The Social Ecological Model as a Framework for Determinants of 2009 H1N1 Influenza Vaccine Uptake in the US

Details

• Alternative Title:
  Health Educ Behav
• Personal Author:
  Kumar, Supriya ; Quinn, Sandra Crouse ; Kim, Kevin H. ; Musa, Donald ; Hilyard, Karen M. ; Freimuth, Vicki S.
• Description:
  Research on influenza vaccine uptake has focused largely on intrapersonal determinants (perceived risk, past vaccine acceptance, perceived vaccine safety) and on physician recommendation. The authors used a social ecological framework to examine influenza vaccine uptake during the 2009 H1N1 pandemic. Surveying an adult population (n = 2,079) in January 2010 with significant oversamples of Blacks and Hispanics, this study found that 18.4% (95% confidence interval = 15.6-21.5) had gotten the 2009 H1N1 vaccine. Variables at each level of the social ecological model were significant predictors of uptake as well as of intent to get the vaccine. The intrapersonal level explained 53%, the interpersonal explained 47%, the institutional level explained 34%, and the policy and community levels each explained 8% of the variance associated with vaccine uptake. The levels together explained 65% of the variance, suggesting that interventions targeting multiple levels of the framework would be more effective than interventions aimed at a single level.
• Subjects:
  Age Factors Female Health Behavior Health Knowledge, Attitudes, Practice Health Services Accessibility Humans Immunization Influenza, Human Influenza A Virus, H1N1 Subtype Influenza Vaccines Intention Male Middle Aged Pandemics Patient Acceptance Of Health Care Perception Racial Groups Residence Characteristics Sex Factors Social Environment

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• Source:
  Health Educ Behav. 39(2):229-243.
• Pubmed ID:
  21984692
• Pubmed Central ID:
  PMC3916095
• Document Type:
  Journal Article
• Funding:
  2P60MD000207-08/MD/NIMHD NIH HHS/United States ; 1P01TP000304-01/TP/OPHPR CDC HHS/United States ; P01 TP000304/TP/OPHPR CDC HHS/United States ; P60 MD000207/MD/NIMHD NIH HHS/United States ; P20 MD006737/MD/NIMHD NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  39
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:74333ebc235ecaa90deff262a91d5d62fd804b5e435446a35039f6e207d24fa4
• Download URL:
  https://stacks.cdc.gov/view/cdc/33659/cdc_33659_DS1.pdf
• File Type:
  [PDF - 384.58 KB ]