Vaccine

BackgroundProvider recommendation is associated with influenza vaccination receipt. The objectives of this study were to estimate the percentage of children 6 months\u201317 years for whom a provider recommendation for influenza vaccination was received, identify factors associated with receipt of provider recommendation, and evaluate the association between provider recommendation and influenza vaccination status among children.MethodsNational Immunization Survey-Flu (NIS-Flu) parentally reported data for the 2013\u201314, 2014\u201315, and 2015\u201316 seasons were analyzed. Tests of association between provider recommendation and demographic characteristics were conducted using Wald chi-square tests and pairwise comparison t-tests. Multivariable logistic regression was used to determine variables independently associated with receiving provider recommendation and the association between provider recommendation and influenza vaccination status.ResultsApproximately 70% of children had a parent report receiving a provider recommendation for influenza vaccination for their child. The strongest association between receipt of provider recommendation and demographic characteristics was with child\u2019s age, with younger children (6\u201323 months, 2\u20134 years, and 5\u201312 years) being more likely to have a provider recommendation than older children (13\u201317 years). In addition, children living in a household above poverty with household income >$75,000 were more likely to have a parent report receipt of a provider recommendation than children living below poverty. Children with a provider recommendation were twice as likely to be vaccinated than those without.ConclusionsThis study affirms the importance of provider recommendation for influenza vaccination among children. Ensuring that parents of all children receive a provider recommendation may improve vaccination coverage.CC999999/Intramural CDC HHS/United States2019-06-07T00:00:00Z29764679PMC64329076348vault:3179