Patient acceptance of influenza vaccination
purpose: To determine whether patients' demographic, medical, and personal characteristics, including attitudes and beliefs about vaccination, health, and medical providers, are associated with acceptance of influenza vaccine. patients and methods: Nine hundred sixtyfive patients attending a un...
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| Veröffentlicht in: | The American journal of medicine 1991-10, Vol.91 (4), p.393-400 |
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| container_title | The American journal of medicine |
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| creator | Fiebach, Nicholas H. Viscoli, Catherine M. |
| description | purpose: To determine whether patients' demographic, medical, and personal characteristics, including attitudes and beliefs about vaccination, health, and medical providers, are associated with acceptance of influenza vaccine.
patients and methods: Nine hundred sixtyfive patients attending a university hospitalbased general medicine clinic during the fall influenza vaccination period, including 624 patients for whom influenza vaccine was indicated, were observed in a prospective cohort study. In addition, 58 patients who refused influenza vaccine and an equal number who accepted it were interviewed over the telephone to examine their beliefs and behaviors in greater detail.
results: Seventy-five percent of patients for whom influenza vaccine was indicated received it. Prospectively assessed patient characteristics that were significantly associated with nonvaccination included not believing vaccine prevents “flu” (relative risk [RR] 5.3), never received pneumococcal vaccine (RR 3.5), not vaccinated against influenza the previous year (RR 3.5), never vaccinated against influenza (RR 2.3), and felt sick after previous influenza vaccination (RR 2.3). Demographic characteristics and medical diagnoses were not significantly related to vaccination. Almost one half of 58 interviewed subjects who refused influenza vaccine cited fear of a reaction. Among retrospectively determined attitudes and beliefs significantly associated with refusal of influenza vaccine were not believing the vaccine works well (odds ratio [OR] 11.6), concern about a reaction (OR 9.3), and perception that the medical provider had not recommended it (OR 5.8).
conclusion: Demographic characteristics of patients and their medical diagnoses were not associated with acceptance of influenza vaccination. Among patients who were not vaccinated, doubts about the efficacy of influenza vaccine and fear of its side effects were common, and their perceptions of the medical provider's recommendation of vaccine appeared to be an important factor in the decision whether to accept it. |
| doi_str_mv | 10.1016/0002-9343(91)90157-S |
| format | Article |
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patients and methods: Nine hundred sixtyfive patients attending a university hospitalbased general medicine clinic during the fall influenza vaccination period, including 624 patients for whom influenza vaccine was indicated, were observed in a prospective cohort study. In addition, 58 patients who refused influenza vaccine and an equal number who accepted it were interviewed over the telephone to examine their beliefs and behaviors in greater detail.
results: Seventy-five percent of patients for whom influenza vaccine was indicated received it. Prospectively assessed patient characteristics that were significantly associated with nonvaccination included not believing vaccine prevents “flu” (relative risk [RR] 5.3), never received pneumococcal vaccine (RR 3.5), not vaccinated against influenza the previous year (RR 3.5), never vaccinated against influenza (RR 2.3), and felt sick after previous influenza vaccination (RR 2.3). Demographic characteristics and medical diagnoses were not significantly related to vaccination. Almost one half of 58 interviewed subjects who refused influenza vaccine cited fear of a reaction. Among retrospectively determined attitudes and beliefs significantly associated with refusal of influenza vaccine were not believing the vaccine works well (odds ratio [OR] 11.6), concern about a reaction (OR 9.3), and perception that the medical provider had not recommended it (OR 5.8).
