tetano
Editor, Senior Moderator
J Pediatric Infect Dis Soc. 2019 Dec 12. pii: piz078. doi: 10.1093/jpids/piz078. [Epub ahead of print] [h=1]Influenza Vaccine Requirements in United States Child Care Centers.[/h]
Shope TR[SUP]1[/SUP], Walker BH[SUP]2[/SUP], Aird L[SUP]3[/SUP], Southward L[SUP]2[/SUP], Martin JM[SUP]1[/SUP].
[h=3]Author information[/h] 1 Division of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA. 2 Social Science Research Center, Mississippi State University, Starkville, Mississippi, USA. 3 Department of Healthy, Resilient Children, Youth, and Families, American Academy of Pediatrics, Itasca, Illinois, USA.
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Influenza vaccine is the most effective means to prevent influenza for the high-risk population of child care attendees. This national survey assessed child care center directors' reports of seasonal influenza vaccine requirements for children and adult caregivers.
[h=4]METHODS:[/h] This was a 2016 telephone-based survey of child care center directors randomly selected from a national database of licensed United States child care centers and queried about influenza vaccine requirements. Conceptually related items were grouped into 4 indexes: general infection control, use of health consultants, quality of child care, and pandemic influenza preparedness. These indexes, along with other center and director characteristics, were used to predict director-reported influenza vaccine requirements.
[h=4]RESULTS:[/h] Of 518 child care center directors, only 24.5% and 13.1% reported an influenza vaccine requirement for children and adult caregivers, respectively. Center and director characteristics and the indexes were not associated with a director-reported influenza vaccine requirement. After adjusting for covariates, only having a state influenza vaccine law for children and an adult influenza vaccine requirement predicted having a child influenza vaccine requirement. Only having a child influenza vaccine requirement predicted having an adult vaccine requirement.
[h=4]CONCLUSIONS:[/h] Director-reported influenza vaccine requirements for children and adult caregivers were influenced primarily by state influenza vaccine laws. Given the high risk of children in child care and low director-reported influenza vaccine requirements, more states should pass laws requiring influenza vaccine for children and adult caregivers at child care programs.
? The Author(s) 2019. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
[h=4]KEYWORDS:[/h] child care; child care centers; influenza; vaccine requirements
PMID: 31828319 DOI: 10.1093/jpids/piz078
Shope TR[SUP]1[/SUP], Walker BH[SUP]2[/SUP], Aird L[SUP]3[/SUP], Southward L[SUP]2[/SUP], Martin JM[SUP]1[/SUP].
[h=3]Author information[/h] 1 Division of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA. 2 Social Science Research Center, Mississippi State University, Starkville, Mississippi, USA. 3 Department of Healthy, Resilient Children, Youth, and Families, American Academy of Pediatrics, Itasca, Illinois, USA.
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Influenza vaccine is the most effective means to prevent influenza for the high-risk population of child care attendees. This national survey assessed child care center directors' reports of seasonal influenza vaccine requirements for children and adult caregivers.
[h=4]METHODS:[/h] This was a 2016 telephone-based survey of child care center directors randomly selected from a national database of licensed United States child care centers and queried about influenza vaccine requirements. Conceptually related items were grouped into 4 indexes: general infection control, use of health consultants, quality of child care, and pandemic influenza preparedness. These indexes, along with other center and director characteristics, were used to predict director-reported influenza vaccine requirements.
[h=4]RESULTS:[/h] Of 518 child care center directors, only 24.5% and 13.1% reported an influenza vaccine requirement for children and adult caregivers, respectively. Center and director characteristics and the indexes were not associated with a director-reported influenza vaccine requirement. After adjusting for covariates, only having a state influenza vaccine law for children and an adult influenza vaccine requirement predicted having a child influenza vaccine requirement. Only having a child influenza vaccine requirement predicted having an adult vaccine requirement.
[h=4]CONCLUSIONS:[/h] Director-reported influenza vaccine requirements for children and adult caregivers were influenced primarily by state influenza vaccine laws. Given the high risk of children in child care and low director-reported influenza vaccine requirements, more states should pass laws requiring influenza vaccine for children and adult caregivers at child care programs.
? The Author(s) 2019. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
[h=4]KEYWORDS:[/h] child care; child care centers; influenza; vaccine requirements
PMID: 31828319 DOI: 10.1093/jpids/piz078