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Motivations for (non)participation in population-based health studies among the elderly - comparison of participants and nonparticipants of a prospective study on influenza vaccination.

Identifieur interne : 000059 ( Main/Exploration ); précédent : 000058; suivant : 000060

Motivations for (non)participation in population-based health studies among the elderly - comparison of participants and nonparticipants of a prospective study on influenza vaccination.

Auteurs : Manas K. Akmatov [Allemagne] ; Leonhard Jentsch [Allemagne] ; Peggy Riese [Allemagne] ; Marcus May [Allemagne] ; Malik W. Ahmed [Allemagne] ; Damaris Werner [Allemagne] ; Anja Rösel [Allemagne] ; Jana Prokein [Allemagne] ; Inga Bernemann [Allemagne] ; Norman Klopp [Allemagne] ; Blair Prochnow [Allemagne] ; Thomas Illig [Allemagne] ; Christoph Schindler [Allemagne] ; Carlos A. Guzman [Allemagne] ; Frank Pessler [Allemagne]

Source :

RBID : pubmed:28148221

Descripteurs français

English descriptors

Abstract

BACKGROUND

Participation in epidemiological studies has strongly declined in recent years. We examined the reasons for (non)participation in population-based health studies among participants and nonparticipants of a prospective study on influenza vaccination among the elderly.

METHODS

Males and females between 65 and 80 years of age (N = 5582) were randomly selected from the residents' registration office in Hannover, Germany, and were invited to participate in a study featuring vaccination with a seasonal adjuvanted influenza vaccine (Fluad™, Novartis) including five follow-up visits (day 0, 1/3, 7, 21, 70 with respect to vaccination). A 24-item nonresponder questionnaire, including 10 items on reasons for participating in a hypothetical health study, was mailed to 1500 randomly selected nonparticipants. The same 10 items were included in the end-of-study questionnaire administered to the participants in the vaccination study (n = 200). Logistic regression analysis with backward elimination was used to identify the reasons most strongly associated with nonparticipation.

RESULTS

Five hundred thirty-one (35%) nonparticipants and 200 participants (100%) returned the respective questionnaires. Nonparticipation was associated with a lower interest in obtaining personal health information (OR = 3.32) and a preference for less invasive (OR = 3.01) and less time-demanding (OR = 2.19) studies. Responses to other items, e.g. regarding altruistic motives, monetary compensation, general interest of the study, or study approval through ethics committee and data security authority, did not differ between participants and nonparticipants.

CONCLUSIONS

Participation rates in health studies among elderly individuals could potentially be improved by reducing interventions and time demand, for instance by implementing methods of self-sampling and remote data collection.

TRIAL REGISTRATION

No. 1100359 (ClinicalTrials.gov, date of registration: 09.02.2015).


DOI: 10.1186/s12874-017-0302-z
PubMed: 28148221
PubMed Central: PMC5288977


Affiliations:


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<name sortKey="Prokein, Jana" sort="Prokein, Jana" uniqKey="Prokein J" first="Jana" last="Prokein">Jana Prokein</name>
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<nlm:affiliation>Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.</nlm:affiliation>
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<name sortKey="Bernemann, Inga" sort="Bernemann, Inga" uniqKey="Bernemann I" first="Inga" last="Bernemann">Inga Bernemann</name>
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<nlm:affiliation>Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<name sortKey="Klopp, Norman" sort="Klopp, Norman" uniqKey="Klopp N" first="Norman" last="Klopp">Norman Klopp</name>
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<nlm:affiliation>Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.</nlm:affiliation>
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<nlm:affiliation>Helmholtz Centre for Infection Research, Braunschweig, Germany.</nlm:affiliation>
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</affiliation>
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<author>
<name sortKey="Illig, Thomas" sort="Illig, Thomas" uniqKey="Illig T" first="Thomas" last="Illig">Thomas Illig</name>
<affiliation wicri:level="3">
<nlm:affiliation>Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Hannover Unified Biobank, Hannover Medical School, Hannover</wicri:regionArea>
<placeName>
<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Schindler, Christoph" sort="Schindler, Christoph" uniqKey="Schindler C" first="Christoph" last="Schindler">Christoph Schindler</name>
<affiliation wicri:level="3">
<nlm:affiliation>MHH CRC Core Facility, Hannover Medical School, Hannover, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>MHH CRC Core Facility, Hannover Medical School, Hannover</wicri:regionArea>
<placeName>
<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Guzman, Carlos A" sort="Guzman, Carlos A" uniqKey="Guzman C" first="Carlos A" last="Guzman">Carlos A. Guzman</name>
<affiliation wicri:level="1">
<nlm:affiliation>Helmholtz Centre for Infection Research, Braunschweig, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Helmholtz Centre for Infection Research, Braunschweig</wicri:regionArea>
<wicri:noRegion>Braunschweig</wicri:noRegion>
<wicri:noRegion>Braunschweig</wicri:noRegion>
<wicri:noRegion>Braunschweig</wicri:noRegion>
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<nlm:affiliation>Centre for Individualized Infection Medicine, Hannover, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Centre for Individualized Infection Medicine, Hannover</wicri:regionArea>
<placeName>
<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Pessler, Frank" sort="Pessler, Frank" uniqKey="Pessler F" first="Frank" last="Pessler">Frank Pessler</name>
<affiliation wicri:level="3">
<nlm:affiliation>TWINCORE, Centre for Experimental and Clinical Infection Research, Hannover, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
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<nlm:affiliation>Helmholtz Centre for Infection Research, Braunschweig, Germany.</nlm:affiliation>
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<wicri:noRegion>Braunschweig</wicri:noRegion>
<wicri:noRegion>Braunschweig</wicri:noRegion>
<wicri:noRegion>Braunschweig</wicri:noRegion>
</affiliation>
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<nlm:affiliation>Centre for Individualized Infection Medicine, Hannover, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Centre for Individualized Infection Medicine, Hannover</wicri:regionArea>
<placeName>
<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
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<series>
<title level="j">BMC medical research methodology</title>
<idno type="eISSN">1471-2288</idno>
<imprint>
<date when="2017" type="published">2017</date>
</imprint>
</series>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Aged (MeSH)</term>
<term>Female (MeSH)</term>
<term>Germany (MeSH)</term>
<term>Health Surveys (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (therapeutic use)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Male (MeSH)</term>
<term>Motivation (MeSH)</term>
<term>Patient Compliance (psychology)</term>
<term>Prospective Studies (MeSH)</term>
<term>Refusal to Participate (psychology)</term>
<term>Vaccination (statistics & numerical data)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Allemagne (MeSH)</term>
<term>Enquêtes de santé (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Motivation (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Observance par le patient (psychologie)</term>
<term>Refus de participer (psychologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Vaccination (statistiques et données numériques)</term>
<term>Vaccins antigrippaux (usage thérapeutique)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Influenza Vaccines</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr">
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Observance par le patient</term>
<term>Refus de participer</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Patient Compliance</term>
<term>Refusal to Participate</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Vaccination</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Vaccination</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Female</term>
<term>Germany</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Male</term>
<term>Motivation</term>
<term>Prospective Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Allemagne</term>
<term>Enquêtes de santé</term>
<term>Femelle</term>
<term>Humains</term>