conclusion: Demographic characteristics of patients and their medical diagnoses were not associated with acceptance of influenza vaccination. Among patients who were not vaccinated, doubts about the efficacy of influenza vaccine and fear of its side effects were common, and their perceptions of the medical provider's recommendation of vaccine appeared to be an important factor in the decision whether to accept it.</description><identifier>ISSN: 0002-9343</identifier><identifier>EISSN: 1555-7162</identifier><identifier>DOI: 10.1016/0002-9343(91)90157-S</identifier><identifier>PMID: 1951383</identifier><identifier>CODEN: AJMEAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Attitude to Health ; Biological and medical sciences ; Case-Control Studies ; Connecticut ; Female ; Hospitals, University ; Humans ; Influenza Vaccines - adverse effects ; Influenza Vaccines - standards ; Interviews as Topic ; Male ; Medical sciences ; Outpatient Clinics, Hospital ; Patient Acceptance of Health Care - statistics & numerical data ; Patient Education as Topic - standards ; Physician's Role ; Pneumology ; Prospective Studies ; Surveys and Questionnaires</subject><ispartof>The American journal of medicine, 1991-10, Vol.91 (4), p.393-400</ispartof><rights>1991</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-f9f76f31b3f850563eefa1aadc8f23303d38608d4506bd12a24709874fb31da73</citedby><cites>FETCH-LOGICAL-c483t-f9f76f31b3f850563eefa1aadc8f23303d38608d4506bd12a24709874fb31da73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9343(91)90157-S$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5559300$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1951383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fiebach, Nicholas H.</creatorcontrib><creatorcontrib>Viscoli, Catherine M.</creatorcontrib><title>Patient acceptance of influenza vaccination</title><title>The American journal of medicine</title><addtitle>Am J Med</addtitle><description>purpose: To determine whether patients' demographic, medical, and personal characteristics, including attitudes and beliefs about vaccination, health, and medical providers, are associated with acceptance of influenza vaccine.
patients and methods: Nine hundred sixtyfive patients attending a university hospitalbased general medicine clinic during the fall influenza vaccination period, including 624 patients for whom influenza vaccine was indicated, were observed in a prospective cohort study. In addition, 58 patients who refused influenza vaccine and an equal number who accepted it were interviewed over the telephone to examine their beliefs and behaviors in greater detail.
results: Seventy-five percent of patients for whom influenza vaccine was indicated received it. Prospectively assessed patient characteristics that were significantly associated with nonvaccination included not believing vaccine prevents “flu” (relative risk [RR] 5.3), never received pneumococcal vaccine (RR 3.5), not vaccinated against influenza the previous year (RR 3.5), never vaccinated against influenza (RR 2.3), and felt sick after previous influenza vaccination (RR 2.3). Demographic characteristics and medical diagnoses were not significantly related to vaccination. Almost one half of 58 interviewed subjects who refused influenza vaccine cited fear of a reaction. Among retrospectively determined attitudes and beliefs significantly associated with refusal of influenza vaccine were not believing the vaccine works well (odds ratio [OR] 11.6), concern about a reaction (OR 9.3), and perception that the medical provider had not recommended it (OR 5.8).
conclusion: Demographic characteristics of patients and their medical diagnoses were not associated with acceptance of influenza vaccination. Among patients who were not vaccinated, doubts about the efficacy of influenza vaccine and fear of its side effects were common, and their perceptions of the medical provider's recommendation of vaccine appeared to be an important factor in the decision whether to accept it.</description><subject>Aged</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Connecticut</subject><subject>Female</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Influenza Vaccines - adverse effects</subject><subject>Influenza Vaccines - standards</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Outpatient Clinics, Hospital</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patient Education as Topic - standards</subject><subject>Physician's Role</subject><subject>Pneumology</subject><subject>Prospective Studies</subject><subject>Surveys and Questionnaires</subject><issn>0002-9343</issn><issn>1555-7162</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRaq3-A4UeRBSJzmaySfYiSPELCgrV87LZD1hJk7qbFPTXuzVFb56G4X3eYXgIOaZwRYHm1wCQJhwzPOf0ggNlRbLYIWPKGEsKmqe7ZPyL7JODEN7jCpzlIzKinFEscUwuX2TnTNNNpVJm1clGmWlrp66xdW-aLzldx8A1EWqbQ7JnZR3M0XZOyNv93evsMZk_PzzNbueJykrsEsttkVukFdqSAcvRGCuplFqVNkUE1FjmUOqMQV5pmso0K4CXRWYrpFoWOCFnw92Vbz96EzqxdEGZupaNafsgiljgJWAEswFUvg3BGytW3i2l_xQUxMaR2AgQGwGCU_HjSCxi7WR7v6-WRv-VBikxP93mMihZWx-tuPCLRb8cASJ2M2Amulg740VQUaUy2nmjOqFb9_8f3-fAgQ0</recordid><startdate>19911001</startdate><enddate>19911001</enddate><creator>Fiebach, Nicholas H.