Evaluation of the acceptability of a vaccine against herpes zoster in the over 50 years old: an Italian observational study

Valente, Nicoletta; Lupi, Silvia; Stefanati, Armando; Cova, Marisa; Sulcaj, Najada; Piccinni, Lucia; Gabutti, Giovanni

doi:10.1136/bmjopen-2016-011539

Cited by 25 publications

(43 citation statements)

References 22 publications

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“…Although, the majority of UK responders knew shingles is caused by the same virus that causes chickenpox, the majority did not know or did not remember that shingles cannot be transmitted from another person with shingles. In addition, 87.1% of the responders had limited knowledge on shingles vaccine, consistent with existing literature [16]. Our findings are discrepant, however, with those from a global survey suggesting that responders with prior experience of shingles were more likely to be aware of shingles and believed they could develop it, indicating they would be more likely get the vaccine [35].…”

Section: Discussionsupporting

confidence: 77%

“…The study adds to evidence on the pivotal role of provider recommendations regarding getting the shingles vaccine. Consistent with other studies, receiving advice from a GP or another healthcare provider (HCP) to get the shingles vaccine increases acceptability of the vaccine [15,16,21,38,39], and may even reverse initial reluctance towards the shingles vaccination [14].…”

Section: Discussionmentioning

confidence: 57%

“…Their generalizability remains limited to particular contexts or regions [14,15]. Previous research is also limited by its reliance on self-reported vaccination status [16] and lack of theoretical underpinning model [14–16].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of shingles vaccine acceptance in the United Kingdom

et al. 2019

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Background The United Kingdom (UK) was the first European country to introduce a national immunisation program for shingles (2013–2014). That year, vaccination coverage ranged from 50 to 64% across the UK, but uptake has declined ever since. This study explored determinants of the acceptance of the shingles vaccine in the UK. Methods Vaccinated and unvaccinated individuals, who were eligible for the last catch-up cohort of the 2014–2015 shingles vaccination campaign, were identified using the Clinical Practice Research Datalink (the National Health Service data research service) and invited to participate by their general practitioner (GP). An anonymised self-administered questionnaire was developed using the Health Belief Model as a theoretical framework, to collect data on demographic and socio-economic characteristics, health status, knowledge, influences, experiences and attitudes to shingles and the shingles vaccine. Multivariable logistic regression was used to identify the factors associated with vaccination. Physicians’ views concerning perceived barriers to vaccination were also assessed. Results Of the 2,530 questionnaires distributed, 536 were returned (21.2%) from 69 general practices throughout the UK. The majority of responders were female (58%), lived in care homes (56%) and had completed secondary or higher education (88%). There were no differences between vaccinated and unvaccinated responders. Being offered the shingles vaccine by a GP/nurse (odds ratio (OR) = 2.3), and self-efficacy (OR = 1.2) were associated with being vaccinated (p<0.05). In contrast, previous shingles history (OR = 0.4), perceived barriers to vaccination (OR = 0.7) and perceived control of the disease (OR = 0.7) were associated with not being vaccinated against shingles (p<0.05). Less than half (44.0%) of GPs were aware of the local communication campaigns regarding shingles and the shingles vaccine. Conclusions Socio-psychological factors largely influence shingles vaccination acceptance in this study. The results add to existing evidence that healthcare providers (HCPs) have a pivotal role against vaccine hesitancy. Campaigns focusing on GPs and accessible information offered to eligible members of the public can further enhance shingles vaccine uptake.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 57%

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Determinants of shingles vaccine acceptance in the United Kingdom

et al. 2019

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“…Consequently, investigating the level of knowledge and attitudes of the adult population regarding the recommended vaccinations is crucial in order to develop effective strategies to improve the coverage. To the best of our knowledge, few studies have evaluated the level of knowledge and the acceptability of vaccinations among the adult population in Italy [21,22]. Understanding adults’ vaccination-related knowledge, attitudes, and behavior may provide useful information in order to implement targeted educational interventions and policies aimed at appropriate behaviors.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes, and Behaviors of Parents towards Recommended Adult Vaccinations: An Explanatory Survey in the Geographic Area of Naples, Italy

Napolitano

Polla

Angelillo

2019

IJERPH

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The purposes of this study were to explore the knowledge, attitudes, and behaviors towards the recommended vaccinations for adults between 19–64 years of age and the associated factors among parents. The survey was conducted from October to December 2018 among a sample of parents randomly selected from five preschools and primary, secondary, and high schools in the geographic area of Naples, Italy. The mean age of participants was 45.2 years (range 19–71). Only 16% of the parents knew all vaccinations recommended to adults between 19–64 years of age. Those being healthcare professionals, having a chronic condition, having received information about vaccinations from physicians, and having a lower educational level were more likely to know the vaccinations recommended to adults between 19–64 years of age. Female participants, those who had received information about vaccinations from physicians, and those who had a lower number of children were more likely to have a positive attitude toward the usefulness of the administration of vaccinations recommended to adults between 19–64 years of age. Among unvaccinated respondents, more than half reported a positive attitude toward willingness to receive a recommended vaccination. This positive attitude was significantly higher among those who considered vaccinations as being useful and among who had received information from physicians. Only 16.9% self-reported to have received at least one vaccination recommended to adults between 19–64 years of age. Those who were healthcare professionals, who had at least one chronic condition, and who considered the administration of the vaccinations as being useful were more likely to have received at least one recommended vaccination. Greater efforts by policy makers and healthcare providers are needed to increase parents’ knowledge on recommended vaccines, and it is also crucial that healthcare providers have a high knowledge and favorable attitudes in order to increase vaccine coverage.

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“…For an individual decision on HZ vaccina tion, it is necessary to be aware of HZ disease, to be able to estimate the severi ty of the disease, and to know that there is a vaccine that can provide protection from the disease. A survey was con ducted among people age over 50 years (n = 1001) in Italy from October 2014 to April 2015 [38]. A total of 95% of partici pants said they were aware of HZ disease.…”

Section: Acceptance and Feasibility Of The Hz/su Vaccinationmentioning

confidence: 99%