Influenza vaccine intention after a medically-attended acute respiratory infection

Details

• Alternative Title:
  Health Promot Pract
• Personal Author:
  Nowalk, Mary Patricia ; Balasubramani, G.K. ; Zimmerman, Richard K. ; Bear, Todd M. ; Sax, Theresa ; Eng, Heather ; Susick, Michael ; Ford, Samantha E.
• Corporate Authors:
  U.S. Influenza Vaccine Effectiveness Network – Pittsburgh Site
• Description:
  Background:
  
  Little is known about vaccine intention behavior among patients recovering from a medically-attended acute respiratory infection (ARI).
  
  Methods:
  
  Adults ≥18 years old with an ARI in the 2014–2015, 2015–2016, and 2016–2017 influenza seasons were tested for influenza and completed surveys. Across seasons, unvaccinated participants were grouped into those who intended to receive the influenza vaccine in the following season (vaccine intention) and those who did not (no vaccine intention). In 2016–17, participants were asked the reasons for their vaccination behavior.
  
  Results:
  
  Of 837 unvaccinated participants, 308 (37%) intended to be vaccinated next season. The groups did not differ in demographic or overall health factors. In logistic regression, non-whites, those reporting wheezing or nasal congestion and those receiving an anti-viral prescription were more likely to be in the vaccine intention group. That group was significantly more likely to cite perceived behavioral control reasons for not being vaccinated (forgot) while the no vaccine intention group was significantly (P<0.001) more likely to report knowledge/attitudinal reasons (side effects).
  
  Conclusion:
  
  Because influenza vaccine is given annually, adults must make a conscious decision to receive the vaccine each year. Understanding the factors related to vaccination behavior and intent can help to shape interventions to improve influenza vaccination rates. A medical visit at the time of an acute respiratory illness, especially one in which the provider suspects influenza, as evidenced by an anti-viral prescription, is an ideal opportunity to recommend influenza vaccine in the next season, to prevent a similar experience.
  
  
• Subjects:
  Article Behavioral Theory Influenza Vaccine Receipt Intention Vaccine Hesitancy
• Source:
  Health Promot Pract. 20(4):539-552
• Pubmed ID:
  30005579
• Pubmed Central ID:
  PMC6389426
• Document Type:
  Journal Article
• Funding:
  UL1 TR000005/TR/NCATS NIH HHS/United States ; UL1 RR024153/RR/NCRR NIH HHS/United States ; UL1 TR001857/TR/NCATS NIH HHS/United States ; U01IP001035/ACL HHS/United States ; U01 IP001035/IP/NCIRD CDC HHS/United States ; U01 IP000467/IP/NCIRD CDC HHS/United States
• Volume:
  20
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:139b71a0b0989b44cdd74ea7b418f58f6751b85d588ac121e1e8e78ddae3056d
• Download URL:
  https://stacks.cdc.gov/view/cdc/76179/cdc_76179_DS1.pdf
• File Type:
  [PDF - 90.94 KB ]