Behavior and beliefs about influenza vaccine among adults aged 50-64 years. Am J Health Behav

Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, GA 30033, USA.
American journal of health behavior (Impact Factor: 1.31). 01/2010; 34(1):77-89. DOI: 10.5993/AJHB.34.1.10
Source: PubMed


To examine demographics and beliefs about influenza disease and vaccine that may be associated with influenza vaccination among 50- to 64-year-olds.
A national sample of adults aged 50-64 years surveyed by telephone.
Variables associated with receiving influenza vaccination included age, education level, recent doctor visit, and beliefs about vaccine effectiveness and vaccine safety. Beliefs about influenza vaccination varied by race/ethnicity, age, education, and gender.
The finding of demographic differences in beliefs suggests that segmented communication messages designed for specific demographic subgroups may help to increase influenza vaccination coverage.

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    • "We further adjust for access variables such as presence of health insurance and those who visit their doctor more frequently because these characteristics were associated with increased likelihood of influenza vaccinations (Takayama et al., 2012; Gu & Sood, 2011; Singleton et al., 2005; Annunziata et al., 2012). Lastly, negative beliefs and opinions about vaccine effectiveness (e.g., vaccine side effects) create significant barriers to vaccination that contribute to disparities in vaccination rates (Fiscella, 2005; O'Malley & Forrest, 2006; Armstrong et al., 2001; Santibanez et al., 2010; Singleton et al., 2005). Therefore, we examined whether HCP recommendations reach patients reporting similar barriers to vaccinations. "
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    ABSTRACT: Objective: Investigate determinants of receiving healthcare provider (HCP) recommendations for seasonal and H1N1 influenza vaccinations. Methods: Using a United States national sample of adults 18. + from the National 2009 H1N1 Flu Survey, multivariate regression models estimated the likelihood of receiving a HCP recommendation. Covariates included demographics, socioeconomic status, and Advisory Committee on Immunization Practices (ACIP) priority groups. Results: Adults age 55-64 and 65. + were more likely to report a HCP recommendation when compared to adults age 18-34 (OR: 1.483, 95%CI: 1.237-1.778 and OR: 1.738, 95%CI: 1.427-2.116, respectively). Chronically ill adults had 58.0% (95%CI: 1.414-1.765) higher odds of receiving a HCP recommendation than non-chronically ill adults. Patients visiting a doctor once and twice had 28.7% (95%CI: 0.618-0.821) and 17.1% (95%CI: 0.721-0.952) lower odds of receiving a HCP recommendation when compared to adults visiting their doctor at least four times. And, compared to Non-Hispanic Whites, Non-Hispanic Blacks had 28.4% (95%CI: 1.064-1.549) higher odds of receiving a recommendation. Conclusions: ACIP priority groups experienced higher rates of recommendations compared to non-ACIP groups. Racial differences in HCP recommendations cannot explain racial disparities in flu vaccination rates.
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    • "Available data on rates of 2009 H1N1 vaccination have not been analysed by sex [91] but rates of seasonal influenza vaccination vary significantly with respect to sex and age [92-94]. Rates of vaccination among women are lower than men in some European countries [92] and may reflect greater negative beliefs about the risks associated with vaccination [95], differences in physician recommendations regarding vaccination or occupational differences. Among healthcare workers in China, 73% of women reported intentions to decline both the H5N1 and 2009 H1N1 vaccines compared to 64% of men [96]. "
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    Biology of Sex Differences 11/2010; 1(1):5. DOI:10.1186/2042-6410-1-5 · 4.84 Impact Factor
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