Low coverage of influenza vaccination among Chinese children aged 12-23 months: Prevalence and associated factors.

This study aimed to investigate prevalence and associated factors of influenza vaccination (IV) among children aged 12-23 months. Our cross-sectional survey interviewed 489 parents of children aged 12-23 months anonymously at twelve maternal and child health centers in Hong Kong. Results showed that...

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Main Authors: Joseph T F Lau, Catalina S M Ng, Anise M S Wu, Yee Ling Ma, Mason M C Lau
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC6179290?pdf=render
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author Joseph T F Lau
Catalina S M Ng
Anise M S Wu
Yee Ling Ma
Mason M C Lau
author_facet Joseph T F Lau
Catalina S M Ng
Anise M S Wu
Yee Ling Ma
Mason M C Lau
author_sort Joseph T F Lau
collection DOAJ
description This study aimed to investigate prevalence and associated factors of influenza vaccination (IV) among children aged 12-23 months. Our cross-sectional survey interviewed 489 parents of children aged 12-23 months anonymously at twelve maternal and child health centers in Hong Kong. Results showed that only 11.5% of the children had ever received IV (64.3% being subsidized). Adjusted for the child's age, significant factors of the children's IV included parental knowledge about governmental policy/recommendation (Adjusted odds ratio [AOR] = 2.64, 95%CI = 1.09,6.40), knowledge about annual IV requirement (AOR = 2.30, 95%CI = 1.21,4.38), perceived safety-related barrier (AOR≥0.14, 95%CI = 0.06,0.33), cue to action (AOR = 7.79, 95%CI = 3.45,17.58), and subjective norm (AOR = 4.59, 95%CI = 2.34,9.00). IV prevalence of children aged 12-23 months remained low despite a subsidization scheme. The higher IV prevalence of older children reported by other studies suggested that parents postponed action. Promotion campaigns should shift emphases from cost reduction and mass media approaches to dissemination of knowledge about IV policy and safety, enhancement of health professionals' advice, and creation of supportive subjective norm.
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spelling doaj.art-ace83cb1d98e48f18fb279f075e9cac62022-12-22T01:53:55ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-011310e020556110.1371/journal.pone.0205561Low coverage of influenza vaccination among Chinese children aged 12-23 months: Prevalence and associated factors.Joseph T F LauCatalina S M NgAnise M S WuYee Ling MaMason M C LauThis study aimed to investigate prevalence and associated factors of influenza vaccination (IV) among children aged 12-23 months. Our cross-sectional survey interviewed 489 parents of children aged 12-23 months anonymously at twelve maternal and child health centers in Hong Kong. Results showed that only 11.5% of the children had ever received IV (64.3% being subsidized). Adjusted for the child's age, significant factors of the children's IV included parental knowledge about governmental policy/recommendation (Adjusted odds ratio [AOR] = 2.64, 95%CI = 1.09,6.40), knowledge about annual IV requirement (AOR = 2.30, 95%CI = 1.21,4.38), perceived safety-related barrier (AOR≥0.14, 95%CI = 0.06,0.33), cue to action (AOR = 7.79, 95%CI = 3.45,17.58), and subjective norm (AOR = 4.59, 95%CI = 2.34,9.00). IV prevalence of children aged 12-23 months remained low despite a subsidization scheme. The higher IV prevalence of older children reported by other studies suggested that parents postponed action. Promotion campaigns should shift emphases from cost reduction and mass media approaches to dissemination of knowledge about IV policy and safety, enhancement of health professionals' advice, and creation of supportive subjective norm.http://europepmc.org/articles/PMC6179290?pdf=render
spellingShingle Joseph T F Lau
Catalina S M Ng
Anise M S Wu
Yee Ling Ma
Mason M C Lau
Low coverage of influenza vaccination among Chinese children aged 12-23 months: Prevalence and associated factors.
PLoS ONE
title Low coverage of influenza vaccination among Chinese children aged 12-23 months: Prevalence and associated factors.
title_full Low coverage of influenza vaccination among Chinese children aged 12-23 months: Prevalence and associated factors.
title_fullStr Low coverage of influenza vaccination among Chinese children aged 12-23 months: Prevalence and associated factors.
title_full_unstemmed Low coverage of influenza vaccination among Chinese children aged 12-23 months: Prevalence and associated factors.
title_short Low coverage of influenza vaccination among Chinese children aged 12-23 months: Prevalence and associated factors.
title_sort low coverage of influenza vaccination among chinese children aged 12 23 months prevalence and associated factors
url http://europepmc.org/articles/PMC6179290?pdf=render
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