Influenza vaccination in @entity1 with XXXX .

@entity1 @entity16 @entity245 @entity683 @entity1576 @entity302 @entity717 @entity306
BACKGROUND: @entity1 with @entity16 ( @entity245 ) are at increased risk of complications from @entity683 . Although the Advisory Committee on Immunization Practices (ACIP) has recognized @entity245 as high-risk conditions for @entity683 complications since 2005, little is known about @entity683 vaccination practices in this population. METHODS: CDC collaborated with Family Voices, a national advocacy group for @entity1 with special healthcare needs, to recruit parents of @entity1 with chronic medical conditions. Parents were surveyed about their knowledge, attitudes, and practices surrounding @entity683 vaccination. The primary outcome of interest was parental report of vaccination, or intent to vaccinate, at the time of survey participation. CDC also collaborated with the American Academy of Pediatrics to recruit primary care and specialty physicians who provide care for high-risk @entity1 , specifically those with neurologic conditions. The primary outcome was physician recognition of ACIP high-risk @entity683 conditions. RESULTS: 2138 surveys were completed by parents of @entity1 with high-risk conditions, including 1143 with at least one NNDD. Overall, 50% of @entity1 with an NNDD were vaccinated, or their parents planned to have them vaccinated against @entity683 . Among all 2138 @entity1 , in multivariable analysis, the presence of a @entity1576 and prior seasonal @entity683 vaccination was significantly associated with receipt or planned current season @entity683 vaccination, but the presence of an NNDD was not. 412 pediatricians completed the provider survey. @entity306 was recognized as a high-risk @entity683 condition by 74% of physician respondents, but @entity302 (51%) and @entity717 (46%) were less commonly identified. CONCLUSIONS: Our estimates of @entity683 vaccination in @entity1 with @entity245 are comparable to published reports of vaccination in healthy @entity1 , which continue to be suboptimal. Education of parents of @entity1 with @entity245 and healthcare providers about @entity683 and the benefit of annual @entity683 vaccination is needed.
