Factors mediating seasonal and influenza A (H1N1) vaccine acceptance among ethnically diverse populations in the urban south
Factors mediating seasonal and influenza A (H1N1) vaccine acceptance among ethnically diverse populations in the urban south
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DOI：
10.1016/j.vaccine.2012.04.053
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发表时间：
2012-06-13
期刊：
影响因子：
5.5
通讯作者：
Omer, Saad B.
中科院分区：
文献类型：
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作者：
Frew, Paula M.;Painter, Julia E.;Omer, Saad B.
目的：我们研究了甲型H1N1流感疫苗和季节性疫苗在政府批准生产后的可接受性，以评估少数民族社区的潜在产品吸收。我们研究了相关的疫苗接受，包括态度，信仰，观念和流感免疫接种的经验，并试图确定沟通的方法，以增加流感疫苗覆盖率在社区setting.Methods：成人>= 18岁参加了横断面调查，从2009年9月至12月。场地为基础的抽样被用来招募参与者的种族和ethnic minorities.Results：样本（N=503），主要包括低收入（81.9%，n=412）的参与者和非洲裔美国人（79.3%，n=399）。受访者表示更大的接受H1N1疫苗接种相比，季节性流感免疫（t=2.86，p=0.005），虽然H1N1疫苗的可接受性是中等偏低（38%，n=191）。与接受H1N1疫苗相关的因素包括对免疫接种的积极态度[OR=0.23，CI（0.16，0.33）]、社区对H1N1的看法[OR= 2.15，CI（1.57，2.95）]和过去5年内接种过流感疫苗[OR= 2.50，CI（1.52，4.10）]。接受季节性流感疫苗的相关因素包括对疫苗接种的积极态度[OR= 0.43，CI（0.32，0.59）]、社区对H1N1的认知[OR= 1.53，CI（1.16，2.01）]和过去5年内接种过流感疫苗[OR= 3.53，CI（2.16，5.78）]。参与者最有可能受到医生的影响而接种流感疫苗[OR=1.94，CI（1.31，2.86）]。接种流感疫苗的人表示，Facebook（chi（2）=11.7，p=0.02）和Twitter（chi（2）=18.1，p = 0.001）可能是有用的疫苗沟通渠道，教堂（chi（2）=21.5，p
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)]. Persons who obtained influenza vaccinations indicated that Facebook (chi(2)=11.7, p=0.02) and Twitter (chi(2)=18.1, p = 0.001) could be useful vaccine communication channels and that churches (chi(2)=21.5, p