Attitudes about and access to influenza vaccination experienced by parents of children hospitalised for influenza in Australia

Samantha J. Carlson, Camilla Scanlan, Helen S. Marshall, Christopher C. Blyth, Kristine Macartney, Julie Leask

Research output: Contribution to journalArticle

Abstract

Introduction: In Australia, influenza hospitalises more children than any other vaccine preventable disease does. Children aged six months or older are recommended to receive annual influenza vaccines, and pregnant women are recommended vaccination to protect infants aged up to six months. However, vaccine uptake is low. This study explored influenza vaccination knowledge and behaviours of parents of children who were hospitalised for influenza, in order to inform strategies that target barriers to uptake. Methods: We conducted 27 semi-structured interviews with parents/caregivers during or shortly after their child's hospitalisation for laboratory-confirmed influenza in 2017. Questions were guided by the Social Ecological Model exploring all levels of influence on vaccination uptake from the intrapersonal through to policy, via the parents’ perspective. Transcripts were inductively analysed. Themes were categorised into the components of the Capability-Opportunity-Motivation-Behaviour (COM-B) model. Results: 20/27 children were aged six months or older; 16/20 had not received an influenza vaccine in 2017. Mothers of 4/7 infants aged less than six months were not vaccinated in pregnancy. The themes regarding barriers to influenza vaccination were: (1) Limited Capability – misinterpretations and knowledge gaps, (2) Lack of Opportunity – inconvenient vaccination pathway, missing recommendations, absence of promotion to all, and the social norm, and (3) Missing Motivation – hierarchy of perceived seriousness, safety concerns, a preference for ‘natural’ ways. Though most parents, now aware of the severity of influenza, intended to vaccinate their child in future seasons, some harboured reservations about necessity and safety. When parents were asked how to help them vaccinate their children, SMS reminders and information campaigns delivered through social media, schools and childcare were suggested. Conclusion: Improving parents’ and providers’ knowledge and confidence in influenza vaccination safety, efficacy, and benefits should be prioritised. This, together with making influenza vaccination more convenient for parents, would likely raise vaccine coverage.

Original languageEnglish
Pages (from-to)5994-6001
Number of pages8
JournalVaccine
Volume37
Issue number40
DOIs
Publication statusPublished - 20 Sep 2019

Fingerprint

Hospitalized Child
influenza
Human Influenza
Vaccination
Parents
vaccination
vaccines
Vaccines
Influenza Vaccines
Safety
Motivation
uptake mechanisms
Social Media
animal technicians
Child Behavior
child care
social networks
Caregivers
Pregnant Women
pregnant women

Cite this

Carlson, Samantha J. ; Scanlan, Camilla ; Marshall, Helen S. ; Blyth, Christopher C. ; Macartney, Kristine ; Leask, Julie. / Attitudes about and access to influenza vaccination experienced by parents of children hospitalised for influenza in Australia. In: Vaccine. 2019 ; Vol. 37, No. 40. pp. 5994-6001.
@article{bfcaed088d8b4d16ab8c343f24386cf3,
title = "Attitudes about and access to influenza vaccination experienced by parents of children hospitalised for influenza in Australia",
abstract = "Introduction: In Australia, influenza hospitalises more children than any other vaccine preventable disease does. Children aged six months or older are recommended to receive annual influenza vaccines, and pregnant women are recommended vaccination to protect infants aged up to six months. However, vaccine uptake is low. This study explored influenza vaccination knowledge and behaviours of parents of children who were hospitalised for influenza, in order to inform strategies that target barriers to uptake. Methods: We conducted 27 semi-structured interviews with parents/caregivers during or shortly after their child's hospitalisation for laboratory-confirmed influenza in 2017. Questions were guided by the Social Ecological Model exploring all levels of influence on vaccination uptake from the intrapersonal through to policy, via the parents’ perspective. Transcripts were inductively analysed. Themes were categorised into the components of the Capability-Opportunity-Motivation-Behaviour (COM-B) model. Results: 20/27 children were aged six months or older; 16/20 had not received an influenza vaccine in 2017. Mothers of 4/7 infants aged less than six months were not vaccinated in pregnancy. The themes regarding barriers to influenza vaccination were: (1) Limited Capability – misinterpretations and knowledge gaps, (2) Lack of Opportunity – inconvenient vaccination pathway, missing recommendations, absence of promotion to all, and the social norm, and (3) Missing Motivation – hierarchy of perceived seriousness, safety concerns, a preference for ‘natural’ ways. Though most parents, now aware of the severity of influenza, intended to vaccinate their child in future seasons, some harboured reservations about necessity and safety. When parents were asked how to help them vaccinate their children, SMS reminders and information campaigns delivered through social media, schools and childcare were suggested. Conclusion: Improving parents’ and providers’ knowledge and confidence in influenza vaccination safety, efficacy, and benefits should be prioritised. This, together with making influenza vaccination more convenient for parents, would likely raise vaccine coverage.",
keywords = "Attitude to Health, Health Behavior, Hospital, Influenza, Parent, Vaccination, Vaccine Uptake",
author = "Carlson, {Samantha J.} and Camilla Scanlan and Marshall, {Helen S.} and Blyth, {Christopher C.} and Kristine Macartney and Julie Leask",
year = "2019",
month = "9",
day = "20",
doi = "10.1016/j.vaccine.2019.08.021",
language = "English",
volume = "37",
pages = "5994--6001",
journal = "Vaccine",
issn = "0264-410X",
publisher = "Elsevier",
number = "40",

}

Attitudes about and access to influenza vaccination experienced by parents of children hospitalised for influenza in Australia. / Carlson, Samantha J.; Scanlan, Camilla; Marshall, Helen S.; Blyth, Christopher C.; Macartney, Kristine; Leask, Julie.

