Beliefs and attitudes towards the influenza vaccine in high-risk individuals

Santos, Ana João; Kislaya, Irina; Machado, Ausenda; Nunes, Baltazar

doi:10.1017/s0950268817000814

Cited by 55 publications

(58 citation statements)

References 18 publications

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“…On the other hand, 8.2% of respondents declared that they would not get an influenza vaccine because their physician advised against it. A similar estimate of 5.5% was obtained in a Portuguese study among high-risk adults [56]. As role models, physicians having been vaccinated themselves may serve to persuade their patients and help to further promote vaccination [57].…”

Section: Discussionsupporting

confidence: 71%

Attitudes and Beliefs on Influenza Vaccination during the COVID-19 Pandemic: Results from a Representative Italian Survey

Domnich¹,

Cambiaggi²,

Vasco³

et al. 2020

Vaccines

101

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The last 2019/20 northern hemisphere influenza season overlapped with the first wave of coronavirus disease 2019 (COVID-19) pandemic. Italy was the first western country where severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spread to a significant extent. In this representative cross-sectional survey, we aimed to describe some opinions and attitudes of the Italian general population towards both influenza vaccination and the COVID-19 pandemic, and to identify potential modifiers of the decision-making process regarding the uptake of the 2020/21 influenza vaccine. A total of 2543 responses were analyzed. Although most (74.8%) participants valued influenza vaccination positively and declared that it should be mandatory, some misconceptions around influenza persist. The general practitioner was the main source of trusted information on influenza vaccines, while social networks were judged to be the least reliable. Younger and less affluent individuals, subjects not vaccinated in the previous season, and those living in smaller communities showed lower odds of receiving the 2020/21 season influenza vaccination. However, the COVID-19 pandemic may have positively influenced the propensity of being vaccinated against 2020/21 seasonal influenza. In order to increase influenza vaccination coverage rates multidisciplinary targeted interventions are needed. The role of general practitioners remains crucial in increasing influenza vaccine awareness and acceptance by effective counselling.

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Section: Discussionsupporting

confidence: 71%

Attitudes and Beliefs on Influenza Vaccination during the COVID-19 Pandemic: Results from a Representative Italian Survey

Domnich¹,

Cambiaggi²,

Vasco³

et al. 2020

Vaccines

101

View full text Add to dashboard Cite

show abstract

“…Survey questions were based on the health behavioral framework of the health belief model ( Rosenstock, 1974 ; Coe et al, 2012 ; Santos et al, 2017 ) and the socioecological model ( McLeroy et al, 1988 ; Kumar et al, 2012 ; Niyibizi, Schamel & Frew, 2016 ). The health belief model illustrates that health-related behavior, such as getting influenza vaccine, is influenced by perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy.…”

Section: Methodsmentioning

confidence: 99%

Demographics, perceptions, and socioeconomic factors affecting influenza vaccination among adults in the United States

Abbas

Kang

Chen

et al. 2018

PeerJ

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ObjectiveThe study objective is to analyze influenza vaccination status by demographic factors, perceived vaccine efficacy, social influence, herd immunity, vaccine cost, health insurance status, and barriers to influenza vaccination among adults 18 years and older in the United States.BackgroundInfluenza vaccination coverage among adults 18 years and older was 41% during 2010–2011 and has increased and plateaued at 43% during 2016–2017. This is below the target of 70% influenza vaccination coverage among adults, which is an objective of the Healthy People 2020 initiative.MethodsWe conducted a survey of a nationally representative sample of adults 18 years and older in the United States on factors affecting influenza vaccination. We conducted bivariate analysis using Rao-Scott chi-square test and multivariate analysis using weighted multinomial logistic regression of this survey data to determine the effect of demographics, perceived vaccine efficacy, social influence, herd immunity, vaccine cost, health insurance, and barriers associated with influenza vaccination uptake among adults in the United States.ResultsInfluenza vaccination rates are relatively high among adults in older age groups (73.3% among 75 + year old), adults with education levels of bachelor’s degree or higher (45.1%), non-Hispanic Whites (41.8%), adults with higher incomes (52.8% among adults with income of over $150,000), partnered adults (43.2%), non-working adults (46.2%), and adults with internet access (39.9%). Influenza vaccine is taken every year by 76% of adults who perceive that the vaccine is very effective, 64.2% of adults who are socially influenced by others, and 41.8% of adults with health insurance, while 72.3% of adults without health insurance never get vaccinated. Facilitators for adults getting vaccinated every year in comparison to only some years include older age, perception of high vaccine effectiveness, higher income and no out-of-pocket payments. Barriers for adults never getting vaccinated in comparison to only some years include lack of health insurance, disliking of shots, perception of low vaccine effectiveness, low perception of risk for influenza infection, and perception of risky side effects.ConclusionInfluenza vaccination rates among adults in the United States can be improved towards the Healthy People 2020 target of 70% by increasing awareness of the safety, efficacy and need for influenza vaccination, leveraging the practices and principles of commercial and social marketing to improve vaccine trust, confidence and acceptance, and lowering out-of-pocket expenses and covering influenza vaccination costs through health insurance.

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“…Overseas studies conducted on older adult populations show similar barriers to vaccination such as lack of perceived susceptibility, fear of adverse events, mistrust of vaccines and impression that influenza is not serious [15][16][17]. Reminders from healthcare workers were shown to be effective in increasing vaccine uptake rate among the older adults [18].…”

Section: Comparing With Other Studiesmentioning

confidence: 99%

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Teo

Smith

Lwin

et al. 2019

Vaccine

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a b s t r a c tBackground: Despite recommendations for influenza vaccination of people aged 65 and above, uptake rate of influenza vaccines remains low.This study aims to understand barriers and motivators behind older adult's decision on influenza vaccination. Methods: Face to face interviews with participants aged 65 and above were conducted and audio recorded in Geylang polyclinic in Singapore. Thematic content analysis was used to organise the data. Results: 15 older adults were interviewed, aged between 66 and 85 years old. 6 were vaccine refusers, 3 defaulters and 6 acceptors.A perceived lack of vulnerability, fear of side effects, and trivialisation of influenza were common reasons for not taking the vaccine. Encouragement from family and friends, travel and previous positive vaccination experiences were motivators for getting vaccinated. Healthcare workers played a role in influencing many of the participants' decision-making. Common misconceptions included vaccines considered as necessary only before travel and as a cure rather than prevention. Most participants exhibited ambivalence, giving reasons both for and against vaccine uptake. Discussion: Most older adults do not perceive influenza as a potentially serious disease nor trust in influenza vaccines' efficacy. Misconceptions played a significant role in vaccine decline. Novel findings include the importance of the family unit in decision making, prioritization of chronic health problems over vaccination and misconception that vaccines are only needed when travelling out of country. Healthcare workers and family members appear to be important influencers in the decision making of older adults and should be actively engaged in future health promotion initiatives.

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Beliefs and attitudes towards the influenza vaccine in high-risk individuals

Cited by 55 publications

References 18 publications

Attitudes and Beliefs on Influenza Vaccination during the COVID-19 Pandemic: Results from a Representative Italian Survey

Attitudes and Beliefs on Influenza Vaccination during the COVID-19 Pandemic: Results from a Representative Italian Survey

Demographics, perceptions, and socioeconomic factors affecting influenza vaccination among adults in the United States

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

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