Factors Mediating Seasonal and Influenza A (H1N1) Vaccine Accepting among Ethnically Diverse Populations in the Urban South

Authors

Paula M. Frew, University of Nevada, Las VegasFollow
Julia E. Painter, The Hope Clinic of the Emoty Vaccine Center
Brooke Hixson, The Hope Clinic of the Emory Vaccine Center
Carolyn Kulb, The Hope Clinic of the Emory Vaccine Center
Kathryn Moore, The Hope Clinic of the Emoty Vaccine Center
Carlos del Rio, Emory University
Alejandra Esteves-Jaramillo, Emory University
Saad B. Omer, Emory University

Document Type

Article

Publication Date

4-23-2012

Publication Title

Vaccine

Volume

30

Issue

28

First page number:

4200

Last page number:

4208

Abstract

Objective We examined the acceptability of the influenza A (H1N1) and seasonal vaccinations immediately following government manufacture approval to gauge potential product uptake in minority communities. We studied correlates of vaccine acceptance including attitudes, beliefs, perceptions, and influenza immunization experiences, and sought to identify communication approaches to increase influenza vaccine coverage in community settings. Methods Adults ≥18 years participated in a cross-sectional survey from September through December 2009. Venue-based sampling was used to recruit participants of racial and ethnic minorities. Results The sample (N = 503) included mostly lower income (81.9%, n = 412) participants and African Americans (79.3%, n = 399). Respondents expressed greater acceptability of the H1N1 vaccination compared to seasonal flu immunization (t = 2.86, p = 0.005) although H1N1 vaccine acceptability was moderately low (38%, n = 191). Factors associated with acceptance of the H1N1 vaccine included positive attitudes about immunizations [OR = 0.23, CI (0.16, 0.33)], community perceptions of H1N1 [OR = 2.15, CI (1.57, 2.95)], and having had a flu shot in the past 5 years [OR = 2.50, CI (1.52, 4.10). The factors associated with acceptance of the seasonal flu vaccine included positive attitudes about immunization [OR = 0.43, CI (0.32, 0.59)], community perceptions of H1N1 [OR = 1.53, CI (1.16, 2.01)], and having had the flu shot in the past 5 years [OR = 3.53, CI (2.16, 5.78)]. Participants were most likely to be influenced to take a flu shot by physicians [OR = 1.94, CI (1.31, 2.86)]. … See full text for complete abstract.

Keywords

H1N1 vaccine; Acceptability; Vaccine refusal; Immunization coverage; Minorities

Disciplines

Immunology of Infectious Disease | Virology

Language

English

Repository Citation

Frew, P. M., Painter, J. E., Hixson, B., Kulb, C., Moore, K., del Rio, C., Esteves-Jaramillo, A., Omer, S. B. (2012). Factors Mediating Seasonal and Influenza A (H1N1) Vaccine Accepting among Ethnically Diverse Populations in the Urban South. Vaccine, 30(28), 4200-4208.
http://dx.doi.org/10.1016/j.vaccine.2012.04.053