ArticleVaccine2015
Reasons for low influenza vaccination coverage among adults in Puerto Rico, influenza season 2013-2014.
Article in Vaccine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Barriers of Influenza Vaccination Intention and Behavior - A Systematic Review of Influenza Vaccine Hesitancy, 2005 - 2016.PloS one · 2017Pooled it
- Reduced spread of influenza and other respiratory viral infections during the COVID-19 pandemic in southern Puerto Rico.PloS one · 2022Article
- Influence of Health Beliefs on COVID-19 Vaccination among Individuals with Cancer and Other Comorbidities in Puerto Rico.Vaccines · 2021Article
- Factors Associated with Intention to Receive Vaccination against COVID-19 in Puerto Rico: An Online Survey of Adults.International journal of environmental research and public health · 2021Article
- Knowledge, attitudes and practices on influenza vaccination during pregnancy in Quito, Ecuador.BMC public health · 2021Article
- Exploring the relationship between newspaper coverage of vaccines and childhood vaccination rates in Spain.Human vaccines & immunotherapeutics · 2020Article
- Survey of Adult Influenza Vaccination Practices and Perspectives Among US Primary Care Providers (2016-2017 Influenza Season).Journal of general internal medicine · 2019Article
- Social media use and influenza vaccine uptake among White and African American adults.Vaccine · 2018Article
- Article
- Rapid changes in serum cytokines and chemokines in response to inactivated influenza vaccination.Influenza and other respiratory viruses · 2018Article
- Factors associated with a successful expansion of influenza vaccination among pregnant women in Nicaragua.Vaccine · 2016Article
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundInfluenza vaccination is recommended annually for all persons 6 months and older. Reports of increased influenza-related morbidity and mortality during the 2013-2014 influenza season raised concerns about low adult influenza immunization rates in Puerto Rico. In order to inform public health actions to increase vaccination rates, we surveyed adults in Puerto Rico regarding influenza vaccination-related attitudes and barriers.
methodsA random-digit-dialing telephone survey (50% landline: 50% cellphone) regarding influenza vaccination, attitudes, practices and barriers was conducted November 19-25, 2013 among adults in Puerto Rico. Survey results were weighted to reflect sampling design and adjustments for non-response.
resultsAmong 439 surveyed, 229 completed the survey with a 52% response rate. Respondents' median age was 55 years; 18% reported receiving 2013-2014 influenza vaccination. Among 180 unvaccinated respondents, 38% reported barriers associated with limited access to vaccination, 24% reported they did not want or need influenza vaccination, and 20% reported safety concerns. Vaccinated respondents were more likely to know if they were recommended for influenza vaccination, to report greater perceived risk of influenza illness, and to report being less concerned about influenza vaccine safety (p-value<0.05). Of the 175 respondents who saw a healthcare provider (HCP) since July 1, 2013, 38% reported their HCP recommended influenza vaccination and 17% were offered vaccination. Vaccination rates were higher among adults who received a recommendation and/or offer of influenza vaccination (43% vs. 14%; p-value<0.01).
conclusionsFailure of HCP to recommend and/or offer influenza vaccination and patient attitudes (low perceived risk of influenza virus infection) may have contributed to low vaccination rates during the 2013-2014 season. HCP and public health practitioners should strongly recommend influenza vaccination and provide vaccinations during clinical encounters or refer patients for vaccination.
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