{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T15:32:24Z","timestamp":1784215944597,"version":"3.55.0"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T00:00:00Z","timestamp":1576108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["1U01DD000233"],"award-info":[{"award-number":["1U01DD000233"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["5U38OT000167-03"],"award-info":[{"award-number":["5U38OT000167-03"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Influenza vaccine is the most effective means to prevent influenza for the high-risk population of child care attendees. This national survey assessed child care center directors\u2019 reports of seasonal influenza vaccine requirements for children and adult caregivers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a 2016 telephone-based survey of child care center directors randomly selected from a national database of licensed United States child care centers and queried about influenza vaccine requirements. Conceptually related items were grouped into 4 indexes: general infection control, use of health consultants, quality of child care, and pandemic influenza preparedness. These indexes, along with other center and director characteristics, were used to predict director-reported influenza vaccine requirements.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 518 child care center directors, only 24.5% and 13.1% reported an influenza vaccine requirement for children and adult caregivers, respectively. Center and director characteristics and the indexes were not associated with a director-reported influenza vaccine requirement. After adjusting for covariates, only having a state influenza vaccine law for children and an adult influenza vaccine requirement predicted having a child influenza vaccine requirement. Only having a child influenza vaccine requirement predicted having an adult vaccine requirement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Director-reported influenza vaccine requirements for children and adult caregivers were influenced primarily by state influenza vaccine laws. Given the high risk of children in child care and low director-reported influenza vaccine requirements, more states should pass laws requiring influenza vaccine for children and adult caregivers at child care programs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpids\/piz078","type":"journal-article","created":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T19:09:58Z","timestamp":1571425798000},"page":"566-572","source":"Crossref","is-referenced-by-count":4,"title":["Influenza Vaccine Requirements in United States Child Care Centers"],"prefix":"10.1093","volume":"9","author":[{"given":"Timothy R","family":"Shope","sequence":"first","affiliation":[{"name":"Division of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children\u2019s Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin H","family":"Walker","sequence":"additional","affiliation":[{"name":"Social Science Research Center, Mississippi State University, Starkville, Mississippi, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Aird","sequence":"additional","affiliation":[{"name":"Department of Healthy, Resilient Children, Youth, and Families, American Academy of Pediatrics, Itasca, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Southward","sequence":"additional","affiliation":[{"name":"Social Science Research Center, Mississippi State University, Starkville, Mississippi, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith M","family":"Martin","sequence":"additional","affiliation":[{"name":"Division of General Academic Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children\u2019s Hospital of Pittsburgh, Pittsburgh, Pennsylvania, 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