Leidos, Inc., Atlanta, GA, USA; Centers for Disease Control and Prevention, Atlanta, GA, USA.
Centers for Disease Control and Prevention, Atlanta, GA, USA.
Vaccine. 2018 Dec 18;36(52):8110-8118. doi: 10.1016/j.vaccine.2018.10.029. Epub 2018 Nov 15.
Patient reminders are recommended to increase vaccination rates. The objectives of this study were to estimate the percentage of children 6 months-17 years for whom a patient reminder for influenza vaccination was received by a child's parent or guardian, estimate influenza vaccination coverage by receipt of a patient reminder, and identify factors associated with receipt of a patient reminder.
National Immunization Survey-Flu (NIS-Flu) data for the 2013-14 influenza season were analyzed. Tests of association between patient reminders 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 a patient reminder.
Approximately 22% of children had a parent or guardian report receiving a patient reminder for influenza vaccination for their child, ranging from 12.9% in Idaho to 41.2% in Mississippi. Children with a patient reminder were more likely to be vaccinated compared with children without a patient reminder (73.7% versus 55.5%). In the multivariable model, reminder receipt was higher for children 6-23 months compared with children 13-17 years, black children compared with white children, and children whose parent completed the survey in English compared with children whose parent completed the survey in a language other than English or Spanish.
Although patient reminders are associated with a higher likelihood of influenza vaccination, nationally, less than one-fourth of children had a parent report receiving one. Despite being based on parental report, with its limitations, this study suggests that increasing the number of parents who receive patient reminders for their children may improve vaccination coverage among children.
建议使用患者提醒来提高疫苗接种率。本研究的目的是估计有多少 6 个月至 17 岁的儿童收到过其父母或监护人的流感疫苗接种患者提醒，估计收到患者提醒后的流感疫苗接种率，并确定与收到患者提醒相关的因素。
对 2013-14 流感季节国家免疫调查-流感（NIS- Flu）数据进行了分析。使用 Wald 卡方检验和两两比较 t 检验对患者提醒与人口统计学特征之间的关联进行了检验。使用多变量逻辑回归确定与收到患者提醒相关的独立变量。
大约 22%的儿童的父母或监护人报告收到了针对其子女流感疫苗接种的患者提醒，从爱达荷州的 12.9%到密西西比州的 41.2%不等。与未收到患者提醒的儿童相比，收到患者提醒的儿童更有可能接种疫苗（73.7%对 55.5%）。在多变量模型中，与 13-17 岁儿童相比，6-23 个月的儿童收到提醒的可能性更高，与白人儿童相比，黑人儿童收到提醒的可能性更高，与父母用英语完成调查的儿童相比，父母用英语以外的语言完成调查的儿童收到提醒的可能性更高。
尽管患者提醒与更高的流感疫苗接种可能性相关，但在全国范围内，不到四分之一的儿童有父母报告收到提醒。尽管基于父母的报告，存在其局限性，但这项研究表明，增加收到其子女患者提醒的父母数量可能会提高儿童的疫苗接种率。
