Evidence map›Paper›PMID 26416814›Full record

ArticleMedical decision making : an international journal of the Society for Medical Decision Making2016

Inspecting the Mechanism: A Longitudinal Analysis of Socioeconomic Status Differences in Perceived Influenza Risks, Vaccination Intentions, and Vaccination Behaviors during the 2009-2010 Influenza Pandemic.

Jürgen Maurer

Abstract read
In one paragraph

Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Trial
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  5. Paediatrics & child health · 2022
    Article
  6. Influenza risk groups in Norway by education and employment status.Scandinavian journal of public health · 2022
    Article
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  14. Attractive Flu Shot: A Behavioral Approach to Increasing Influenza Vaccination Uptake Rates.Medical decision making : an international journal of the Society for Medical Decision Making · 2020
    Article
  15. Observational
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Jürgen MaurerInstitute of Health Economics and Management (IEMS) and Department of Economics (DEEP), University of Lausanne, Switzerland (JM) jurgen.maurer@unil.ch.

Funding

Internet Interviewing and the HRSR01AG020717 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KAPTEYN, ARIE · 2002 to 2015
$18.8M
Differential Provider Interactions and Ethnic Disparities in Influenza VaccinatioR03AI095084 · NIAID · RAND CORPORATION · PI HARRIS, KATHERINE MARIE · 2010 to 2011
$195k
NIAID NIH HHS R03 AI095084NIA NIH HHS R01 AG020717
6 · The paper itself

Abstract

backgroundInfluenza vaccination is strongly associated with socioeconomic status, but there is only limited evidence on the respective roles of socioeconomic differences in vaccination intentions versus corresponding differences in follow-through on initial vaccination plans for subsequent socioeconomic differences in vaccine uptake.

methodsNonparametric mean smoothing, linear regression, and probit models were used to analyze longitudinal survey data on perceived influenza risks, behavioral vaccination intentions, and vaccination behavior of adults during the 2009-2010 influenza A/H1N1 ("swine flu") pandemic in the United States. Perceived influenza risks and behavioral vaccination intentions were elicited prior to the availability of H1N1 vaccine using a probability scale question format. H1N1 vaccine uptake was assessed at the end of the pandemic.

resultsEducation, income, and health insurance coverage displayed positive associations with behavioral intentions to get vaccinated for pandemic influenza while employment was negatively associated with stated H1N1 vaccination intentions. Education and health insurance coverage also displayed significant positive associations with pandemic vaccine uptake. Moreover, behavioral vaccination intentions showed a strong and statistically significant positive partial association with later H1N1 vaccination. Incorporating vaccination intentions in a statistical model for H1N1 vaccine uptake further highlighted higher levels of follow-through on initial vaccination plans among persons with higher education levels and health insurance. LIMITATIONS: Sampling bias, misreporting in self-reported data, and limited generalizability to nonpandemic influenza are potential limitations of the analysis.

conclusionsClosing the socioeconomic gap in influenza vaccination requires multipronged strategies that not only increase vaccination intentions by improving knowledge, attitudes, and beliefs but also facilitate follow-through on initial vaccination plans by improving behavioral control and access to vaccination for individuals with low education, employed persons, and the uninsured.

Indexed as

Health BehaviorRisk AssessmentAdolescentAdultAgedHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesLongitudinal StudiesMiddle AgedMultivariate AnalysisSocial ClassUnited StatesVaccinationYoung AdultInfluenza Vaccinesbehavioral economicsbehavioral intentionsinfluenza pandemicinfluenza vaccinationmedical decision makingsocioeconomic disparitiesvaccination behavior

Identifiers

PMID26416814
PMCPMC4809795

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.