Beliefs and attitudes towards the influenza vaccine in high-risk individuals

Santos, Ana João; Kislaya, Irina; Machado, Ausenda; Nunes, Baltazar

http://hdl.handle.net/10400.18/4703

Use this identifier to reference this record.

Name:	Description:	Size:	Format:
beliefs_and_attitudes_towards_the_influenza_vaccine_in_highrisk_individuals.pdf		164.09 KB	Adobe PDF	Download

Send Feedback

Authors

Abstract(s)

Societal and economic impact of influenza is mainly due to influenza infection of specific groups, who are at higher risk of health complications leading up to hospitalisation or death. In this study we applied the health belief model (HBM) to evaluate beliefs and attitudes towards influenza disease and vaccine in community-dwelling high-risk individuals (aged 65 or more or having a chronic disease). We conducted a mixed-method study using data collected through a telephone survey of a household unit sample. We used thematic analysis to map responses to HBM dimensions and Poisson regression to model vaccine non-uptake prevalence. The main self-reported reason not to take the vaccine referred to the susceptibility dimension: 'considering oneself to be a healthy person' (29·8%, (95% confidence interval (CI) 22·1-38·7)). Bad experiences after vaccination - barriers dimension - were also commonly reported (17·0%, (95% CI 10·8-23·8)). Vaccine non-uptake prevalence was 22% higher in those who did not consider themselves susceptible to contract flu (Prevalence Ratio (PR) = 1·22, (95% CI 1·0-1·5)) and 18% lower in those who did not consider that the vaccine causes flu symptoms (PR = 0·82, (95% CI 0·68-0·99)). Results suggest that high-risk individuals do not think of themselves susceptible to influenza infection and fear adverse events following immunisation.

Keywords

Chronic Disease Elderly Health Belief Model Influenza Vaccine Idosos High-risk Vaccine non-uptake Determinantes da Saúde e da Doença Vacina Antigripal ECOS Doença Crónica Modelo de Crenças em Saúde