Factors Associated with Influenza Vaccination Decisions among Patients with Mental Illness

Lorenz, Raymond A.; Norris, Meghan M.; Norton, Leah C.; Westrick, Salisa C.

doi:10.2190/pm.46.1.a

Cited by 46 publications

(53 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Having a negative attitude towards the influenza vaccine was a major barrier to vaccine uptake (HCP 7/117 [ 153 , 161 , 227 – 231 ]; Pregnant 6/35 [ 92 , 232 – 236 ]; Chronic 4/45 [ 197 , 237 – 239 ]; Elderly 1/62 [ 222 ]; Public 17/191 [ 12 , 65 , 124 , 128 , 143 , 155 , 198 – 200 , 202 , 220 , 240 – 245 ]). Moreover, individuals who did not believe in the effectiveness of the vaccine showed lower vaccine uptake in every risk group (HCP 11/117 [ 44 , 46 , 48 , 75 , 86 , 130 , 161 , 190 , 194 , 211 , 246 ]; Pregnant 5/35 [ 76 , 116 , 195 , 235 , 247 ]; Chronic 4/45 [ 58 , 96 , 248 , 249 ]; Children 1/18 [ 250 ]; Elderly 1/62 [ 96 , 99 , 100 , 136 , 251 – 253 ]; Public 23/191 [ ...…”

Section: Resultsmentioning

confidence: 99%

“…Individuals who had already been vaccinated against influenza in previous seasons showed higher vaccine uptake in all risk groups (HCP 43/117 [ 42 , 44 , 50 , 51 , 54 , 74 , 75 , 86 , 87 , 112 , 113 , 160 , 161 , 190 , 193 , 214 , 216 , 230 , 265 – 289 ]; Chronic 9/45 [ 197 , 248 , 249 , 290 – 295 ]; Pregnant 10/35 [ 76 , 93 , 115 , 116 , 167 , 178 , 195 , 296 – 298 ]; Children 2/18 [ 223 , 299 ]; Elderly 7/62 [ 100 , 168 , 258 , 300 – 303 ]; Public 50/191 [ 62 , 66 , 69 – 72 , 81 , 99 , 101 , 103 , 125 , 140 , 143 ,…”

Section: Resultsmentioning

confidence: 99%

“…The belief in misconceptions, i.e. agreement with specific false statements, was reported as a barrier for HCPs (4/117 [ 46 , 161 , 273 , 344 ]) pregnant women (2/35 [ 117 , 167 ]), chronically ill individuals (1/45 [ 248 ]), the elderly (1/62 [ 77 ]), and the general public (2/191 [ 220 , 255 ]). The majority of articles report the myth that the vaccine can cause the flu as a significant barrier.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

et al. 2017

View full text Add to dashboard Cite

BackgroundInfluenza vaccine hesitancy is a significant threat to global efforts to reduce the burden of seasonal and pandemic influenza. Potential barriers of influenza vaccination need to be identified to inform interventions to raise awareness, influenza vaccine acceptance and uptake.ObjectiveThis review aims to (1) identify relevant studies and extract individual barriers of seasonal and pandemic influenza vaccination for risk groups and the general public; and (2) map knowledge gaps in understanding influenza vaccine hesitancy to derive directions for further research and inform interventions in this area.MethodsThirteen databases covering the areas of Medicine, Bioscience, Psychology, Sociology and Public Health were searched for peer-reviewed articles published between the years 2005 and 2016. Following the PRISMA approach, 470 articles were selected and analyzed for significant barriers to influenza vaccine uptake or intention. The barriers for different risk groups and flu types were clustered according to a conceptual framework based on the Theory of Planned Behavior and discussed using the 4C model of reasons for non-vaccination.ResultsMost studies were conducted in the American and European region. Health care personnel (HCP) and the general public were the most studied populations, while parental decisions for children at high risk were under-represented. This study also identifies understudied concepts. A lack of confidence, inconvenience, calculation and complacency were identified to different extents as barriers to influenza vaccine uptake in risk groups.ConclusionMany different psychological, contextual, sociodemographic and physical barriers that are specific to certain risk groups were identified. While most sociodemographic and physical variables may be significantly related to influenza vaccine hesitancy, they cannot be used to explain its emergence or intensity. Psychological determinants were meaningfully related to uptake and should therefore be measured in a valid and comparable way. A compendium of measurements for future use is suggested as supporting information.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

et al. 2017

View full text Add to dashboard Cite

show abstract

“…According to Lorenz et al ,43 the vaccination rate among the mentally ill population is lower than that in the general population. This suggests that psychological factors, such as a stressed or depressive mood, may be associated with vaccination coverage.…”

