Barriers to influenza immunization in a low-income urban population
Barriers to influenza immunization in a low-income urban population
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DOI：
10.1016/s0749-3797(00)00263-4
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发表时间：
2001-01-01
影响因子：
5.5
通讯作者：
Ubel, PA
中科院分区：
文献类型：
--
作者：
Armstrong, K;Berlin, M;Ubel, PA
背景资料：尽管流感免疫大大降低了流感的死亡率，但每年仍有超过三分之一的美国老年人没有接种疫苗。免疫接种率低在非洲裔美国低收入人群中尤其令人担忧。初步访谈表明，对流感疫苗中未公开成分的恐惧可能会阻碍这一脆弱人群对疫苗的接受。Objectives：评估在主要为非洲裔美国人的低收入城市人群中，对疫苗内容和其他因素的关注在流感免疫接种中的作用。对年龄大于或等于65岁的西费城居民进行随机抽样的横断面、基于卫生系统人群的电话调查。在659名符合条件的个人中，486人（73.8%）成功接受了采访。132名（20%）受访者报告了对未公开注射内容的担忧，与接种疫苗呈负相关（OR 0.49，95%CI 0.26-0.91）。这种关联在非裔美国人和高加索人中相似。此外，接种流感疫苗与认为免疫接种不方便的看法呈负相关（OR 0.14，95% CI 0.05-0.36），认为免疫是痛苦的（OR 0.21，95% CI 0.08-0.54）和既往副作用史（OR 0.33，95% CI 0.18-0.60），与医生建议呈正相关（OR 3.22，95% CI 1.76-5.93）。在低收入城市人群中，对未公开疫苗内容的担忧似乎阻碍了非裔美国人和高加索人接受流感疫苗接种。直接解决这一问题为增加这一弱势群体的免疫接种提供了一种新的办法。(C)2001年美国预防医学杂志。
Background: Athough influenza immunization significantly reduces mortality from influenza, over one third of elderly Americans are not immunized each year. Low rates of immunization are particularly concerning among African-American low-income populations. Preliminary interviews suggested that fear of undisclosed ingredients in the influenza vaccine may impede vaccine acceptance in this vulnerable population.Objectives: To assess the role of concern about vaccine contents and other factors in the use of influenza immunization among a predominantly African-American low-income urban population.Methods: Cross-sectional, health-system-population-based, telephone survey of a random sample of West Philadelphia residents aged greater than or equal to 65 years.Results: Of 659 eligible individuals, 486 (73.8%) were successfully interviewed. Concern about undisclosed shot contents was reported by 132 (20%) respondents and was inversely associated with vaccine receipt (OR 0.49, 95% CI 0.26-0.91). This association was similar among African Americans and Caucasians. In addition, receipt of influenza vaccine was inversely associated with belief that immunization is inconvenient (OR 0.14, 95% CI 0.05-0.36), belief that immunization is painful (OR 0.21, 95% CI 0.08-0.54), and history of previous side effects (OR 0.33, 95% CI 0.18-0.60), and positively associated with physician recommendation (OR 3.22, 95% CI 1.76-5.93).Conclusions: In a low-income urban population, concern about undisclosed vaccine contents appears to impede acceptance of influenza immunization among both African Americans and Caucasians. Directly addressing this concern offers a new approach to increasing immunization in this vulnerable population. (C) 2001 American Journal of Preventive Medicine.