In: Vaccine, Vol. 37, No. 40, 20.09.2019, p. 5994-6001.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Attitudes about and access to influenza vaccination experienced by parents of children hospitalised for influenza in Australia

AU - Carlson, Samantha J.

AU - Scanlan, Camilla

AU - Marshall, Helen S.

AU - Blyth, Christopher C.

AU - Macartney, Kristine

AU - Leask, Julie

PY - 2019/9/20

Y1 - 2019/9/20

N2 - Introduction: In Australia, influenza hospitalises more children than any other vaccine preventable disease does. Children aged six months or older are recommended to receive annual influenza vaccines, and pregnant women are recommended vaccination to protect infants aged up to six months. However, vaccine uptake is low. This study explored influenza vaccination knowledge and behaviours of parents of children who were hospitalised for influenza, in order to inform strategies that target barriers to uptake. Methods: We conducted 27 semi-structured interviews with parents/caregivers during or shortly after their child's hospitalisation for laboratory-confirmed influenza in 2017. Questions were guided by the Social Ecological Model exploring all levels of influence on vaccination uptake from the intrapersonal through to policy, via the parents’ perspective. Transcripts were inductively analysed. Themes were categorised into the components of the Capability-Opportunity-Motivation-Behaviour (COM-B) model. Results: 20/27 children were aged six months or older; 16/20 had not received an influenza vaccine in 2017. Mothers of 4/7 infants aged less than six months were not vaccinated in pregnancy. The themes regarding barriers to influenza vaccination were: (1) Limited Capability – misinterpretations and knowledge gaps, (2) Lack of Opportunity – inconvenient vaccination pathway, missing recommendations, absence of promotion to all, and the social norm, and (3) Missing Motivation – hierarchy of perceived seriousness, safety concerns, a preference for ‘natural’ ways. Though most parents, now aware of the severity of influenza, intended to vaccinate their child in future seasons, some harboured reservations about necessity and safety. When parents were asked how to help them vaccinate their children, SMS reminders and information campaigns delivered through social media, schools and childcare were suggested. Conclusion: Improving parents’ and providers’ knowledge and confidence in influenza vaccination safety, efficacy, and benefits should be prioritised. This, together with making influenza vaccination more convenient for parents, would likely raise vaccine coverage.

AB - Introduction: In Australia, influenza hospitalises more children than any other vaccine preventable disease does. Children aged six months or older are recommended to receive annual influenza vaccines, and pregnant women are recommended vaccination to protect infants aged up to six months. However, vaccine uptake is low. This study explored influenza vaccination knowledge and behaviours of parents of children who were hospitalised for influenza, in order to inform strategies that target barriers to uptake. Methods: We conducted 27 semi-structured interviews with parents/caregivers during or shortly after their child's hospitalisation for laboratory-confirmed influenza in 2017. Questions were guided by the Social Ecological Model exploring all levels of influence on vaccination uptake from the intrapersonal through to policy, via the parents’ perspective. Transcripts were inductively analysed. Themes were categorised into the components of the Capability-Opportunity-Motivation-Behaviour (COM-B) model. Results: 20/27 children were aged six months or older; 16/20 had not received an influenza vaccine in 2017. Mothers of 4/7 infants aged less than six months were not vaccinated in pregnancy. The themes regarding barriers to influenza vaccination were: (1) Limited Capability – misinterpretations and knowledge gaps, (2) Lack of Opportunity – inconvenient vaccination pathway, missing recommendations, absence of promotion to all, and the social norm, and (3) Missing Motivation – hierarchy of perceived seriousness, safety concerns, a preference for ‘natural’ ways. Though most parents, now aware of the severity of influenza, intended to vaccinate their child in future seasons, some harboured reservations about necessity and safety. When parents were asked how to help them vaccinate their children, SMS reminders and information campaigns delivered through social media, schools and childcare were suggested. Conclusion: Improving parents’ and providers’ knowledge and confidence in influenza vaccination safety, efficacy, and benefits should be prioritised. This, together with making influenza vaccination more convenient for parents, would likely raise vaccine coverage.

KW - Attitude to Health

KW - Health Behavior

KW - Hospital

KW - Influenza

KW - Parent

KW - Vaccination

KW - Vaccine Uptake

UR - http://www.scopus.com/inward/record.url?scp=85071275378&partnerID=8YFLogxK

U2 - 10.1016/j.vaccine.2019.08.021

DO - 10.1016/j.vaccine.2019.08.021

M3 - Article

VL - 37

SP - 5994

EP - 6001

JO - Vaccine

JF - Vaccine

SN - 0264-410X

IS - 40

ER -