Knowledge, attitudes, and beliefs about seasonal influenza and H1N1 vaccinations in a low-income, public health clinic population

Redelings, Matthew D.; Piron, Jennifer; Smith, Lisa V.; Chan, Andrew; Heinzerling, Julia; Sanchez, Kathleen; Bedair, Dalia; Ponce, Mirna; Kuo, Tony

doi:10.1016/j.vaccine.2011.10.050

Cited by 24 publications

(19 citation statements)

References 16 publications

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“…Cognitive and affective risk perceptions regarding the vaccine were also reported as a barrier to influenza vaccination. Specifically, higher perceived risk of vaccine adverse events was found to decrease vaccine uptake (HCP 7/117 [ 41 , 158 – 163 ]; Pregnant 5/35 [ 94 , 164 – 167 ]; Chronic 2/45; Children 1/18 [ 98 ]; [ 58 , 96 ]; Elderly 3/62 [ 96 , 136 , 168 ]; Public 9/191 [ 66 , 83 , 109 , 111 , 169 – 173 ]), as was general worry about the safety of the vaccine (HCP 15/117 [ 44 , 45 , 53 , 56 , 75 , 87 , 90 , 112 , 130 , 132 , 159 , 163 , 174 – 176 ]; Pregnant 6/35 [ 92 , 94 , 117 , 167 , 177 , 178 ]; Elderly 1/62 [ 99 ]; Children 2/18 [ 179 , 180 ]; Public 14/191 [ 66 , 103 , 137 – 139 , 154 , 169 , 172 , 173 ,…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2017

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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.

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Section: Resultsmentioning

confidence: 99%

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

et al. 2017

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“…The existing literature has demonstrated that no single factor is responsible for the observed racial differences in vaccination; instead, it appears that multiple pathways function simultaneously to contribute to differential vaccine uptake ( Quinn et al, 2017 ). Racially comparative studies have identified several key factors that are significantly different between racial groups, and contribute to lower uptake among African Americans, including vaccine attitudes and beliefs ( Harris et al, 2006 , Lindley et al, 2006 , Wooten et al, 2012 ), knowledge ( Bardenheier et al, 2006 ), access to vaccination ( Lee et al, 2009 , Link et al, 2006 ), trust in health care providers and vaccines ( Freimuth et al, 2017b , Musa et al, 2009 , Quinn et al, 2009 , Redelings et al, 2012 ;), risk perception ( Freimuth, Jamison, Hancock et al, 2017 ), and racial discrimination ( Bleser, Miranda, & Jean-Jacques, 2016 ). These studies have confirmed the significance of age, health status, and socioeconomic status (SES) in vaccine uptake ( Nagata et al, 2013 , Yeung et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Breaking down the monolith: Understanding flu vaccine uptake among African Americans

Quinn

Jamison

et al. 2018

SSM - Population Health

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Black adults are significantly less likely to be immunized for seasonal influenza when compared to Whites. This persistent disparity contributes to increased influenza-related morbidity and mortality in the African American population. Most scholarship on vaccine disparities has compared Whites and Blacks. Employing Public Health Critical Race Praxis, this study seeks to shift the focus to explore differences within the Black population. Utilizing a nationally-representative 2015 survey of US Black adults (n = 806), we explore differences by gender, age, income, and education across vaccine-related measures (e.g., perceived risk, knowledge, attitudes) and racial factors (e.g. racial salience, racial fairness, perceived discrimination). We also explore differences by vaccine behavior in the past five years among those who vaccinate every year, most years but not all, once or twice, and never. Greater frequency of flu vaccine uptake was associated with better self-reported vaccine knowledge, more positive vaccine attitudes, more trust in the flu vaccine and the vaccine process, higher perceived disease risk, lower perceived risk of vaccine side effects, stronger subjective and moral norms, lower general vaccine hesitancy, higher confidence in the flu vaccine, and lower perceived barriers. Logistic regression results highlighted other significant differences among the groups, emphasizing areas to target for improved vaccination rates. We find great diversity within the Black community related to influenza immunization decisions, highlighting the need to “break down the monolith” in future research.

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“…The presence of racial/ethnic disparities in receiving a “flu shot” is ubiquitous in the literature, with non‐Hispanic Whites being more likely to receive the vaccine compared to other racial/ethnic backgrounds (Groom, Zhang, Fisher, & Wortley, ; Lehmann, Ruiter, Wicker, Chapman, & Kok, ; Lu et al., ; Wooten, Wortley, Singleton, & Euler, ). Significant underrepresentation of African‐Americans in the present surveys may have masked the racial disparities in vaccination often seen in the literature (Linn, Guralnik, & Patel, ; Nagata et al., ; Redelings et al., ). It is unclear whether these racial disparities are due to the influx of non‐SPA 6 residents to the flu outreach clinics in order to receive the vaccination, or are true disparities in racial representation at the time of survey data collection (e.g., the selection of the outreach locations may not be sufficient to reach particular communities of color).…”

Section: Discussionmentioning

confidence: 69%

“…Statistically significant age‐related differences in having been vaccinated against influenza in the previous year were observed between younger adults and adults aged ≥65 years. It is generally accepted that older adults are more likely than younger adults to receive the influenza vaccine—i.e., a 5% likelihood of receiving the influenza vaccine with each year increase in age (Chiatti et al., ; Redelings et al., ; Wang et al., ). In Los Angeles County, 64% of adults age ≥65 years were vaccinated for influenza in 2012 (albeit most have Medicare which covers immunization), as compared to only 29% vaccination coverage among adults 18–64 (DPH, ).…”

Section: Discussionmentioning

confidence: 99%

Community‐based Flu Outreach Clinics in South Los Angeles: Client Satisfaction and Experiences

Mobasher

Smith

Stegall

et al. 2017

Public Health Nursing

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Knowledge, attitudes, and beliefs about seasonal influenza and H1N1 vaccinations in a low-income, public health clinic population

Cited by 24 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

Breaking down the monolith: Understanding flu vaccine uptake among African Americans

Community‐based Flu Outreach Clinics in South Los Angeles: Client Satisfaction and Experiences

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