INTRODUCTION: Understanding patient factors associated with not being vaccinated is essential for successful implementation of influenza vaccination programs. METHODS: We enrolled adults hospitalized with severe acute respiratory illness at 10 United States (US) hospitals during the 2019-2020 influenza season. We interviewed patients to collect data about influenza vaccination, sociodemographic characteristics, and vaccine perceptions. RESULTS: Among 679 participants, 264 (38.9%) reported not receiving influenza vaccination. Among those not vaccinated, 135 (51.1%) reported choosing not to receive a vaccine because of perceived ineffectiveness (36.7%) or risk (14.4%) of influenza vaccination. Sociodemographic factors associated with not being vaccinated included no medical insurance (aOR = 6.42; 95% CI: 2.52-16.38) and being non-White or Hispanic (aOR = 1.54, 95% CI: 1.02-2.32). CONCLUSIONS: Optimizing uptake of influenza vaccination in the US may be improved by educational programs regarding vaccine safety and effectiveness and enhancing vaccine access, particularly among non-White and Hispanic Americans and those without medical insurance.
INTRODUCTION: Understanding patient factors associated with not being vaccinated is essential for successful implementation of influenza vaccination programs. METHODS: We enrolled adults hospitalized with severe acute respiratory illness at 10 United States (US) hospitals during the 2019-2020 influenza season. We interviewed patients to collect data about influenza vaccination, sociodemographic characteristics, and vaccine perceptions. RESULTS: Among 679 participants, 264 (38.9%) reported not receiving influenza vaccination. Among those not vaccinated, 135 (51.1%) reported choosing not to receive a vaccine because of perceived ineffectiveness (36.7%) or risk (14.4%) of influenza vaccination. Sociodemographic factors associated with not being vaccinated included no medical insurance (aOR = 6.42; 95% CI: 2.52-16.38) and being non-White or Hispanic (aOR = 1.54, 95% CI: 1.02-2.32). CONCLUSIONS: Optimizing uptake of influenza vaccination in the US may be improved by educational programs regarding vaccine safety and effectiveness and enhancing vaccine access, particularly among non-White and Hispanic Americans and those without medical insurance.
Authors: Chelsea S Lutz; Rebecca V Fink; Ann J Cloud; John Stevenson; David Kim; Amy Parker Fiebelkorn Journal: Vaccine Date: 2019-12-27 Impact factor: 3.641
Authors: Katherine L Milkman; John Beshears; James J Choi; David Laibson; Brigitte C Madrian Journal: Proc Natl Acad Sci U S A Date: 2011-06-13 Impact factor: 12.779
Authors: Carlos G Grijalva; Leora R Feldstein; H Keipp Talbot; Michael Aboodi; Adrienne H Baughman; Samuel M Brown; Jonathan D Casey; Heidi L Erickson; Matthew C Exline; D Clark Files; Kevin W Gibbs; Adit A Ginde; Michelle N Gong; Natasha Halasa; Akram Khan; Christopher J Lindsell; Samuel K Nwosu; Ithan D Peltan; Matthew E Prekker; Todd W Rice; Nathan I Shapiro; Jay S Steingrub; William B Stubblefield; Mark W Tenforde; Manish M Patel; Wesley H Self Journal: Clin Infect Dis Date: 2021-10-20 Impact factor: 9.079
Authors: Louise A Brown Nicholls; Allyson J Gallant; Nicola Cogan; Susan Rasmussen; David Young; Lynn Williams Journal: Vaccine Date: 2021-05-20 Impact factor: 3.641
Authors: Wesley H Self; Mark W Tenforde; William B Stubblefield; Leora R Feldstein; Jay S Steingrub; Nathan I Shapiro; Adit A Ginde; Matthew E Prekker; Samuel M Brown; Ithan D Peltan; Michelle N Gong; Michael S Aboodi; Akram Khan; Matthew C Exline; D Clark Files; Kevin W Gibbs; Christopher J Lindsell; Todd W Rice; Ian D Jones; Natasha Halasa; H Keipp Talbot; Carlos G Grijalva; Jonathan D Casey; David N Hager; Nida Qadir; Daniel J Henning; Melissa M Coughlin; Jarad Schiffer; Vera Semenova; Han Li; Natalie J Thornburg; Manish M Patel Journal: MMWR Morb Mortal Wkly Rep Date: 2020-09-04 Impact factor: 17.586
Authors: Michael J Ward; David J Douin; Wu Gong; Adit A Ginde; Catherine L Hough; Matthew C Exline; Mark W Tenforde; William B Stubblefield; Jay S Steingrub; Matthew E Prekker; Akram Khan; D Clark Files; Kevin W Gibbs; Todd W Rice; Jonathan D Casey; Daniel J Henning; Jennifer G Wilson; Samuel M Brown; Manish M Patel; Wesley H Self; Christopher J Lindsell Journal: J Clin Transl Sci Date: 2022-04-25