Determinants of non-vaccination against seasonal influenza in Canadian adults: findings from the 2015-2016 Influenza Immunization Coverage Survey.
Identifieur interne : 000059 ( Main/Exploration ); précédent : 000058; suivant : 000060Determinants of non-vaccination against seasonal influenza in Canadian adults: findings from the 2015-2016 Influenza Immunization Coverage Survey.
Auteurs : Noushon Farmanara [Canada] ; Lindsey Sherrard [Canada] ; Ève Dubé [Canada] ; Nicolas L. Gilbert [Canada]Source :
- Canadian journal of public health = Revue canadienne de sante publique [ 1920-7476 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Canada, Health Care Surveys, Health Knowledge, Attitudes, Practice, Humans, Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Middle Aged, Risk Factors, Seasons, Socioeconomic Factors, Vaccination Coverage (statistics & numerical data), Young Adult.
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic : Canada.
- prevention & control : Influenza, Human.
- statistics & numerical data : Vaccination Coverage.
- Adolescent, Adult, Aged, Health Care Surveys, Health Knowledge, Attitudes, Practice, Humans, Middle Aged, Risk Factors, Seasons, Socioeconomic Factors, Young Adult.
Abstract
OBJECTIVES
The study objectives were to (1) identify determinants of non-vaccination against seasonal influenza in Canadian adults and (2) examine self-reported reasons for non-vaccination.
METHODS
The data source was the 2015-2016 Influenza Immunization Coverage Survey, a national telephone survey of Canadian adults. Participants (n = 1950) were divided into three groups: adults aged 18-64 years with (n = 408) and without (n = 1028) chronic medical conditions (CMC) and adults ≥ 65 years (n = 514). Logistic regression was used to measure associations between sociodemographic factors and non-vaccination for the 2015-2016 influenza season. Weighted proportions were calculated to determine the main self-reported reasons for not receiving the influenza vaccine.
RESULTS
Younger age was found to be associated with non-vaccination across all groups. In adults ≥ 65 years, elementary- or secondary- vs. university-level education (aOR 1.87, 95% CI 1.14-3.06) was also significantly associated with non-vaccination. Significant variation in vaccine uptake was found for several sociodemographic factors in adults aged 18-64 without CMC. Low perceived susceptibility or severity of influenza and lack of belief in the vaccine's effectiveness were the most commonly reported reasons for not receiving the vaccine.
CONCLUSION
In general, our results were consistent with findings from other Canadian and American studies on seasonal influenza vaccine uptake. Belief that the influenza vaccine is not needed was common, even among those at increased risk of influenza-related complications. Additional research is needed to better understand how sociodemographic factors such as income and education may influence uptake and to raise awareness of potential complications from influenza infection in high-risk adults.
DOI: 10.17269/s41997-018-0018-9
PubMed: 29981075
Affiliations:
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Gilbert</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada, Ottawa, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada, Ottawa, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author></analytic><series><title level="j">Canadian journal of public health = Revue canadienne de sante publique</title><idno type="eISSN">1920-7476</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Canada</term><term>Health Care Surveys</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Middle Aged</term><term>Risk Factors</term><term>Seasons</term><term>Socioeconomic Factors</term><term>Vaccination Coverage (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canada</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes sur les soins de santé</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Grippe humaine ()</term><term>Humains</term><term>Jeune adulte</term><term>Saisons</term><term>Sujet âgé</term><term>Vaccins antigrippaux (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vaccination Coverage</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Health Care Surveys</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Middle Aged</term><term>Risk Factors</term><term>Seasons</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canada</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes sur les soins de santé</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Grippe humaine</term><term>Humains</term><term>Jeune adulte</term><term>Saisons</term><term>Sujet âgé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>The study objectives were to (1) identify determinants of non-vaccination against seasonal influenza in Canadian adults and (2) examine self-reported reasons for non-vaccination.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The data source was the 2015-2016 Influenza Immunization Coverage Survey, a national telephone survey of Canadian adults. Participants (n = 1950) were divided into three groups: adults aged 18-64 years with (n = 408) and without (n = 1028) chronic medical conditions (CMC) and adults ≥ 65 years (n = 514). Logistic regression was used to measure associations between sociodemographic factors and non-vaccination for the 2015-2016 influenza season. Weighted proportions were calculated to determine the main self-reported reasons for not receiving the influenza vaccine.