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Influenza Vaccination Rates of Children in Households with High-Risk Adults /

개인저자
Chi, Ru-Chien. et al
수록페이지
192-198 p.
발행일자
2010.03.22
출판사
Association of Schools of Public Health. ;Supt. of Docs., U.S. G.P.O., distributor
초록
[영문]Objectives. Household contacts of people at high risk for influenza complicationsshould receive yearly influenza vaccination to reduce potential viraltransmission. We evaluated influenza vaccine coverage among children todetermine whether or not living with a high-risk adult predicts the likelihood ofbeing vaccinated.Methods. Using the 2006 National Health Interview Survey, we examinedinfluenza vaccination rates among children (aged 1?17 years) who did anddid not reside in a household with an adult at high risk for influenza-relatedcomplications.Results. Among 24,195 sampled families, there were 8,976 high-risk adults,18.9% of whom reported living with a person 17 years of age of younger. Influenzavaccination rates by age group among children living with high-risk adultswere 41.7% (1 year), 30.3% (2?4 years), and 20.0% (5?17 years). Unadjustedinfluenza vaccination rates were significantly higher for school-aged childrenwho lived with a high-risk adult compared with those who did not (20.0% vs.15.0%, p,0.001). Among children younger than 5 years of age, for whom vaccinationwas universally recommended at the time of the survey, the rates didnot differ. After adjusting for the child’s age, gender, race, insurance coverage,medical visits, and chronic conditions, children who lived with a high-risk adultwere not statistically more likely than those who did not live with a high-riskadult to receive influenza vaccination (odds ratio ? 1.16, 95% confidenceinterval 0.99, 1.36).Conclusions. Children had low rates of influenza vaccination, and those wholived with high-risk adults were not significantly more likely to be vaccinated.Clinicians caring for high-risk adults should remind eligible household contactsto receive influenza vaccine.