Last data update: Jun 17, 2024. (Total: 47034 publications since 2009)
Records 1-7 (of 7 Records) |
Query Trace: Fisher AM [original query] |
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Prevalence of influenza-specific vaccination hesitancy among adults in the United States, 2018
Srivastav A , Lu PJ , Amaya A , Dever JA , Stanley M , Franks JL , Scanlon PJ , Fisher AM , Greby SM , Nguyen KH , Black CL . Vaccine 2023 41 (15) 2572-2581 BACKGROUND: The role of vaccine hesitancy on influenza vaccination is not clearly understood. Low influenza vaccination coverage in U.S. adults suggests that a multitude of factors may be responsible for under-vaccination or non-vaccination including vaccine hesitancy. Understanding the role of influenza vaccination hesitancy is important for targeted messaging and intervention to increase influenza vaccine confidence and uptake. The objective of this study was to quantify the prevalence of adult influenza vaccination hesitancy (IVH) and examine association of IVH beliefs with sociodemographic factors and early-season influenza vaccination. METHODS: A four-question validated IVH module was included in the 2018 National Internet Flu Survey. Weighted proportions and multivariable logistic regression models were used to identify correlates of IVH beliefs. RESULTS: Overall, 36.9% of adults were hesitant to receive an influenza vaccination; 18.6% expressed concerns about vaccination side effects; 14.8% personally knew someone with serious side effects; and 35.6% reported that their healthcare provider was not the most trusted source of information about influenza vaccinations. Influenza vaccination ranged from 15.3 to 45.2 percentage points lower among adults self-reporting any of the four IVH beliefs. Being female, age 18-49 years, non-Hispanic Black, having high school or lower education, being employed, and not having primary care medical home were associated with hesitancy. CONCLUSIONS: Among the four IVH beliefs studied, being hesitant to receiving influenza vaccination followed by mistrust of healthcare providers were identified as the most influential hesitancy beliefs. Two in five adults in the United States were hesitant to receive an influenza vaccination, and hesitancy was negatively associated with vaccination. This information may assist with targeted interventions, personalized to the individual, to reduce hesitancy and thus improve influenza vaccination acceptance. |
Parent HPV vaccine perspectives and the likelihood of HPV vaccination of adolescent males
Clark SJ , Cowan AE , Filipp SL , Fisher AM , Stokley S . Hum Vaccin Immunother 2016 12 (1) 47-51 In 2013, approximately one-third of US adolescent males age 13-17 y had received ≥1 doses of HPV vaccines and only 14% had received ≥3 doses. This study used a nationally representative, online survey to explore experiences and attitudes related to HPV vaccination among parents with adolescent sons. Analyses compared the perspective of parents who do not intend to initiate HPV vaccine for ≥1 adolescent son to that of parents who are likely to initiate or continue HPV vaccination. Of 809 parents of sons age 11-17 years, half were classified as Unlikely to Initiate HPV vaccination and 39% as Likely to Vaccinate. A higher proportion of the Likely to Vaccinate group felt their son's doctor was knowledgeable about HPV vaccine, did a good job explaining its purpose, and spent more time discussing HPV vaccine; in contrast, over half of the Unlikely to Initiate group had never discussed HPV vaccine with their child's doctor. The majority of parents in both groups showed favorable attitudes to adolescent vaccination in general, with lower levels of support for HPV vaccine-specific statements. Physician-parent communication around HPV vaccine for adolescent males should build on positive attitude toward vaccines in general, while addressing parents' HPV vaccine-specific concerns. |
Understanding non-completion of the human papillomavirus vaccine series: Parent-reported reasons for why adolescents might not receive additional doses, United States, 2012
Clark SJ , Cowan AE , Filipp SL , Fisher AM , Stokley S . Public Health Rep 2016 131 (3) 390-395 Completion rates of the human papillomavirus (HPV) vaccine series among U.S. adolescents are below public health targets. We explored parent-reported reasons for their children’s non-completion of the HPV vaccine series using a nationally representative online survey of parents of children aged 9–17 years, fielded in October 2012. Among the 1,653 parents who responded, the proportion reporting that their child would definitely continue with the HPV vaccine series among those who had started the series ranged from 28% to 54%. The most common reason cited by parents for non-completion of the series was their child’s fear of needles, followed by lack of awareness about additional doses and safety concerns. These findings demonstrate the need to encourage adoption of strategies addressing needle fears, utilize reminders for parents about subsequent doses, and emphasize recent HPV vaccine safety data in discussions with parents. |
Association of older sister's HPV vaccination status on HPV vaccine receipt by adolescents
Clark SJ , Cowan AE , Filipp SL , Fisher AM , Stokley S . J Am Board Fam Med 2015 28 (6) 816-8 OBJECTIVE: Efforts to increase human papillomavirus (HPV) vaccine coverage rates in adolescents include finding ways to improve discussions between clinicians and parents. One potentially important piece of information for these discussions is the HPV vaccination status of older siblings. METHODS: A nationally representative online panel was used to conduct a cross-sectional survey of parents of children aged 9 to 17 years in October 2012. RESULTS: Overall, 768 adolescents (35%) had ≥1 older sister aged 10 to 26 years. Male and female adolescents with an older sister who had received no HPV vaccine doses demonstrated higher rates of having no doses themselves, compared with those who had no older sister or those who had an older sister who had received ≥1 HPV vaccine dose. CONCLUSIONS: Discussing the HPV vaccination status of older sisters may be a useful strategy for providers to differentiate HPV vaccine messages to parents of unvaccinated younger siblings. |