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Younger age was found to be associated with non-vaccination across all groups. In adults ≥ 65 years, elementary- or secondary- vs. university-level education (aOR 1.87, 95% CI 1.14-3.06) was also significantly associated with non-vaccination. Significant variation in vaccine uptake was found for several sociodemographic factors in adults aged 18-64 without CMC. Low perceived susceptibility or severity of influenza and lack of belief in the vaccine's effectiveness were the most commonly reported reasons for not receiving the vaccine.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>In general, our results were consistent with findings from other Canadian and American studies on seasonal influenza vaccine uptake. Belief that the influenza vaccine is not needed was common, even among those at increased risk of influenza-related complications. Additional research is needed to better understand how sociodemographic factors such as income and education may influence uptake and to raise awareness of potential complications from influenza infection in high-risk adults.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29981075</PMID><DateCompleted><Year>2019</Year><Month>06</Month><Day>05</Day></DateCompleted><DateRevised><Year>2019</Year><Month>06</Month><Day>05</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1920-7476</ISSN><JournalIssue CitedMedium="Internet"><Volume>109</Volume><Issue>3</Issue><PubDate><Year>2018</Year><Month>06</Month></PubDate></JournalIssue><Title>Canadian journal of public health = Revue canadienne de sante publique</Title><ISOAbbreviation>Can J Public Health</ISOAbbreviation></Journal><ArticleTitle>Determinants of non-vaccination against seasonal influenza in Canadian adults: findings from the 2015-2016 Influenza Immunization Coverage Survey.</ArticleTitle><Pagination><MedlinePgn>369-378</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.17269/s41997-018-0018-9</ELocationID><Abstract><AbstractText Label="OBJECTIVES">The study objectives were to (1) identify determinants of non-vaccination against seasonal influenza in Canadian adults and (2) examine self-reported reasons for non-vaccination.</AbstractText><AbstractText Label="METHODS">The data source was the 2015-2016 Influenza Immunization Coverage Survey, a national telephone survey of Canadian adults. Participants (n = 1950) were divided into three groups: adults aged 18-64 years with (n = 408) and without (n = 1028) chronic medical conditions (CMC) and adults ≥ 65 years (n = 514). Logistic regression was used to measure associations between sociodemographic factors and non-vaccination for the 2015-2016 influenza season. Weighted proportions were calculated to determine the main self-reported reasons for not receiving the influenza vaccine.</AbstractText><AbstractText Label="RESULTS">Younger age was found to be associated with non-vaccination across all groups. In adults ≥ 65 years, elementary- or secondary- vs. university-level education (aOR 1.87, 95% CI 1.14-3.06) was also significantly associated with non-vaccination. Significant variation in vaccine uptake was found for several sociodemographic factors in adults aged 18-64 without CMC. Low perceived susceptibility or severity of influenza and lack of belief in the vaccine's effectiveness were the most commonly reported reasons for not receiving the vaccine.</AbstractText><AbstractText Label="CONCLUSION">In general, our results were consistent with findings from other Canadian and American studies on seasonal influenza vaccine uptake. Belief that the influenza vaccine is not needed was common, even among those at increased risk of influenza-related complications. Additional research is needed to better understand how sociodemographic factors such as income and education may influence uptake and to raise awareness of potential complications from influenza infection in high-risk adults.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Farmanara</LastName><ForeName>Noushon</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada, Ottawa, ON, Canada. noushon.farmanara@mail.mcgill.ca.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, QC, Canada. noushon.farmanara@mail.mcgill.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sherrard</LastName><ForeName>Lindsey</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada, Ottawa, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dubé</LastName><ForeName>Ève</ForeName><Initials>È</Initials><AffiliationInfo><Affiliation>Institut National de Santé Publique du Québec, Québec, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gilbert</LastName><ForeName>Nicolas L</ForeName><Initials>NL</Initials><AffiliationInfo><Affiliation>Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada, Ottawa, ON, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>03</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Can J Public Health</MedlineTA><NlmUniqueID>0372714</NlmUniqueID><ISSNLinking>0008-4263</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019538" MajorTopicYN="N">Health Care Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073887" MajorTopicYN="N">Vaccination Coverage</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & 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IdType="pubmed">24773805</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Québec</li></region><settlement><li>Montréal</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Farmanara, Noushon" sort="Farmanara, Noushon" uniqKey="Farmanara N" first="Noushon" last="Farmanara">Noushon Farmanara</name></noRegion><name sortKey="Dube, Eve" sort="Dube, Eve" uniqKey="Dube E" first="Ève" last="Dubé">Ève Dubé</name><name sortKey="Farmanara, Noushon" sort="Farmanara, Noushon" uniqKey="Farmanara N" first="Noushon" last="Farmanara">Noushon Farmanara</name><name sortKey="Gilbert, Nicolas L" sort="Gilbert, Nicolas L" uniqKey="Gilbert N" first="Nicolas L" last="Gilbert">Nicolas L. 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