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Pertussis Vaccination Among Childcare Center Staff, Administrators, and Parents: Uptake, Policies, and Beliefs

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Abstract

Introduction Little is known about childcare staff’s and parents’ uptake of and attitudes towards pertussis vaccine. Methods Questionnaires were distributed to St. Louis parents and childcare staff in fall, 2014. Parents versus staff and vaccinated versus unvaccinated individuals’ beliefs regarding pertussis vaccine were compared using chi square tests. Multivariate logistic regressions were run to develop predictive models for staff’s and parents’ vaccine uptake. Results Overall, 351 parents and staff from 23 agencies participated (response rate = 32%). Parents were more likely than staff to have received pertussis vaccine (66.5 vs. 45.8%, X 2 = 12.5, p < .001). Predictors for staff vaccination included willingness to get vaccinated even if there was a cost (OR 6.6; CI 1.8–24.6; p < .01), awareness of vaccination recommendations (OR 5.2; CI 1.2–22.8; p < .05), and healthcare provider recommendation (OR 4.2; CI 1.2–15.1; p < .05). Parents’ predictors of vaccination included perceived importance of vaccination (OR 9.9; CI 4.1–23.8; p < .001), healthcare provider recommendation (OR 4.6; CI 1.7–12.6; p < .01), believing vaccination is effective (OR 4.4; CI 1.1–18.0; p < .05), and knowing where to get vaccine (OR 3.5; CI 1.5–8.1; p < .01). Among unvaccinated staff (n = 52), 74.5% (n = 38) and 70.0% (n = 35) would receive pertussis vaccine if it were offered free of charge and onsite, respectively. Conclusions for Practice Childcare staff’s and parents’ pertussis vaccine uptake was higher than overall U.S. rates, though significantly lower than the Global Pertussis Initiative target. Implementing an education campaign and providing free vaccine on-site are likely to result in increased vaccine uptake.

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Acknowledgements

This study was funded by a grant from the Saint Louis University College for Public Health and Social Justice’s Research Office. The St. Louis County Department of Public Health contributed stamps to aid in data collection. Neither the funding agency nor the Health Department had any role in study design, data collection, analysis, or interpretation, writing of the report, or decision to publish findings. The authors declare that they have no conflicts of interest. The authors wish to thank Philip Gilbertson for his assistance in the study during subject recruitment, data collection, and data cleaning.

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Authors and Affiliations

  1. Institute for Biosecurity, Epidemiology & Biostatistics, College for Public Health & Social Justice, Saint Louis University, St. Louis, MO, USA

    Terri Rebmann & Mary Wakefield

  2. Department of Epidemiology & Biostatistics, College for Public Health & Social Justice, Saint Louis University, St. Louis, MO, USA

    Travis M. Loux & Daphne Lew

  3. Department of Epidemiology & Biostatistics, College for Public Health & Social Justice, Saint Louis University, 3545 Lafayette Avenue Room 463, St. Louis, MO, 63104, USA

    Terri Rebmann

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  1. Terri Rebmann
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Correspondence to Terri Rebmann.

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Rebmann, T., Loux, T.M., Lew, D. et al. Pertussis Vaccination Among Childcare Center Staff, Administrators, and Parents: Uptake, Policies, and Beliefs. Matern Child Health J 22, 166–174 (2018). https://doi.org/10.1007/s10995-017-2388-7

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