Parent perception of provider interactions influences HPV vaccination status of adolescent females
Clark SJ , Cowan AE , Filipp SL , Fisher AM , Stokley S . Clin Pediatr (Phila) 2015 55 (8) 701-6 Human papillomavirus (HPV) vaccination coverage among adolescent females is well below national public health goals. Many known barriers to HPV vaccine receipt can be addressed in parent-physician conversations. This study sought to explore parent experiences and attitudes related to HPV vaccination of adolescent girls, focused on interactions with providers. We conducted a cross-sectional survey of parents using a nationally representative online panel. Among parents with ≥1 daughter aged 11 to 17 years, provider recommendations for HPV vaccine and specified age to begin the HPV vaccine series were associated with HPV vaccine status. Parents who reported their daughters were unlikely to complete the HPV series were more likely to have had no discussion of HPV vaccine with the provider. Efforts to increase HPV vaccination rates among adolescent females should continue to focus on improving provider discussion of HPV vaccine. |
Childhood immunizations: first-time expectant mothers' knowledge, beliefs, intentions, and behaviors
Weiner JL , Fisher AM , Nowak GJ , Basket MM , Gellin BG . Am J Prev Med 2015 49 S426-34 INTRODUCTION: This study focused on how first-time mothers decide or intend to decide with respect to the recommended childhood immunization schedule. METHODS: This was the baseline survey of a larger longitudinal survey. Data were collected between June and September 2014 from 200 first-time mothers in their second trimester of pregnancy to examine vaccine-related knowledge, perceptions, intentions, and information-seeking behavior. RESULTS: Data were analyzed between January and June 2015. Seventy-five percent planned to have their child receive all the vaccinations consistent with the recommended childhood immunization schedule. Although participants expressed interest in childhood vaccine information, most had not received information directly from a primary care provider. One third reported receiving such information from their obstetrician/gynecologist but only about half of those were "very satisfied" with the information they received. About 70% indicated they were not familiar with the recommended vaccination schedule and number of routinely recommended vaccines. Familiarity with common vaccine education messages varied widely. Women who indicated they were planning to delay one or more recommended vaccinations were most likely to rely on Internet searches for childhood vaccine information. CONCLUSIONS: Overall, respondents had relatively positive beliefs and perceptions regarding childhood vaccines, which were associated with intentions to get their newborn vaccinated as recommended. However, most who were planning to delay recommended vaccinations or were undecided relied primarily on socially available sources of vaccine information, rather than information provided by a healthcare professional. Improved access to vaccine information from healthcare professionals could foster better vaccine-related knowledge and favorably impact vaccination decisions. |
Feasibility of automated appointment reminders using email
Dombkowski KJ , Cowan AE , Costello LE , Fisher AM , Clark SJ . Clin Pediatr (Phila) 2014 53 (10) 1004-7 Patient reminder/recall has shown to be effective in improving childhood immunization rates.1-4 Pediatric practices have traditionally relied on mailed or voice-based reminders for appointments and vaccinations even though email use is commonplace among US adults.5 Although prior studies have found reminder/recall via postal mail to be effective, substantial barriers exist. Parental contact information may be out of date and letters may be forwarded, returned to the sender, or discarded—but the disposition of a reminder letter through postal mail is rarely known. Even if a letter is successfully delivered, it may not be in a timely manner; at best, postal mail typically takes 1 to 3 days to reach intended targets. | In contrast, the use of newer technologies, such as email and/or text messaging, represents an option for low-cost targeted reminder/recalls. These technologies allow for nearly immediate contact with parents and offer increased opportunity for providers to verify reminder/recall receipt. The household use of email and text-messaging continues to grow as smartphones and Internet access have become widely available for all age groups.5,6 Additionally, a recent study found that email was the most stable form of parental contact compared with cell phone and mailing address.7 The adoption of electronic health record (EHR) systems in response to the federal Meaningful Use program is rapidly changing the technology options available to practices. Incentives are tied to contacting patients per their preference, which may include email;8 despite this, very little is known about the feasibility of pediatric practices using newer technologies such as email for reminder notices. Previously, we evaluated the degree to which perceived barriers existed among private practices regarding the use of text or email messages for patient reminders.9 The objective of this study was to pilot test the feasibility of using email for reminders to parents of pediatric patients. |
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