Patient acceptance of influenza vaccination

Fiebach, Nicholas H.; Viscoli, Catherine M.

doi:10.1016/0002-9343(91)90157-s

Cited by 111 publications

(69 citation statements)

References 6 publications

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“…Third, patient refusal may have contributed to nonvaccination. However, as suggested previously, it is unlikely that patient refusal contributed to such high levels of nonvaccination (18,26,27). Finally, recall bias is another possible reason for the high levels of nonvaccination.…”

Section: Multivariate Analysesmentioning

confidence: 71%

“…However, studies (15,16) have shown that primary care physicians play a critical role in influencing a patient's decision to receive the influenza vaccine. In addition, studies that have examined the rates of patient r e f u s a l o f t h e i n fl u e n z a v a c c i n e (18,26,27) show that only a small proportion of patients (15-25%) for whom a physician recommended the influenza vaccine refused it. Therefore, it seems unlikely that the 35-53% nonvaccination rates seen in this study were solely due to patient refusal.…”

Section: Multivariate Analysesmentioning

confidence: 99%

“…Second, data suggest that individuals with access to a regular primary care provider are more likely to receive essential components of diabetes care, including preventive care services (14). Third, there is evidence that primary care physicians exert a strong influence on a patient's decision to accept immunization and that a primary care visit within the past year significantly increases the odds of vaccination (15)(16)(17)(18).…”

mentioning

confidence: 99%

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Association Between Number of Physician Visits and Influenza Vaccination Coverage Among Diabetic Adults With Access to Care

Egede

2003

Diabetes Care

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OBJECTIVE—The proportion of diabetic adults that receives the influenza vaccine is less than ideal. This study determined the relationship between the number of physician visits in the previous 12 months and the likelihood of influenza vaccination among diabetic adults with access to care. RESEARCH DESIGN AND METHODS—Data on 1,807 diabetic adults with access to care in the 1999 National Health Interview Survey (NHIS) were analyzed. Prevalence of influenza vaccination was determined by number of physician visits. Logistic regression was used to determine the independent association between number of physician visits and influenza vaccination coverage, controlling for age, sex, race/ethnicity, education, income, employment census region, and comorbidity. STATA was used for analyses to account for the complex sampling design of NHIS. RESULTS—Overall, 56% of subjects received the influenza vaccine. Proportions vaccinated by number of physician visits were as follows: 35% (no visit), 47% (1–3 visits), 58% (4–9 visits), and 61% (≥10 visits). Compared with people with no physician visit, people with 4–9 visits (odds ratio [OR] 2.61) and ≥10 visits (2.96) were significantly more likely to be vaccinated. However, after controlling for covariates, only people with ≥10 visits (2.34) were significantly more likely to be vaccinated. CONCLUSIONS—In this nationally representative sample, repeated physician visits by diabetic adults with access to care were associated with only modest increases in influenza vaccination coverage. In adjusted analysis, odds of influenza vaccination were not significantly associated with number of physician visits, except in people with ≥10 visits.

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Section: Multivariate Analysesmentioning

confidence: 71%

Section: Multivariate Analysesmentioning

confidence: 99%

mentioning

confidence: 99%

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Association Between Number of Physician Visits and Influenza Vaccination Coverage Among Diabetic Adults With Access to Care

Egede

2003

Diabetes Care

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“…Previous studies have also reported that fear of adverse reactions (5,7,8,21,22), concerns that vaccination may actually cause disease (7,22), and fear of the pain from injection or needles (7,8,19,21) lead many to decline vaccination. Lack of knowledge of the symptoms of influenza may lead to confusion about the efficacy of the vaccine; in another study, 44% of all respondents were not able to describe one or more of the classic symptoms of influenza (23).…”

Section: Older Patients and Influenza Vaccination/zimmerman Et Almentioning

confidence: 99%

“…These factors include race (2), age (5,6), awareness (7), fear of side effects (7), efficacy concerns (7,8), doctor recommendation (7), and fear that the vaccine causes influenza (7,9).…”

mentioning

confidence: 99%