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Inequalities in vaccination coverage for young females whose parents are informal caregivers

tetano

Editor, Senior Moderator
Hum Vaccin Immunother. 2014 May 8;10(8). [Epub ahead of print]
Inequalities in vaccination coverage for young females whose parents are informal caregivers.
Offutt-Powell TN1, Ojha RP2, Brinkman TM2, Tota JE3, Jackson BE4, Singh KP4, Smith JS5.
Author information
Abstract

The effects of caregiver strain and stress on preventive health service utilization among adult family members are well-established, but the effects of informal caregiving on children of caregivers are unknown. We aimed to assess whether inequalities in vaccination coverage (specifically HPV and influenza) exist for females aged 9 to 17 years whose parents are informal caregivers (i.e., care providers for family members or others who are not functionally independent) compared with females whose parents are not informal caregivers. Data from the 2009 Behavioral Risk Factor Surveillance System were analyzed using Poisson regression with robust variance to estimate overall and subgroup-specific HPV and influenza vaccination prevalence ratios (PRs) and corresponding 95% confidence limits (CL) comparing females whose parents were informal caregivers with females whose parents were not informal caregivers. Our unweighted study populations comprised 1,645 and 1,279 females aged 9 to 17 years for the HPV and influenza vaccination analyses, respectively. Overall, both HPV and influenza vaccination coverage were lower among females whose parents were informal caregivers (HPV: PR = 0.72, 95% CL: 0.53, 0.97; Influenza: PR = 0.89, 95% CL: 0.66, 1.2). Our results suggest consistently lower HPV and influenza vaccination coverage for young females whose parents are informal caregivers. Our study provides new evidence about the potential implications of caregiving on the utilization of preventive health services among children of caregivers.
KEYWORDS:

adolescents, children, human papillomavirus vaccine, influenza vaccination, informal caregiver, risk perception, strain

PMID:
24809973
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/24809973
 
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