RN, CIC</creator><creator>Arnold, Lauren D., PhD, MPH</creator><creator>Elliott, Michael B., PhD</creator><creator>Gilbertson, Philip G., MPH</creator><creator>Wakefield, Mary, MPH</creator><general>Elsevier Inc</general><general>Mosby-Year Book, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160901</creationdate><title>Vaccination for child clients and employees in St Louis childcare agencies: Vaccine uptake and policies versus parents' perceptions</title><author>Rebmann, Terri, PhD, RN, CIC ; Arnold, Lauren D., PhD, MPH ; Elliott, Michael B., PhD ; Gilbertson, Philip G., MPH ; Wakefield, Mary, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-5db1b8e61ce042bdd612ebe2ff56da38b39ad9d827200d75068ff9ec4f77b17c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Child Day Care Centers</topic><topic>Child, Preschool</topic><topic>childcare</topic><topic>day care</topic><topic>Female</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infant</topic><topic>Infection Control</topic><topic>Infectious Disease</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Organizational Policy</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>pediatric</topic><topic>Perceptions</topic><topic>presenteeism</topic><topic>Regression analysis</topic><topic>Surveys and Questionnaires</topic><topic>uptake</topic><topic>Vaccination - utilization</topic><topic>vaccine</topic><topic>Vaccines</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rebmann, Terri, PhD, RN, CIC</creatorcontrib><creatorcontrib>Arnold, Lauren D., PhD, MPH</creatorcontrib><creatorcontrib>Elliott, Michael B., PhD</creatorcontrib><creatorcontrib>Gilbertson, Philip G., MPH</creatorcontrib><creatorcontrib>Wakefield, Mary, MPH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rebmann, Terri, PhD, RN, CIC</au><au>Arnold, Lauren D., PhD, MPH</au><au>Elliott, Michael B., PhD</au><au>Gilbertson, Philip G., MPH</au><au>Wakefield, Mary, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaccination for child clients and employees in St Louis childcare agencies: Vaccine uptake and policies versus parents' perceptions</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>44</volume><issue>9</issue><spage>1010</spage><epage>1015</epage><pages>1010-1015</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Background Little is known about childcare agency staff vaccination requirements, parents' perceptions of these requirements, or vaccine uptake in these populations. Methods A questionnaire was administered to St Louis parents and childcare agency staff in fall of 2014. The χ2 tests compared staff's versus parents' uptake of hepatitis A, pertussis, and seasonal influenza vaccines. Multivariate logistic regression was used to examine individuals being fully immunized (ie, having received influenza, hepatitis A, and pertussis vaccines). Results Overall, 351 parents and staff from 23 agencies participated (response rate, 32%). One-third of staff (34.4%, n = 33) and parents (37.6%, n = 96) were fully immunized. Parents and staff were equally likely to have received the influenza vaccine (48.8% and 47.3%, respectively), but more staff received the hepatitis A vaccine (85.3% vs 67.5%, χ2 = 11.0, P < .001), and more parents received the pertussis vaccine (66.5% vs 45.8%, χ2 = 12.5, P < .001). Determinants of being fully immunized included having previously received the influenza vaccine, being offered the vaccines, belief that vaccination is important, having immunization recommendation awareness, and not having vaccine misperceptions. Conclusions Childcare agency staff vaccination can protect employees and children from disease, but their uptake of vaccines needs improvement. Future interventions should be aimed at increasing uptake to lower disease transmission in childcare settings.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27238943</pmid><doi>10.1016/j.ajic.2016.03.047</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Child Day Care Centers Child, Preschool childcare day care Female Humans Immunization Infant Infection Control Infectious Disease Male Middle Aged Organizational Policy Parents Parents & parenting pediatric Perceptions presenteeism Regression analysis Surveys and Questionnaires uptake Vaccination - utilization vaccine Vaccines Young Adult |
| title | Vaccination for child clients and employees in St Louis childcare agencies: Vaccine uptake and policies versus parents' perceptions |
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