Advertising Disclaimer
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bardenheier, B.
Right arrow Articles by Yusuf, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bardenheier, B.
Right arrow Articles by Yusuf, H.
Related Collections
Right arrow Infectious Disease & Immunity
Right arrowRelated AAP Red Book topics:
Hepatitis A
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?
PEDIATRICS Vol. 112 No. 4 October 2003, pp. e269-e269


ELECTRONIC ARTICLE

Parental Knowledge, Attitudes, and Practices Associated With Not Receiving Hepatitis A Vaccine in a Demonstration Project in Butte County, California

Barbara Bardenheier, MPH, MA*, Idalia M. González, MD, MPH*, Michael L. Washington, PhD{ddagger}, Beth P. Bell, MD, MPH§, Francisco Averhoff, MD, MPH*, Mehran S. Massoudi, PhD, MPH*, Insu Hyams, BSRN||, Edgar P. Simard, BS§, Hussain Yusuf, MBBS, MPH*

* Immunization Services Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia
{ddagger} Data Management Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia
§ Division of Viral Hepatitis, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
|| Butte County Department of Public Health, Oroville, California

Objective. To determine hepatitis A vaccination coverage and factors associated with not receiving hepatitis A vaccine among children.

Methods. A random cluster sample survey was conducted of parents of children who attended kindergarten in Butte County, California, in 2000. Because of a history of recurrent epidemics, an aggressive hepatitis A vaccination program was ongoing during the time this study was conducted. Receipt of 1 or 2 doses of hepatitis A vaccine was studied.

Results. Of 896 surveys sent, 648 (72%) were completed. The vaccination coverage for at least 1 dose of hepatitis A vaccine was 398 (62%) and for 2 doses was 272 (42%). Factors associated with not receiving the vaccine included lack of provider recommendation (vs having recommendation; odds ratio [OR]: 7.8; 95% confidence interval [CI]: 4.9–12.2), not having heard of the vaccine (OR: 2.4; 95% CI: 1.2–4.9), and parent’s not perceiving child is likely to get hepatitis A (vs perceiving child might get disease; OR: 2.1; CI: 1.6–2.9).

Conclusions. Vaccination coverage among kindergartners did not reach high levels (ie, >90%), despite aggressive vaccination efforts in this community. Lack of provider recommendation and lack of parental awareness of hepatitis A vaccine were the 2 most significant factors associated with failure to receive vaccine. These findings will facilitate the development of vaccination strategies for communities in which hepatitis A vaccination is recommended.


Key Words: hepatitis A; knowledge • attitudes • and practices; vaccination

Abbreviations: CDC, Centers for Disease Control and Prevention • ACIP, Advisory Committee on Immunization Practices • BCHD, Butte County Health Department • CI, confidence interval • SES, socioeconomic status


Received for publication Oct 21, 2002; Accepted May 19, 2003.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
AJPHHome page
J. C. Nelson, R. C. L. Bittner, L. Bounds, S. Zhao, J. Baggs, J. G. Donahue, S. J. Hambidge, S. J. Jacobsen, N. P. Klein, A. L. Naleway, et al.
Compliance With Multiple-Dose Vaccine Schedules Among Older Children, Adolescents, and Adults: Results From a Vaccine Safety Datalink Study
Am J Public Health, October 1, 2009; 99(S2): S389 - S397.
[Abstract] [Full Text] [PDF]


Home page
J Child Health CareHome page
S. Babalola and U. Lawan
Factors predicting BCG immunization status in northern Nigeria: a behavioral-ecological perspective
J Child Health Care, March 1, 2009; 13(1): 46 - 62.
[Abstract] [PDF]


Home page
Arch Pediatr Adolesc MedHome page
P. G. Szilagyi, S. Schaffer, R. Barth, L. P. Shone, S. G. Humiston, S. Ambrose, and F. Averhoff
Effect of Telephone Reminder/Recall on Adolescent Immunization and Preventive Visits: Results From a Randomized Clinical Trial
Arch Pediatr Adolesc Med, February 1, 2006; 160(2): 157 - 163.
[Abstract] [Full Text] [PDF]


Home page
Arch Pediatr Adolesc MedHome page
E. C. Owen, K. M. Peddecord, W. Wang, R. Vryheid, M. Picardal, M. DeGuire, K. W. Gustafson, S. Ross, S. K. Brodine, and M. H. Sawyer
Hepatitis A Vaccine Uptake in San Diego County: Hispanic Children Are Better Immunized
Arch Pediatr Adolesc Med, October 1, 2005; 159(10): 971 - 976.
[Abstract] [Full Text] [PDF]