Parental attitudes about influenza immunization and school-based immunization for school-aged children

Mandy A. Allison, Maria Reyes, Paul Young, Lynne Calame, Xiaoming Sheng, Hsin Yi Cindy Weng, Carrie L. Byington

Research output: Contribution to journalArticlepeer-review

62 Scopus citations


Objectives: Identify parental beliefs and barriers related to influenza immunization of school-aged children and acceptance of school-based influenza immunization. Methods: We conducted a cross-sectional survey of parents of elementary school-aged children in November 2008. Outcomes were receipt of influenza vaccine, acceptance of school-based immunization, and barriers to immunization. Results: Response rate was 65% (259/397). Parents reported that 26% of children had received the vaccine and 24% intended receipt. A total of 50% did not plan to immunize. Factors associated with receipt were belief that immunization is a social norm (adjusted odds ratios [AOR], 10.8; 95% CI, 2.8-41.8), belief in benefit (AOR, 7.8; CI, 1.8-33.8), discussion with a doctor (AOR, 7.0; CI, 2.9-16.8), and belief that vaccine is safe (AOR, 4.0; CI, 1.0-15.8). A total of 75% of parents would immunize their children at school if the vaccine were free, including 59% (76/129) who did not plan to immunize. Factors associated with acceptance of school-based immunization were belief in benefit (AOR, 6.1; 95% CI, 2.7-14.0), endorsement of medical setting barriers (AOR, 3.7; 95% CI, 1.3-10.3), and beliefs that immunization is a social norm (AOR, 3.3; 95% CI, 1.4-7.6) and that the child is susceptible to influenza (AOR, 2.6; 95% CI, 1.2-5.7). Medical setting barriers were competing time demands, inconvenience, and cost; school barriers were parents' desire to be with children and competence of person delivering the vaccine. Conclusions: School-based immunization programs can increase immunization coverage by targeting parents for whom time demands and inconvenience are barriers, demonstrating that immunization is a social norm, and addressing concerns about influenza vaccine benefit and safety.

Original languageEnglish (US)
Pages (from-to)751-755
Number of pages5
JournalPediatric Infectious Disease Journal
Issue number8
StatePublished - Aug 2010


  • attitudes
  • health knowledge
  • human prevention and control
  • immunization programs
  • influenza
  • influenza vaccines
  • practice
  • school health services

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Microbiology (medical)
  • Infectious Diseases


Dive into the research topics of 'Parental attitudes about influenza immunization and school-based immunization for school-aged children'. Together they form a unique fingerprint.

Cite this