OBJECTIVES. The goals were (1) to obtain national estimates of the proportions parents with indicators vaccine doubt, (2) identify factors associated those parents, compared reporting no doubt indicators, (3) specific vaccines that prompted and reasons why, (4) describe main changed their minds about delaying or refusing a for child. METHODS. Data from National Immunization Survey (2003–2004). Groups included who ever got vaccination child although they not sure it was best thing do...

The United States has made tremendous progress in using vaccines to prevent serious, often infectious, diseases. But concerns about such issues as vaccines’ safety and the increasing complexity of immunization schedules have fostered doubts necessity vaccinations. We investigated parents’ confidence childhood by reviewing recent survey data. found that most parents—even those whose children receive all recommended vaccines—have questions, concerns, or misperceptions them. suggest ways give...

Parents who have concerns about vaccine safety may be reluctant to their children vaccinated. The purpose of this study was explore how vaccination coverage among 19 35 months age is associated with health care providers' influence on parents' decision vaccinate children, and beliefs safety.Parents 7695 sampled by the National Immunization Survey were administered Parental Knowledge Module between third quarter 2001 fourth 2002. Health providers defined as a physician, nurse, or any other...

To describe the vaccine-related attitudes, concerns, and information sources of US parents young children.We calculated weighted proportions 95% confidence intervals for with at least 1 child aged 6 years or younger who participated in 2009 HealthStyles survey.The overall response rate survey was 65% (4556 7004); 475 respondents were guardians ("parents") younger. Among those respondents, nearly all (93.4%) reported that their youngest had would receive recommended vaccines. The majority...

Our objectives were the following: (1) to describe sociodemographic factors, vaccine beliefs, and behaviors that are associated with parental opposition compulsory vaccination, (2) determine if availability of a philosophical exemption in parent's state residence is vaccination.Data from 2002 HealthStyles survey analyzed. Chi-square analysis was used identify significant associations between belief behavior questions vaccination for school entry. Multivariate logistic regression conducted...

We aim to describe factors that influence parental decisions vaccinate their adolescents.Data from the July December 2010 National Immunization Survey-Teen Parental Concerns Module were analyzed determine adolescents.Parents reported adolescent's health care provider recommended tetanus toxoid/tetanus toxoid, reduced diphtheria and acellular pertussis (Td/Tdap; 74.4%), meningococcal conjugate (MenACWY; 60.3%), human papillomavirus (HPV; 71.3%). Vaccination coverage estimates significantly...

OBJECTIVES: To assess among US physicians (1) frequency of requests to spread out recommended vaccination schedule for children <2 years, (2) attitudes regarding such requests, and (3) strategies used perceived effectiveness in response requests. METHODS: An e-mail mail survey a nationally representative sample pediatricians family from June 2012 through October 2012. RESULTS: The rate was 66% (534 815). In typical month, 93% reported some parents years requested vaccines; 21% ≥10%...

BACKGROUND AND OBJECTIVE: The American Academy of Pediatrics called for action improved screening mental health issues in the emergency department (ED). We developed rapid tool home, education, activities/peers, drugs/alcohol, suicidality, emotions/behavior, discharge resources (HEADS-ED), which is a modification “HEADS,” mnemonic widely used to obtain psychosocial history adolescents. reliability and validity its potential use as measure are presented. METHODS: ED patients presenting with...

Acute poisoning in children is still a major public health problem, and represents frequent cause of admission emergency departments. We carried out an epidemiological study poisonings leading to paediatric care unit (PECU). analysed data from 2988 who were admitted the PECU Bordeaux, France with acute 1989 through 1995. During 7-year period, poison exposure numbers decreased slightly 490 382 (6% vs. 3% total medical emergencies). This represented mean annual incidence 1.4 exposures per 1000...

OBJECTIVE: To determine if middle school vaccination requirements are associated with higher coverage for adolescent vaccines. METHODS: School entry receipt of or education parents 3 vaccines recommended adolescents: tetanus/diphtheria-containing (Td) tetanus/diphtheria/acellular pertussis (TdaP), meningococcal conjugate (MenACWY), and human papillomavirus (HPV) in place the 2008–2009 year were reviewed 50 states District Columbia. Vaccination levels adolescents 13 to 17 years age by state...

To describe parents' experiences and preferences regarding the use of different communication modes for immunization reminder/recall messages.A cross-sectional, Internet-based survey a nationally representative sample parents children 0 to 17 years age was performed. Survey items included questions previous receipt notices; how receive notices in future; recentness changes home address, telephone, cell phone, e-mail information; child's usual site immunization; willingness register phone...

Emergency departments (EDs) are often the first access point for children and youth seeking mental health (MH) addiction care. However, many EDs unprepared to manage large volumes of pediatric MH patients. In addition, fragmented Canadian system is challenged in connecting seen ED follow-up community services. A provincial Department Mental Health Clinical Pathway (EDMHCP) presenting with concerns was developed address these challenges. The objective current study determine if EDMHCP...

Abstract Objective: To assess the knowledge, beliefs, and practices of neonatal intensive care unit (NICU) healthcare workers (HCWs). Design: Self-administered survey. Setting: A 55-bed NICU. Participants: NICU HCWs (N = 215). Results: The response rate was 68%. Ninety-two percent knew central venous catheters (CVCs) should be capped, clamped, or connected to running fluids at all times. Ninety-five when change gloves. Thirty-one recommended duration for handwashing. Most believed sterile...

Objectives: The main purpose of this research was to identify the perceived mental health (MH) concerns caregivers and youths who present emergency department (ED) for MH services. concordance between caregiver youth perceptions clinician ratings were evaluated. Expectations visit stressors that triggered event are described. Methods: This study consisted 241 accompanied by presenting ED requiring crisis intervention Caregiver Perception Survey Youth completed. These surveys designed...

To explain vaccine confidence as it related to parents' decisions vaccinate their children with recommended vaccines, and develop a measure efficiently effectively predict self-reported behaviors.A sample of parents at least one child younger than 6 years (n = 376) was analyzed using data from the HealthStyles 2010 survey. Questions were grouped into block variables create three constructs: value, safety, efficacy. Regression equations controlling for demographic characteristics used...

Objectives. Although measles has not been endemic in the U.S. since 1997 due to high vaccination coverage, recent outbreaks have associated with individuals and groups who refused for philosophical, cultural, or religious reasons. One such outbreak occurred Indiana among a group of church members May June 2005. Our objectives were to: ( 1) determine attitudes beliefs leaders regarding vaccinations experience, 2) describe reasons vaccine acceptance nonacceptance, 3) assess feasibility...

The authors' objectives were to improve human papillomavirus (HPV) vaccine educational materials and determine whether parents who received those had improved attitudes about the vaccine. Pretests sent 411 of girls 11–18 years age not yet HPV authors then randomly assigned 270 respondents an intervention (educational flyer posttest) or comparison (posttest only) group. conducted a mixed-method analysis group feedback on improving used paired t tests covariance describe within- between-group...