<term>Motivation</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Participation in epidemiological studies has strongly declined in recent years. We examined the reasons for (non)participation in population-based health studies among participants and nonparticipants of a prospective study on influenza vaccination among the elderly.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Males and females between 65 and 80 years of age (N = 5582) were randomly selected from the residents' registration office in Hannover, Germany, and were invited to participate in a study featuring vaccination with a seasonal adjuvanted influenza vaccine (Fluad™, Novartis) including five follow-up visits (day 0, 1/3, 7, 21, 70 with respect to vaccination). A 24-item nonresponder questionnaire, including 10 items on reasons for participating in a hypothetical health study, was mailed to 1500 randomly selected nonparticipants. The same 10 items were included in the end-of-study questionnaire administered to the participants in the vaccination study (n = 200). Logistic regression analysis with backward elimination was used to identify the reasons most strongly associated with nonparticipation.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Five hundred thirty-one (35%) nonparticipants and 200 participants (100%) returned the respective questionnaires. Nonparticipation was associated with a lower interest in obtaining personal health information (OR = 3.32) and a preference for less invasive (OR = 3.01) and less time-demanding (OR = 2.19) studies. Responses to other items, e.g. regarding altruistic motives, monetary compensation, general interest of the study, or study approval through ethics committee and data security authority, did not differ between participants and nonparticipants.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Participation rates in health studies among elderly individuals could potentially be improved by reducing interventions and time demand, for instance by implementing methods of self-sampling and remote data collection.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>TRIAL REGISTRATION</b>
</p>
<p>No. 1100359 (ClinicalTrials.gov, date of registration: 09.02.2015).</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">28148221</PMID>
<DateCompleted>
<Year>2017</Year>
<Month>10</Month>
<Day>31</Day>
</DateCompleted>
<DateRevised>
<Year>2019</Year>
<Month>01</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1471-2288</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2017</Year>
<Month>02</Month>
<Day>02</Day>
</PubDate>
</JournalIssue>
<Title>BMC medical research methodology</Title>
<ISOAbbreviation>BMC Med Res Methodol</ISOAbbreviation>
</Journal>
<ArticleTitle>Motivations for (non)participation in population-based health studies among the elderly - comparison of participants and nonparticipants of a prospective study on influenza vaccination.</ArticleTitle>
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</Pagination>
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<Abstract>
<AbstractText Label="BACKGROUND">Participation in epidemiological studies has strongly declined in recent years. We examined the reasons for (non)participation in population-based health studies among participants and nonparticipants of a prospective study on influenza vaccination among the elderly.</AbstractText>
<AbstractText Label="METHODS">Males and females between 65 and 80 years of age (N = 5582) were randomly selected from the residents' registration office in Hannover, Germany, and were invited to participate in a study featuring vaccination with a seasonal adjuvanted influenza vaccine (Fluad™, Novartis) including five follow-up visits (day 0, 1/3, 7, 21, 70 with respect to vaccination). A 24-item nonresponder questionnaire, including 10 items on reasons for participating in a hypothetical health study, was mailed to 1500 randomly selected nonparticipants. The same 10 items were included in the end-of-study questionnaire administered to the participants in the vaccination study (n = 200). Logistic regression analysis with backward elimination was used to identify the reasons most strongly associated with nonparticipation.</AbstractText>
<AbstractText Label="RESULTS">Five hundred thirty-one (35%) nonparticipants and 200 participants (100%) returned the respective questionnaires. Nonparticipation was associated with a lower interest in obtaining personal health information (OR = 3.32) and a preference for less invasive (OR = 3.01) and less time-demanding (OR = 2.19) studies. Responses to other items, e.g. regarding altruistic motives, monetary compensation, general interest of the study, or study approval through ethics committee and data security authority, did not differ between participants and nonparticipants.</AbstractText>
<AbstractText Label="CONCLUSIONS">Participation rates in health studies among elderly individuals could potentially be improved by reducing interventions and time demand, for instance by implementing methods of self-sampling and remote data collection.</AbstractText>
<AbstractText Label="TRIAL REGISTRATION">No. 1100359 (ClinicalTrials.gov, date of registration: 09.02.2015).</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Akmatov</LastName>
<ForeName>Manas K</ForeName>
<Initials>MK</Initials>
<AffiliationInfo>
<Affiliation>TWINCORE, Centre for Experimental and Clinical Infection Research, Hannover, Germany. manas.akmatov@twincore.de.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Helmholtz Centre for Infection Research, Braunschweig, Germany. manas.akmatov@twincore.de.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Centre for Individualized Infection Medicine, Hannover, Germany. manas.akmatov@twincore.de.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Research Group "Biomarkers for Infectious Diseases", TWINCORE, Centre for Experimental and Clinical Infection Research, Feodor-Lynen-Str. 7, Hannover, 30625, Germany. manas.akmatov@twincore.de.</Affiliation>
