Barriers to Pneumococcal and Influenza Vaccination in Older Community‐Dwelling Adults (2000–2001)
- 24 December 2003
- journal article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 52 (1), 25-30
- https://doi.org/10.1111/j.1532-5415.2004.52006.x
Abstract
Objectives: To identify facilitators of and barriers to vaccination in patients from a range of socioeconomic levels. Design: A survey was conducted in 2001 using computer-assisted telephone interviewing. Setting: Patients from inner-city health centers and suburban practices were interviewed. Participants: Inclusion criteria were aged 66 and older and an office visit after September 30, 1998. Measurements: Self-reported influenza and pneumococcal vaccination status and facilitating conditions, attitudes, social influences, and perceived consequences from the Triandis model were assessed. Results: Overall, 557 interviews were completed with 775 eligible patients (72%). Patients who reported having received pneumococcal vaccine more frequently believed that their physicians recommended the vaccine than did the unvaccinated (97% vs 49%; P=.001). This was also true for influenza vaccine (99% vs 80%; P<.001). More unvaccinated patients than vaccinated patients felt that obtaining either vaccine was more trouble than it is worth (pneumococcal 19% vs 1%; P=.04, influenza 20% vs 1%; P=.004). The vaccinated were more likely to be willing to obtain the influenza and pneumococcal vaccines at the same time (pneumococcal 91% vs 59%; P=.002, influenza 91% vs 55%; P=.014). Conclusion: Physicians should take every opportunity to recommend vaccination to their eligible adult patients. Offering influenza and pneumococcal vaccines at the same visit is an acceptable means to ensure that adults are fully vaccinated.Keywords
This publication has 16 references indexed in Scilit:
- Why do healthy elderly people fail to comply with influenza vaccination?Age and Ageing, 1997
- Factors associated with influenza and pneumococcal vaccination behavior among high-risk adultsJournal of General Internal Medicine, 1996
- Patient acceptance of influenza vaccinationAmerican Journal Of Medicine, 1991
- Increased Utilization of Influenza and Pneumococcal Vaccines in an Elderly Hospitalized PopulationJournal of the American Geriatrics Society, 1988
- A comparison of the Fishbein and Ajzen and the Triandis attitudinal models for the prediction of exercise intention and behaviorJournal of Behavioral Medicine, 1988
- Predicting and Understanding Influenza Vaccination BehaviorMedical Care, 1986
- Survey of Physician Acceptance of the Pneumococcal VaccineSouthern Medical Journal, 1984
- Habit and Behavioral Intentions as Predictors of Social BehaviorThe Journal of Social Psychology, 1978
- Cross‐cultural model testing: toward a solution of the etic‐emic dilemmaInternational Journal of Psychology, 1976