Evidence map›Paper›PMID 16708499›Full record

ArticleJournal of the National Medical Association2006

Parental perspectives on influenza vaccination of children with chronic medical conditions.

Chyongchiou J Lin, Richard K Zimmerman, Mary Patricia Nowalk, Feng-Shou Ko, Mahlon Raymund, Alejandro Hoberman, Diana H Kearney, Bruce Block

Abstract read
In one paragraph

Article in Journal of the National Medical Association, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Chyongchiou J LinDepartment of Pediatrics, University of Pittsburgh School of Medicine Pittsburgh, PA 15261, USA.
Richard K Zimmerman
Mary Patricia Nowalk
Feng-Shou Ko
Mahlon Raymund
Alejandro Hoberman
Diana H Kearney
Bruce Block

Funding

ATSDR CDC HHS TS-894
6 · The paper itself

Abstract

backgroundMinorities and those living in the inner city have a higher respiratory disease burden than other groups. Yet, influenza vaccination rates among all children with chronic medical conditions remain low.

methodsParents of 2-13-year-old children with high-risk medical conditions from health centers in low-income urban neighborhoods completed a mailed survey. Immunization status from medical records was used to calculate validity measures. Survey data are presented for those whose vaccination status was concordant between parental report and the medical record (n=183).

resultsParent-reported influenza vaccination versus medical record review showed 84.9% sensitivity, 68.7% specificity, 49.1% positive predictive value and 92.7% negative predictive value, with a kappa of 0.43. Vaccination rate was 30.6%. Medical record-verified influenza vaccination was associated with parental beliefs that the doctor recommends a flu shot (OR, 40.9; 95% Cl, 9.0-184.9) and that relatives recommend a flu shot (OR, 4.3; 95% Cl, 1.7-10.5), and was less likely if the parent believed that the child will get the flu if a household member is infected (OR, 0.2; 95% Cl, 0.1-0.6).

conclusionsThe message that influenza vaccination is important to protect children with chronic medical conditions may be relayed through physician recommendation or a relative's suggestion and may be more effective if it addresses vaccine efficacy issues.

Indexed as

Chronic DiseaseHealth Knowledge, Attitudes, PracticeAdolescentChildChild, PreschoolHealth Care SurveysHumansImmunization ProgramsInfluenza, HumanInfluenza VaccinesParentsPennsylvaniaReminder SystemsSeasonsSocial ClassSocial PerceptionInfluenza Vaccines

Identifiers

PMID16708499
PMCPMC2595047

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.