Section: Discussionmentioning

confidence: 98%

“…We studied psychological factors because, although previous studies indicate that mental illness can affect vaccination coverage,42 43 very few previous papers that studied the determinants of influenza vaccination investigated the effects of different psychological factors.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with influenza vaccination coverage among the elderly in South Korea: the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV)

2016

View full text Add to dashboard Cite

ObjectiveThe annual outbreak of influenza is one of the major causes of morbidity and mortality among the elderly population around the world. While there is an annual vaccine available to prevent or reduce the incidence of disease, not all older people in Korea choose to be vaccinated. There have been few previous studies to examine the factors influencing influenza vaccination in Korea. Thus, this study identifies nationwide factors that affect influenza vaccination rates in elderly Koreans.MethodsWe obtained data from the Fourth Korean National Health and Nutrition Examination Survey 2007–2009 (KNHANES IV), a nationwide health survey in Korea. To assess influenza vaccination status, we analysed answers to a single question from the survey. From the respondents, we selected 3567 elderly population aged 65 years or older, to analyse the effects of variables including sociodemographic, health behavioural risk, health status and psychological factors on vaccination coverage. We identified factors that affect vaccination status using a multiple logistic regression analysis.ResultsThe rate of influenza vaccination in this elderly population was 75.8%. Overall, the most significant determinants for choosing influenza vaccination were a recent history of health screening (adjusted OR (aOR) 2.26, 95% CI 1.92 to 2.66) and smoking (aOR 0.78, 95% CI 0.62 to 0.98). Other contributing factors were age, household income, marital status, alcohol consumption, physical activity level, self-reported health status and a limitation in daily activities. In contrast, psychological factors, including self-perceived quality of life, stress and depressive mood, did not show close association with vaccination coverage.ConclusionsTo boost influenza vaccination rates in the elderly, an influenza campaign should focus on under-represented groups, especially smokers. Additionally, promoting routine health screening for the elderly may be an efficient way to help achieve higher vaccination rates. Our results highlight the need for a new strategy for the vaccination campaign.

show abstract

Maximizing the Uptake of a COVID-19 Vaccine in People With Severe Mental Illness

2021

View full text Add to dashboard Cite

People with serious mental illness (SMI) are at increased risk of being infected by coronavirus disease 2019 (COVID-19) and have higher subsequent rates of hospitalization, morbidity, and mortality. 1,2 Factors that contribute to worse outcomes include concomitant medications, poorer premorbid general health, physical comorbidity, reduced access to medical care, and environmental and lifestyle factors such as lower socioeconomic status, overcrowding, smoking, or obesity. In light of these vulnerabilities, it is important that people with SMI are a priority group to receive a vaccination, should one be developed and deemed safe and effective. 3 De Hert and colleagues 3 noted that there is an ethical duty to prioritize vaccination for people with SMI given their increased risk of worse outcomes following COVID-19 infection and the structural barriers faced by people with SMI in accessing a vaccine. In addressing the Framework for Equitable Allocation of the COVID-19 Vaccine 4 principle mitigation of health inequities, people with SMI should be included with other priority groups, including Indigenous people, older adults, and people with physical health comorbidities.Over and above the ethical need to ensure vaccination allocation priority for people with SMI, evidence from existing vaccination programs suggests that there are challenges in achieving this aim at both an individual and public health level. People with SMI are less likely to receive preventive or guideline-appropriate health care for concerns such as cardiovascular disease and cancer. This reduced access to preventive care is reflected in the low uptake of immunizations recommended for adults among people with SMI. Of these, influenza may serve as a particularly useful model given the recommendation for an annual vaccination. In contrast with other vulnerable groups in the United States, influenza vaccination rates among people with SMI are as low as 25%. 5,6 Based on the experience with influenza vaccination programs, we have outlined key barriers and solutions to access any potential COVID-19 vaccine for people with SMI (Table ).

show abstract

Factors Associated with Influenza Vaccination Decisions among Patients with Mental Illness

Abstract: The flu vaccination rate among this study's population was lower than the general population. Interventions targeting the above factors should help increase vaccination rates among the mentally ill population.

Cited by 46 publications

References 16 publications

Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

Factors associated with influenza vaccination coverage among the elderly in South Korea: the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV)

Maximizing the Uptake of a COVID-19 Vaccine in People With Severe Mental Illness

Contact Info

Product

Resources

About