{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T19:51:45Z","timestamp":1781639505464,"version":"3.54.5"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":34,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Asthma is one of the most common chronic diseases of adolescence and significantly increases the risk of complications from respiratory viral infections such as influenza and COVID-19. Vaccination is the most effective preventive strategy, yet uptake among adolescents with asthma remains suboptimal. Parental beliefs and vaccine hesitancy are crucial determinants of immunization.<\/jats:p>\n                    <jats:p>This study aimed to evaluate the attitudes and behaviors of asthmatic adolescents and their parents toward influenza and COVID-19 vaccination, with a focus on barriers and facilitators of uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study was conducted as a descriptive, cross-sectional study at the Pediatric Allergy and Immunology outpatient clinic between May and September 2022. Children aged 12\u201318 years with a physician-confirmed asthma diagnosis and their parents were consecutively recruited during follow-up visits. A structured questionnaire addressing demographic characteristics, vaccination history, knowledge, attitudes, and concerns was administered face-to-face by physicians working in the Pediatric Allergy and Immunology Department. Data were analyzed using descriptive and comparative statistics, with\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.05 considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 212 adolescents with asthma (median age 14 years; 52.8% male) and their parents were included. Only 23.6% had ever received influenza vaccination and 6.6% were vaccinated regularly. Overall, 87.7% and 81.6% of adolescents expressed willingness to receive influenza and COVID-19 vaccines, respectively. Parental vaccination status was the strongest determinant of adolescent vaccination behaviors. Parental influenza vaccination independently predicted adolescent influenza vaccination (OR 7.26, 95% CI 3.29\u201316.0), and parental COVID-19 vaccination predicted adolescent willingness to receive the COVID-19 vaccine (OR 48.53, 95% CI 12.26\u2013192.18).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite high willingness, influenza vaccination rates among asthmatic adolescents remain low, contrasting with high COVID-19 uptake. Parental influence and safety concerns, particularly about long-term effects, were decisive factors. Targeted education, stronger physician recommendations, and clear communication on vaccine safety are essential to improve coverage in this vulnerable group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12887-026-06575-2","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:23:07Z","timestamp":1772065387000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Attitudes and behaviors of adolescents with asthma and their parents toward influenza and COVID-19 vaccination: barriers and facilitators of uptake"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0818-8063","authenticated-orcid":false,"given":"Leman Tuba","family":"Karakurt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayrunnisa Bekis","family":"Bozkurt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gizem","family":"Uslu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma","family":"Bal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurhan","family":"Kasap","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zlem","family":"Cavkaytar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Arga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"6575_CR1","unstructured":"Global Asthma Network. 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