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<LastName>Jentsch</LastName>
<ForeName>Leonhard</ForeName>
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</AffiliationInfo>
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<LastName>Riese</LastName>
<ForeName>Peggy</ForeName>
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</AffiliationInfo>
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<LastName>Ahmed</LastName>
<ForeName>Malik W</ForeName>
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</AffiliationInfo>
</Author>
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<LastName>Werner</LastName>
<ForeName>Damaris</ForeName>
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<AffiliationInfo>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Rösel</LastName>
<ForeName>Anja</ForeName>
<Initials>A</Initials>
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</AffiliationInfo>
</Author>
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<LastName>Prokein</LastName>
<ForeName>Jana</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bernemann</LastName>
<ForeName>Inga</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Klopp</LastName>
<ForeName>Norman</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Prochnow</LastName>
<ForeName>Blair</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Helmholtz Centre for Infection Research, Braunschweig, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Illig</LastName>
<ForeName>Thomas</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Hannover Unified Biobank, Hannover Medical School, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schindler</LastName>
<ForeName>Christoph</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>MHH CRC Core Facility, Hannover Medical School, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Guzman</LastName>
<ForeName>Carlos A</ForeName>
<Initials>CA</Initials>
<AffiliationInfo>
<Affiliation>Helmholtz Centre for Infection Research, Braunschweig, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Centre for Individualized Infection Medicine, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Pessler</LastName>
<ForeName>Frank</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>TWINCORE, Centre for Experimental and Clinical Infection Research, Hannover, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Helmholtz Centre for Infection Research, Braunschweig, Germany.</Affiliation>
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<AffiliationInfo>
<Affiliation>Centre for Individualized Infection Medicine, Hannover, Germany.</Affiliation>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009042" MajorTopicYN="N">Motivation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010349" MajorTopicYN="N">Patient Compliance</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D045808" MajorTopicYN="N">Refusal to Participate</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
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<Keyword MajorTopicYN="Y">Germany</Keyword>
<Keyword MajorTopicYN="Y">Motivations</Keyword>
<Keyword MajorTopicYN="Y">Nonparticipants</Keyword>
<Keyword MajorTopicYN="Y">Participation</Keyword>
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<ArticleId IdType="pubmed">26787444</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>J Clin Epidemiol. 2016 Oct;78:52-62</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">27032874</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Appl Transl Genom. 2016 Feb 01;8:9-15</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">27047754</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>BMJ Open. 2016 May 23;6(5):e011577</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">27217288</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Hum Vaccin Immunother. 2017 Jul 3;13(7):1630-1639</Citation>
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<li>Allemagne</li>
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<li>Basse-Saxe</li>
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<li>Hanovre</li>
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</list>
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<name sortKey="Akmatov, Manas K" sort="Akmatov, Manas K" uniqKey="Akmatov M" first="Manas K" last="Akmatov">Manas K. Akmatov</name>
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<name sortKey="Ahmed, Malik W" sort="Ahmed, Malik W" uniqKey="Ahmed M" first="Malik W" last="Ahmed">Malik W. Ahmed</name>
<name sortKey="Akmatov, Manas K" sort="Akmatov, Manas K" uniqKey="Akmatov M" first="Manas K" last="Akmatov">Manas K. Akmatov</name>
<name sortKey="Akmatov, Manas K" sort="Akmatov, Manas K" uniqKey="Akmatov M" first="Manas K" last="Akmatov">Manas K. Akmatov</name>
<name sortKey="Akmatov, Manas K" sort="Akmatov, Manas K" uniqKey="Akmatov M" first="Manas K" last="Akmatov">Manas K. Akmatov</name>
<name sortKey="Bernemann, Inga" sort="Bernemann, Inga" uniqKey="Bernemann I" first="Inga" last="Bernemann">Inga Bernemann</name>
<name sortKey="Guzman, Carlos A" sort="Guzman, Carlos A" uniqKey="Guzman C" first="Carlos A" last="Guzman">Carlos A. Guzman</name>
<name sortKey="Guzman, Carlos A" sort="Guzman, Carlos A" uniqKey="Guzman C" first="Carlos A" last="Guzman">Carlos A. Guzman</name>
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<name sortKey="Klopp, Norman" sort="Klopp, Norman" uniqKey="Klopp N" first="Norman" last="Klopp">Norman Klopp</name>
<name sortKey="May, Marcus" sort="May, Marcus" uniqKey="May M" first="Marcus" last="May">Marcus May</name>
<name sortKey="Pessler, Frank" sort="Pessler, Frank" uniqKey="Pessler F" first="Frank" last="Pessler">Frank Pessler</name>
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<name sortKey="Werner, Damaris" sort="Werner, Damaris" uniqKey="Werner D" first="Damaris" last="Werner">Damaris Werner</name>
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