Importance of patients’ perceptions and general practitioners’ recommendations in understanding missed opportunities for immunisations in Swiss adults

Bovier, Patrick A.; Chamot, Eric; Gallacchi, Martine Bouvier; Loutan, Louis

doi:10.1016/s0264-410x(01)00223-7

Cited by 91 publications

(68 citation statements)

References 12 publications

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“…An important share expressed fear of adverse events and lack of belief in the vaccine's efficacy or necessity. Another Brazilian study found these same reasons for non-compliance 23 , and similar motives were reported by elderly subjects in developed countries like the United Kingdom 17,24 , United States 25,26 , and Switzerland 27 .…”

Section: Reason N %supporting

confidence: 65%

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Influenza vaccination in non-institutionalized elderly: a population-based study in a medium-sized city in Southern Brazil

Dip

Cabrera

2010

Cad. Saúde Pública

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Vaccination is the most effective measure to prevent the complications of influenza. This population-based study aimed to estimate influenza vaccine coverage in non-institutionalized elderly, analyze the factors involved in lack of influenza vaccine uptake, and identify post-vaccination adverse effects. The study population lived in an urban neighborhood in Southern Brazil, and the sample consisted of 425 elderly. A total of 396 elderly individuals (age 60-95 years) were interviewed. Although 100% of the sample reported knowing about the vaccine, only 5.3% referred to their personal doctor as the source of information. Among elders that had not received the vaccine, 83.2% were explicit about not wanting to take it. The main reasons were fear of adverse effects and disbelief in the vaccine's effectiveness. However, the actual prevalence of adverse effects was low. Age, smoking, and lack of a doctor's appointment in the previous year were independently associated with vaccine non-compliance. The results show that improvements are needed in the immunization campaign, especially targeting elders less than 70 years of age and smokers.

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Section: Reason N %supporting

confidence: 65%

“…Thus, several studies have shown the doctor's explicit recommendation of the vaccine as an important factor for vaccine uptake 17,24,27 . It is important to highlight the physician's importance in promoting adherence.…”

Section: Reason N %mentioning

confidence: 99%

Influenza vaccination in non-institutionalized elderly: a population-based study in a medium-sized city in Southern Brazil

Dip

Cabrera

2010

Cad. Saúde Pública

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“…Consequently, it is reasonable to believe the physicians in China are not exerting sufficient influence on the perceptions and behaviors toward 23-PPTV vaccination. The literature has suggested that the main cause of missed opportunities for vaccination is the failure of physicians to offer the vaccinations 12,13 and that professional advice is the most important factor that encourages vaccination.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with pneumococcal vaccination among an urban elderly population in China

Liu

et al. 2014

Human Vaccines & Immunotherapeutics

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Objectives: To investigate the coverage of the 23-valent pneumococcal polysaccharide vaccine (23-PPV) in the Chinese urban elderly population and to understand the attitudes, knowledge and beliefs of this population toward the 23-PPV vaccination. Methods: A cross-sectional approach was employed to survey the willingness of this population to receive the 23-PPV vaccination. Two thousand 9 hundred 2 six subjects over the age of 60 y were enrolled via a multistage random sampling method from the urban community population in Hangzhou, China. The relationships between the variables and the willingness to receive the 23-PPV vaccination were computed as odds ratios (ORs) by multivariate analysis. Results Of the participants, 21.77% were willing to undergo 23-PPV vaccination, and 61.65% of the subjects agreed that pneumonia is a serious disease among elderly people. The rate of reasonable perceptions about vaccination, including the perception about vaccine efficacy and safety, among the subjects was below 50%. Only 1.23% of subjects had been vaccinated with 23-PPV, and a similarly low rate was observed for the seasonal influenza vaccine (4.17%). The factors that were independently related to the willingness to receive the 23-PPV vaccine included consensus with the hazards of pneumonia (OR D 1.67, 95% CI: 1.28 -2.17), the safety of vaccination (OR D 2.00, 95% CI: 1.54 -2.59), advice about the 23-PPV vaccination from family members (OR D 2.37, 95% CI: 1.39 -4.40), influenza vaccination history (OR D 2.57, 95% CI: 1.66 -3.98) and pneumococcal vaccination history (OR D 7.48, 95% CI: 2.4-22.92). Conclusion: The administration of the 23-PPV vaccine among the urban elderly population is not optimistic in China. Emphasis on persuasion from families and the improvement of knowledge about vaccination might encourage elderly people to get the 23-PPV vaccination. Suggestions from physicians did not affect the participants' willingness to get the 23-PPV vaccination in multivariate analysis, but elderly people typically visited the Community Health Center (CHC) in their residential districts, and thus, systematic encouragement from healthcare physicians might be the key to increasing 23-PPV vaccination.

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“…Pesquisa realizada na Suíça apontou a opinião do paciente como um fator determinante para sua adesão à vacinação. Já a falta de recomendação médica contribuiu para a maioria das oportunidades perdidas de imunização 14 .…”

Section: Discussionunclassified

“…A identificação dos motivos da não-adesão à vacinação contra gripe têm sido importante no intuito de nortear ações para reverter o quadro atual, aumentando as coberturas vacinais 13,14,15,16,17 .…”

Section: Introductionunclassified

Vacinação contra influenza em idosos: prevalência, fatores associados e motivos da não-adesão em Campinas, São Paulo, Brasil

2011

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The objective of this study was to assess the prevalence of self-reported influenza vaccination in the elderly, identifying associated factors and reasons for noncompliance, using a cross-sectional population-based design with stratified two-stage cluster sampling in Campinas, São Paulo State, Brazil, in 2008 IntroduçãoOs benefícios da vacinação contra influenza entre idosos e portadores de condições crônicas têm sido evidenciados em vários estudos 1,2,3,4,5 , mas mesmo diante da recomendação formal para vacinação nestes grupos 5,6 , a adesão a esta prática preventiva tem se mostrado ainda insatisfatória em muitos países 3,7,8,9 . No Brasil, apesar da disponibilização gratuita da vacina pelo Ministério da Saúde desde 1999, a vacinação não tem atingido a cobertura adequada de 80% em vários municípios 6,10,11,12 , revelando que os fatores contextuais 10,11 e individuais determinantes da adesão à vacinação podem diferir segundo grupos específicos e locais de residência.Os fatores associados à vacinação identificados em alguns estudos 3,7,8,9,12,13 , têm revelado diferenças no perfil do idoso residente na comunidade quanto à referência da imunização, sugerindo a necessidade de avaliação de situações locais. A identificação dos motivos da não-adesão à vacinação contra gripe têm sido importante no intuito de nortear ações para reverter o quadro atual, aumentando as coberturas vacinais 13,14,15,16,17 .Considerando que a vacinação contra gripe foi incorporada às práticas de prevenção no Brasil há mais de dez anos, o presente estudo teve como objetivo estimar a cobertura vacinal contra gripe e analisar os fatores associados à vacinação em idosos residentes em Campinas, São Paulo, ARTIGO ARTICLE Francisco PMSB et al.

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Importance of patients’ perceptions and general practitioners’ recommendations in understanding missed opportunities for immunisations in Swiss adults

Cited by 91 publications

References 12 publications

Influenza vaccination in non-institutionalized elderly: a population-based study in a medium-sized city in Southern Brazil

Influenza vaccination in non-institutionalized elderly: a population-based study in a medium-sized city in Southern Brazil

Factors associated with pneumococcal vaccination among an urban elderly population in China

Vacinação contra influenza em idosos: prevalência, fatores associados e motivos da não-adesão em Campinas, São Paulo, Brasil

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