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Parental risk perception and influenza vaccination of children in daycare centres

  • T. N. OFFUTT-POWELL (a1), R. P. OJHA (a2), R. QUALLS-HAMPTON (a3), S. STONECIPHER (a4), K. P. SINGH (a5) and K. M. CARDARELLI (a3) (a6)...

Little information is available about perceptions of influenza vaccination of parents with healthy children in daycare. Therefore, we systematically explored the relationship between parental risk perception and influenza vaccination in children attending daycare. We distributed a self-administered paper survey to parents of children aged 6–59 months attending licensed daycare centres in Tarrant County, Texas. We used conditional logistic regression with penalized conditional likelihood to estimate odds ratios (ORs) and 95% profile likelihood confidence limits (PL) for parental risk-perception factors and influenza vaccination. A high level of parental prevention behaviours (OR 9·1, 95% PL 3·2, 31) and physician recommendation (OR 8·2, 95% PL 2·7, 30) had the highest magnitudes of association with influenza vaccination of healthy children in daycare. Our results provide evidence about critical determinants of influenza vaccination of healthy children in daycare, which could help inform public health interventions aimed at increasing influenza vaccination coverage in this population.

Corresponding author
* Author for correspondence: T. N. Offutt-Powell, DrPH, MPH, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Epidemiology, 135 Dauer Drive, Chapel Hill, NC 27599, USA. (Email:
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27. J Pearl . Causality: Models, Reasoning, and Inference, 2nd edn. New York: Cambridge University Press, 2009, 464 pp.

29. TL Lash , MP Fox , AK Fink . Applying Quantitative Bias Analysis to Epidemiologic Data. New York, NY: Springer Science & Business Media, LLC, 2009.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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