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Abstract

Background

Influenza vaccination for children aged 6 months to 6 years is included in the national vaccination programme in Finland. Although all vaccines in the programme are free of charge, national coverage of influenza vaccination among children under 3 years and 3–6 years during 2020/21 was 43% and 35% respectively, with regional differences.

Aim

To assess factors underlying parental vaccination intention in order to increase influenza vaccine uptake among children.

Methods

We conducted a web-based survey among parents (n = 17,844) of randomly selected eligible children (aged 6 months–6 years) in February–March 2022 in five Finnish municipalities from regions of high and low coverage. Logistic regressions were used to determine associations between vaccination intention and e.g. sociodemographic factors, attitudes and knowledge. Linkage to the national vaccination register was used to confirm realisation of vaccination intention after the study.

Results

Participation rate was 13% (n = 2,322 parents). Influenza knowledge, trust in official information, responding parent’s education level, adherence to the vaccination programme, number of children and changes in attitudes towards vaccination since COVID-19 were all associated with intention to vaccinate. Vaccination intention for children was 64%, and realised vaccination 51%.

Conclusion

Despite the low participation rate, both vaccinated and unvaccinated children were represented. Influenza vaccine uptake is not dependent on a single factor. Our results identified the need for open dialogue between parents and healthcare professionals, as the lack of vaccine being offered by healthcare professionals was the most reported reason for not vaccinating.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
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/content/10.2807/1560-7917.ES.2023.28.49.2200828
2023-12-07
2024-11-23
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2023.28.49.2200828
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References