</creator><creator>Viscoli, Catherine M.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19911001</creationdate><title>Patient acceptance of influenza vaccination</title><author>Fiebach, Nicholas H. ; Viscoli, Catherine M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-f9f76f31b3f850563eefa1aadc8f23303d38608d4506bd12a24709874fb31da73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Aged</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Connecticut</topic><topic>Female</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Influenza Vaccines - adverse effects</topic><topic>Influenza Vaccines - standards</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Outpatient Clinics, Hospital</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Patient Education as Topic - standards</topic><topic>Physician's Role</topic><topic>Pneumology</topic><topic>Prospective Studies</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fiebach, Nicholas H.</creatorcontrib><creatorcontrib>Viscoli, Catherine M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fiebach, Nicholas H.</au><au>Viscoli, Catherine M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient acceptance of influenza vaccination</atitle><jtitle>The American journal of medicine</jtitle><addtitle>Am J Med</addtitle><date>1991-10-01</date><risdate>1991</risdate><volume>91</volume><issue>4</issue><spage>393</spage><epage>400</epage><pages>393-400</pages><issn>0002-9343</issn><eissn>1555-7162</eissn><coden>AJMEAZ</coden><abstract>purpose: To determine whether patients' demographic, medical, and personal characteristics, including attitudes and beliefs about vaccination, health, and medical providers, are associated with acceptance of influenza vaccine.
patients and methods: Nine hundred sixtyfive patients attending a university hospitalbased general medicine clinic during the fall influenza vaccination period, including 624 patients for whom influenza vaccine was indicated, were observed in a prospective cohort study. In addition, 58 patients who refused influenza vaccine and an equal number who accepted it were interviewed over the telephone to examine their beliefs and behaviors in greater detail.
results: Seventy-five percent of patients for whom influenza vaccine was indicated received it. Prospectively assessed patient characteristics that were significantly associated with nonvaccination included not believing vaccine prevents “flu” (relative risk [RR] 5.3), never received pneumococcal vaccine (RR 3.5), not vaccinated against influenza the previous year (RR 3.5), never vaccinated against influenza (RR 2.3), and felt sick after previous influenza vaccination (RR 2.3). Demographic characteristics and medical diagnoses were not significantly related to vaccination. Almost one half of 58 interviewed subjects who refused influenza vaccine cited fear of a reaction. Among retrospectively determined attitudes and beliefs significantly associated with refusal of influenza vaccine were not believing the vaccine works well (odds ratio [OR] 11.6), concern about a reaction (OR 9.3), and perception that the medical provider had not recommended it (OR 5.8).
conclusion: Demographic characteristics of patients and their medical diagnoses were not associated with acceptance of influenza vaccination. Among patients who were not vaccinated, doubts about the efficacy of influenza vaccine and fear of its side effects were common, and their perceptions of the medical provider's recommendation of vaccine appeared to be an important factor in the decision whether to accept it.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>1951383</pmid><doi>10.1016/0002-9343(91)90157-S</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American journal of medicine, 1991-10, Vol.91 (4), p.393-400 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Attitude to Health Biological and medical sciences Case-Control Studies Connecticut Female Hospitals, University Humans Influenza Vaccines - adverse effects Influenza Vaccines - standards Interviews as Topic Male Medical sciences Outpatient Clinics, Hospital Patient Acceptance of Health Care - statistics & numerical data Patient Education as Topic - standards Physician's Role Pneumology Prospective Studies Surveys and Questionnaires |
| title | Patient acceptance of influenza vaccination |
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