ArticleVaccine2019
Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study.
Article in Vaccine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Drivers of and barriers to routine adult vaccination: A systematic literature review.Human vaccines & immunotherapeutics · 2022Pooled it
- Evaluation of multi-component interventions for prevention of nosocomial pneumonia in older adults: a randomized, controlled trial.European geriatric medicine · 2021Trial
- Seasonal influenza vaccination uptake among older adults in Yerevan, Armenia.BMC geriatrics · 2026Article
- What drives adult vaccine hesitancy? Content and face validation of a new measure for U. S. Adults.Frontiers in public health · 2026Article
- Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping Review.Vaccines · 2025Review
- Analysis of key factors and equity in influenza vaccination among Chinese adults-evidence from a large national cross-sectional survey.Frontiers in public health · 2025Article
- Knowledge of, Attitudes toward, Barriers to, and Uptake Rate of Influenza Virus Vaccine among Adults Aged ≥65 Years in Jordan: A Multicenter Cross-Sectional Study.Risk management and healthcare policy · 2025Article
- Respiratory Virus Vaccines: Pathways to Recommendations and Enhanced Coverage for At-Risk Populations.Infectious diseases and therapy · 2025Article
- Vaccination Knowledge, Attitudes, Perceptions, and Educational Needs of Pharmacists in Singapore: A Cross-Sectional Study.Vaccines · 2024Article
- Barriers to and facilitators of populational adherence to prevention and control measures of COVID-19 and other respiratory infectious diseases: a qualitative evidence synthesis.European respiratory review : an official journal of the European Respiratory Society · 2023Review
- Using the precaution adoption process model to understand decision-making about the COVID-19 booster vaccine in England.Vaccine · 2023Article
- Article
- Applying two behavioral theories to predict the willingness to receive COVID-19 vaccine booster in the elderly: A cross-sectional study.Research in social & administrative pharmacy : RSAP · 2023Article
- Experience of COVID-19 Vaccination among Primary Healthcare Workers in Hong Kong: A Qualitative Study.Vaccines · 2022Article
- The Role of COVID-19 Vaccine Perception, Hope, and Fear on the Travel Bubble Program.International journal of environmental research and public health · 2022Article
- Article
- Promoting COVID-19 Vaccination Using the Health Belief Model: Does Information Acquisition from Divergent Sources Make a Difference?International journal of environmental research and public health · 2022Article
- The effect of vaccination beliefs regarding vaccination benefits and COVID-19 fear on the number of vaccination injections.Frontiers in psychology · 2022Article
- Under-Vaccination in Adults: Qualitative Insights Into Perceived Barriers Reported by Vaccine Supporters, Undecided and Refuters.The journal of primary prevention · 2021Article
- Behavioural intention of receiving COVID-19 vaccination, social media exposures and peer discussions in China.Epidemiology and infection · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite recommendations for influenza vaccination of people aged 65 and above, uptake rate of influenza vaccines remains low. This study aims to understand barriers and motivators behind older adult's decision on influenza vaccination.
methodsFace to face interviews with participants aged 65 and above were conducted and audio recorded in Geylang polyclinic in Singapore. Thematic content analysis was used to organise the data.
results15 older adults were interviewed, aged between 66 and 85 years old. 6 were vaccine refusers, 3 defaulters and 6 acceptors. A perceived lack of vulnerability, fear of side effects, and trivialisation of influenza were common reasons for not taking the vaccine. Encouragement from family and friends, travel and previous positive vaccination experiences were motivators for getting vaccinated. Healthcare workers played a role in influencing many of the participants' decision-making. Common misconceptions included vaccines considered as necessary only before travel and as a cure rather than prevention. Most participants exhibited ambivalence, giving reasons both for and against vaccine uptake. DISCUSSION: Most older adults do not perceive influenza as a potentially serious disease nor trust in influenza vaccines' efficacy. Misconceptions played a significant role in vaccine decline. Novel findings include the importance of the family unit in decision making, prioritization of chronic health problems over vaccination and misconception that vaccines are only needed when travelling out of country. Healthcare workers and family members appear to be important influencers in the decision making of older adults and should be actively engaged in future health promotion initiatives.
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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.