Annual flu shots have been recommended for all children six months to 18 years since 2008 but flu vaccination rates lag behind measles, polio and most other childhood vaccines. Parents who do not get their children flu shots rate the flu vaccine less favorably than other childhood vaccines, suggests a national poll.
59% of parents whose child did not receive the flu vaccine this season say it is less important than other childhood vaccines - compared to only 14% of parents whose child got a flu shot, revealed a report from the C.S. Mott Children's Hospital National Poll on Children's Health.
Lead author Sarah J. Clark, associate director of the University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health and associate research scientist in the U-M Department of Pediatrics, said, "Despite substantial public health efforts, flu vaccine rates for U.S. children are well below national targets. In exploring why some parents do not have their child get the flu vaccine, we found that many parents do not believe that flu vaccine is as safe, effective or important as the other vaccines their children receive."
Nearly half (48%) of parents whose child did not receive flu vaccine say that flu vaccine does not work as well as other childhood vaccines. These parents also expressed concerns about the safety of flu vaccine, with 21% believing flu vaccine has less testing and 23% that flu vaccine has more side effects, compared to other childhood vaccines.
Clark, who is also with U-M's Child Health Evaluation and Research Unit (CHEAR), said, "The flu vaccine is unlike other recommended childhood vaccines in ways that can be confusing to parents. For example, parents generally expect that vaccines will prevent their child from getting a disease. But getting a flu shot for your child does not guarantee he or she won't get the flu, though generally, vaccinated children will have a less severe case. This is a complicated concept that is different than the way we explain the effectiveness of other childhood vaccines. This may lead parents to wrongly believe that the flu vaccine doesn't work."
Roughly 20,000 children under age five are hospitalized each year because of influenza complications, with some illnesses leading to death, according to the Centers for Disease Control and Prevention. The Michigan Department of Health and Human Services this month confirmed the state's first pediatric flu death of the season.
Clark said, "Our poll findings are evidence that many parents don't realize that influenza can be a deadly disease for children. The belief that flu vaccine is less important than other childhood vaccines was endorsed by three in five parents of children who have not received flu vaccine this year."
Parents also perceive a difference in how health care providers talk about flu vaccine. In this poll, parents whose child did not get a flu shot this season were three times more likely than parents of a vaccinated child to say their child's doctor recommends flu vaccine less strongly than other vaccines (32% versus 9%).
Clark said, "Health care providers can play an important role in addressing parents' negative beliefs about flu vaccine. To do so, they should fully explain and strongly recommend an annual flu vaccine for all children."