  1. Andre FE, Booy R, Bock HL, Clemens J, Datta SK, John TJ, et al. Vaccination greatly reduces disease, disability, death and inequity worldwide. Bull World Health Organ. 2008;86(2):140-6.  https://doi.org/10.2471/BLT.07.040089  PMID: 18297169 
  2. Fraaij PL, Heikkinen T. Seasonal influenza: the burden of disease in children. Vaccine. 2011;29(43):7524-8. PMID: 21820476 
  3. Villani L, D’Ambrosio F, Ricciardi R, de Waure C, Calabrò GE. Seasonal influenza in children: Costs for the health system and society in Europe. Influenza Other Respir Viruses. 2022;16(5):820-31.  https://doi.org/10.1111/irv.12991  PMID: 35429133 
  4. Ruf BR, Knuf M. The burden of seasonal and pandemic influenza in infants and children. Eur J Pediatr. 2014;173(3):265-76.  https://doi.org/10.1007/s00431-013-2023-6  PMID: 23661234 
  5. World Health Organization (WHO). Influenza (Seasonal). Geneva: WHO. [Accessed: 20 Feb 2023]. Available from: https://www.who.int/news-room/fact-sheets/detail/influenza-(seasonal)
  6. Finnish Institute for Health and Welfare (THL). Influenssa. [Influenza]. Helsinki: THL. [Accessed: 18 Nov 2023]. Finnish. Available from: https://thl.fi/fi/web/infektiotaudit-ja-rokotukset/taudit-ja-torjunta/taudit-ja-taudinaiheuttajat-a-o/influenssa
  7. Rizzo C, Rezza G, Ricciardi W. Strategies in recommending influenza vaccination in Europe and US. Hum Vaccin Immunother. 2018;14(3):693-8.  https://doi.org/10.1080/21645515.2017.1367463  PMID: 28922083 
  8. European Centre for Disease Prevention and Control (ECDC). Vaccine scheduler. Influenza: recommended vaccinations. Stockholm: ECDC. [Accessed: 4 Mar 2023]. Available from: https://vaccine-schedule.ecdc.europa.eu/Scheduler/ByDisease?SelectedDiseaseId=15&SelectedCountryIdByDisease=-1
  9. Finnish Institute for Health and Welfare (THL). Milloin eri rokotukset ovat alkaneet Suomessa? [When did different vaccinations start in Finland?]. Helsinki: THL. [Accessed: 1 Feb 2023]. Finnish. Available from: https://thl.fi/fi/web/infektiotaudit-ja-rokotukset/tietoa-rokotuksista/kansallinen-rokotusohjelma/milloin-eri-rokotukset-ovat-alkaneet-suomessa-
  10. Finnish Institute for Health and Welfare (THL). Rokotuskattavuus. [Vaccination coverage]. Helsinki; THL. [Accessed: 2 Mar 2023]. Finnish. Available from: https://www.thl.fi/roko/vaccreg/atlas/public/atlas.html?show=influenza
  11. Finnish Institute for Health and Welfare (THL). Rokotuskattavuus. [Vaccination coverage]. Helsinki; THL. [Accessed: 9 Mar 2023]. Finnish. Available from: https://www.thl.fi/roko/vaccreg/atlas/public/atlas.html?show=infantbccurrent
  12. Finnish Institute for Health and Welfare (THL). Rokottamattomat. [Unvaccinated]. Helsinki: THL. [Accessed: 18 Nov 2023]. Finnish. Available from: https://www.thl.fi/roko/rokotusrekisteri/atlas/public/atlas.html?show=nonvacc
  13. Thompson TL, Parrott R, Nussbaum JF. The Routledge handbook of health communication. Routledge: New York, NY; 2011.
  14. Kempe A, Saville AW, Albertin C, Zimet G, Breck A, Helmkamp L, et al. Parental hesitancy about routine childhood and influenza vaccinations: a national survey. Pediatrics. 2020;146(1):e20193852.  https://doi.org/10.1542/peds.2019-3852  PMID: 32540985 
  15. Lampejo T. The impact of the COVID-19 pandemic on the global burden of influenza. J Med Virol. 2022;94(6):2357-9.  https://doi.org/10.1002/jmv.27653  PMID: 35146774 
  16. Statistics Finland. Municipalities 2023. Helsinki: Statistics Finland. [Accessed: 2 Mar 2023]. Available from: https://www.stat.fi/en/luokitukset/kunta
  17. Kuntaliitto. Kaupunkien ja kuntien lukumäärät ja väestötiedot. [Numbers and demographics of cities and municipalities]. Helsinki: Kuntaliitto. [Accessed: 27 Nov 2023]. Finnish. Available from: https://www.kuntaliitto.fi/kuntaliitto/tietotuotteet-ja-palvelut/kaupunkien-ja-kuntien-lukumaarat-ja-vaestotiedot
  18. European Parliament. Eurobarometri 2023. Online; European Parliament;2022. [Accessed: 2 Mar 2023]. Available from: https://www.europarl.europa.eu/at-your-service/fi/be-heard/eurobarometer
  19. Tieteen tiedotus ry. Tiedebarometri. [Science barometer]. Lahti; Tieteen tiedotus ry; 2022. Finnish. Available from: https://www.tieteentiedotus.fi/tiedebarometri.html
  20. Dahlbacka J. Vaccine hesitancy in the Ostrobothnian Bible Belt? Vernacular authority at work. Creating Through Mind and Emotions, CRC Press; 2022, p. 495-502.
  21. Smith LE, Amlôt R, Weinman J, Yiend J, Rubin GJ. A systematic review of factors affecting vaccine uptake in young children. Vaccine. 2017;35(45):6059-69.  https://doi.org/10.1016/j.vaccine.2017.09.046  PMID: 28974409 
  22. Wilson SL, Wiysonge C. Social media and vaccine hesitancy. BMJ Glob Health. 2020;5(10):e004206.  https://doi.org/10.1136/bmjgh-2020-004206  PMID: 33097547 
  23. He K, Mack WJ, Neely M, Lewis L, Anand V. Parental perspectives on immunizations: impact of the COVID-19 pandemic on childhood vaccine hesitancy. J Community Health. 2022;47(1):39-52.  https://doi.org/10.1007/s10900-021-01017-9  PMID: 34297272 
  24. Finnish Social Science Data Archive. EVA Survey on Finnish Values and Attitudes. Dataset: FSD3157. Tampere: Finnish Business and Policy Forum; 2017. Available from: https://services.fsd.tuni.fi/catalogue/FSD3157?tab=description&lang=en&study_language=en
Factors associated with parental intention to vaccinate their child against influenza, Finland, February to March, 2022: a web-based survey
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Idil+Hussein&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hussein Idil</a>, <a href="/search?value1=Simopekka+V%C3%A4nsk%C3%A4&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Vänskä Simopekka</a>, <a href="/search?value1=Jonas+Sivel%C3%A4&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sivelä Jonas</a>, <a href="/search?value1=Tuija+Leino&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Leino Tuija</a>, <a href="/search?value1=Hanna+Nohynek&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Nohynek Hanna</a></span>. Factors associated with parental intention to vaccinate their child against influenza, Finland, February to March, 2022: a web-based survey. <a href="/content/ecdc">Euro Surveill.</a> 2023;28(49):pii=2200828. <a href="https://doi.org/10.2807/1560-7917.ES.2023.28.49.2200828" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2023.28.49.2200828</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 18 Oct 2022;&nbsp;&nbsp; <span class="generated">Accepted</span>: 04 Aug 2023 </span> </p>
/content/10.2807/1560-7917.ES.2023.28.49.2200828
/content/10.2807/1560-7917.ES.2023.28.49.2200828
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