Inequalities in vaccination coverage for young females whose parents are informal caregivers.
Identifieur interne : 000F32 ( Main/Exploration ); précédent : 000F31; suivant : 000F33Inequalities in vaccination coverage for young females whose parents are informal caregivers.
Auteurs : Tabatha N. Offutt-Powell [États-Unis] ; Rohit P. Ojha ; Tara M. Brinkman ; Joseph E. Tota ; Bradford E. Jackson ; Karan P. Singh ; Jennifer S. SmithSource :
- Human vaccines & immunotherapeutics [ 2164-554X ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- administration et posologie : Vaccins antigrippaux, Vaccins contre les papillomavirus.
- Accessibilité des services de santé, Adolescent, Adulte, Aidants, Enfant, Facteurs socioéconomiques, Femelle, Humains, Parents, Soins aux patients, Vaccination.
English descriptors
- KwdEn :
- MESH :
- chemical , administration & dosage : Influenza Vaccines, Papillomavirus Vaccines.
- statistics & numerical data : Vaccination.
- Adolescent, Adult, Caregivers, Child, Female, Health Services Accessibility, Humans, Parents, Patient Care, Socioeconomic Factors.
Abstract
The effects of caregiver strain and stress on preventive health service utilization among adult family members are well-established, but the effects of informal caregiving on children of caregivers are unknown. We aimed to assess whether inequalities in vaccination coverage (specifically human papillomavirus [HPV] and influenza) exist for females aged 9 to 17 years whose parents are informal caregivers (i.e., care providers for family members or others who are not functionally independent) compared with females whose parents are not informal caregivers. Data from the 2009 Behavioral Risk Factor Surveillance System were analyzed using Poisson regression with robust variance to estimate overall and subgroup-specific HPV and influenza vaccination prevalence ratios (PRs) and corresponding 95% confidence limits (CL) comparing females whose parents were informal caregivers with females whose parents were not informal caregivers. Our unweighted study populations comprised 1645 and 1279 females aged 9 to 17 years for the HPV and influenza vaccination analyses, respectively. Overall, both HPV and influenza vaccination coverage were lower among females whose parents were informal caregivers (HPV: PR = 0.72, 95% CL: 0.53, 0.97; Influenza: PR = 0.89, 95% CL: 0.66, 1.2). Our results suggest consistently lower HPV and influenza vaccination coverage for young females whose parents are informal caregivers. Our study provides new evidence about the potential implications of caregiving on the utilization of preventive health services among children of caregivers.
DOI: 10.4161/hv.29096
PubMed: 25424955
Affiliations:
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Brinkman</name></author><author><name sortKey="Tota, Joseph E" sort="Tota, Joseph E" uniqKey="Tota J" first="Joseph E" last="Tota">Joseph E. Tota</name></author><author><name sortKey="Jackson, Bradford E" sort="Jackson, Bradford E" uniqKey="Jackson B" first="Bradford E" last="Jackson">Bradford E. Jackson</name></author><author><name sortKey="Singh, Karan P" sort="Singh, Karan P" uniqKey="Singh K" first="Karan P" last="Singh">Karan P. Singh</name></author><author><name sortKey="Smith, Jennifer S" sort="Smith, Jennifer S" uniqKey="Smith J" first="Jennifer S" last="Smith">Jennifer S. 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Offutt-Powell</name><affiliation wicri:level="2"><nlm:affiliation>a Center for Data and Informatics; Delaware Health and Social Services; Dover, DE USA.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Delaware</region></placeName><wicri:cityArea>a Center for Data and Informatics; Delaware Health and Social Services; Dover</wicri:cityArea></affiliation></author><author><name sortKey="Ojha, Rohit P" sort="Ojha, Rohit P" uniqKey="Ojha R" first="Rohit P" last="Ojha">Rohit P. Ojha</name></author><author><name sortKey="Brinkman, Tara M" sort="Brinkman, Tara M" uniqKey="Brinkman T" first="Tara M" last="Brinkman">Tara M. Brinkman</name></author><author><name sortKey="Tota, Joseph E" sort="Tota, Joseph E" uniqKey="Tota J" first="Joseph E" last="Tota">Joseph E. Tota</name></author><author><name sortKey="Jackson, Bradford E" sort="Jackson, Bradford E" uniqKey="Jackson B" first="Bradford E" last="Jackson">Bradford E. Jackson</name></author><author><name sortKey="Singh, Karan P" sort="Singh, Karan