Washington State Licensed Child Care Facility Directors' Perspectives on Childhood Immunization

Douglas J. Opel; Ashmita Banerjee; Peggy King; Cathe Paul; Danette Glassy; Kyle Yasuda

doi:10.1093/jpids/pis088

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Washington State Licensed Child Care Facility Directors' Perspectives on Childhood Immunization

Journal article

Open access

Washington State Licensed Child Care Facility Directors' Perspectives on Childhood Immunization

Douglas J. Opel, Ashmita Banerjee, Peggy King, Cathe Paul, Danette Glassy and Kyle Yasuda

Journal of the Pediatric Infectious Diseases Society, Vol.2(1), pp.40-49

03/01/2013

DOI: 10.1093/jpids/pis088

PMID: 26619441

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Abstract

Background. The study objective was to determine Washington State childcare facility directors' compliance with state immunization education and monitoring requirements and the role of directors' immunization attitudes and beliefs on compliance. Methods. We mailed a self-administered survey to 2000 randomly selected childcare facility directors in Washington State. The primary outcome measures were reported compliance with state requirements to educate parents about the importance of immunizations and monitor the immunization status of enrolled children. Results. Our response rate was 28%. The majority of respondents worked at facilities with a licensed capacity of < 25 children, had >= 11 years of experience, and were parents themselves. Overall, 68% agreed that they educated enrolled parents about the importance of immunizations and 90% agreed that they monitored the immunization status of enrolled children. However, 60% were concerned that children might have a serious side effect from an immunization, 51% were concerned that any one of the childhood immunizations might not be safe, and 11% were distrustful of the immunization information they received. These beliefs were associated with a statistically significant decreased likelihood of educating parents about immunization (adjusted odds ratios [aORs]: 0.57, 0.46, 0.19, respectively) and monitoring immunization status of children (aORs: 0.32, 0.32, 0.19, respectively). Conclusions. Most Washington State child care facility directors who responded to our survey are compliant with state requirements for immunization education and monitoring. A substantial number of directors are concerned about vaccine safety, however, and these concerns may decrease the likelihood of these requirements being followed.

Infectious Diseases

Pediatrics

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Washington State Licensed Child Care Facility Directors' Perspectives on Childhood Immunization
Creators: Douglas J. Opel - Seattle Children's Hospital
Ashmita Banerjee - Harvard University
Peggy King - Partnership for Learning
Cathe Paul - Partnership for Learning
Danette Glassy - Partnership for Learning
Kyle Yasuda - University of Washington
Resource Type: Journal article
Publication Details: Journal of the Pediatric Infectious Diseases Society, Vol.2(1), pp.40-49
DOI: 10.1093/jpids/pis088
PMID: 26619441
NLM abbreviation: J Pediatric Infect Dis Soc
ISSN: 2048-7193
eISSN: 2048-7207
Publisher: Oxford Univ Press
Number of pages: 10
Grant note: Office of Immunization and Child Profile, Washington State Department of Health
Language: English
Date published: 03/01/2013
Academic Unit: Psychiatry
Record Identifier: 9984295044502771

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