P" uniqKey="Singh K" first="Karan P" last="Singh">Karan P. Singh</name></author><author><name sortKey="Smith, Jennifer S" sort="Smith, Jennifer S" uniqKey="Smith J" first="Jennifer S" last="Smith">Jennifer S. Smith</name></author></analytic><series><title level="j">Human vaccines & immunotherapeutics</title><idno type="eISSN">2164-554X</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Caregivers</term><term>Child</term><term>Female</term><term>Health Services Accessibility</term><term>Humans</term><term>Influenza Vaccines (administration & dosage)</term><term>Papillomavirus Vaccines (administration & dosage)</term><term>Parents</term><term>Patient Care</term><term>Socioeconomic Factors</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Aidants</term><term>Enfant</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Parents</term><term>Soins aux patients</term><term>Vaccination ()</term><term>Vaccins antigrippaux (administration et posologie)</term><term>Vaccins contre les papillomavirus (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term><term>Papillomavirus Vaccines</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term><term>Vaccins contre les papillomavirus</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Caregivers</term><term>Child</term><term>Female</term><term>Health Services Accessibility</term><term>Humans</term><term>Parents</term><term>Patient Care</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Aidants</term><term>Enfant</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Parents</term><term>Soins aux patients</term><term>Vaccination</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The effects of caregiver strain and stress on preventive health service utilization among adult family members are well-established, but the effects of informal caregiving on children of caregivers are unknown. We aimed to assess whether inequalities in vaccination coverage (specifically human papillomavirus [HPV] and influenza) exist for females aged 9 to 17 years whose parents are informal caregivers (i.e., care providers for family members or others who are not functionally independent) compared with females whose parents are not informal caregivers. Data from the 2009 Behavioral Risk Factor Surveillance System were analyzed using Poisson regression with robust variance to estimate overall and subgroup-specific HPV and influenza vaccination prevalence ratios (PRs) and corresponding 95% confidence limits (CL) comparing females whose parents were informal caregivers with females whose parents were not informal caregivers. Our unweighted study populations comprised 1645 and 1279 females aged 9 to 17 years for the HPV and influenza vaccination analyses, respectively. Overall, both HPV and influenza vaccination coverage were lower among females whose parents were informal caregivers (HPV: PR = 0.72, 95% CL: 0.53, 0.97; Influenza: PR = 0.89, 95% CL: 0.66, 1.2). Our results suggest consistently lower HPV and influenza vaccination coverage for young females whose parents are informal caregivers. Our study provides new evidence about the potential implications of caregiving on the utilization of preventive health services among children of caregivers. </div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Delaware</li></region></list><tree><noCountry><name sortKey="Brinkman, Tara M" sort="Brinkman, Tara M" uniqKey="Brinkman T" first="Tara M" last="Brinkman">Tara M. Brinkman</name><name sortKey="Jackson, Bradford E" sort="Jackson, Bradford E" uniqKey="Jackson B" first="Bradford E" last="Jackson">Bradford E. Jackson</name><name sortKey="Ojha, Rohit P" sort="Ojha, Rohit P" uniqKey="Ojha R" first="Rohit P" last="Ojha">Rohit P. Ojha</name><name sortKey="Singh, Karan P" sort="Singh, Karan P" uniqKey="Singh K" first="Karan P" last="Singh">Karan P. Singh</name><name sortKey="Smith, Jennifer S" sort="Smith, Jennifer S" uniqKey="Smith J" first="Jennifer S" last="Smith">Jennifer S. Smith</name><name sortKey="Tota, Joseph E" sort="Tota, Joseph E" uniqKey="Tota J" first="Joseph E" last="Tota">Joseph E. Tota</name></noCountry><country name="États-Unis"><region name="Delaware"><name sortKey="Offutt Powell, Tabatha N" sort="Offutt Powell, Tabatha N" uniqKey="Offutt Powell T" first="Tabatha N" last="Offutt-Powell">Tabatha N. Offutt-Powell</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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