Determinants of influenza vaccination among a large adult population in Quebec.
Identifieur interne : 000060 ( Main/Exploration ); précédent : 000059; suivant : 000061Determinants of influenza vaccination among a large adult population in Quebec.
Auteurs : Geneviève Baron [Canada] ; Virginie Gosselin [Canada] ; Geneviève Petit [Canada] ; Maryse Guay [Canada] ; Arnaud Gagneur [Canada]Source :
- Human vaccines & immunotherapeutics [ 2164-554X ] ; 2018.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires (), Femelle, Grippe humaine (), Humains, Jeune adulte, Mâle, Prise de décision, Québec, Saisons, Sujet âgé, Sujet âgé de 80 ans ou plus, Vaccins antigrippaux (administration et posologie).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- Acceptation des soins par le patient, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, Grippe humaine, Humains, Jeune adulte, Mâle, Prise de décision, Québec, Saisons, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Decision Making, Female, Health Knowledge, Attitudes, Practice, Humans, Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Male, Middle Aged, Patient Acceptance of Health Care (statistics & numerical data), Quebec, Seasons, Surveys and Questionnaires (statistics & numerical data), Vaccination Coverage (statistics & numerical data), Young Adult.
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic : Quebec.
- prevention & control : Influenza, Human.
- statistics & numerical data : Patient Acceptance of Health Care, Surveys and Questionnaires, Vaccination Coverage.
- Adult, Aged, Aged, 80 and over, Decision Making, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Seasons, Young Adult.
Abstract
OBJECTIVES
Very low uptake has been noted for influenza vaccination in the province of Quebec. This study aimed to identify the determinants of influenza vaccination among a large regional population.
METHODS
A telephone survey was administered to a random digit sample in the Eastern Townships region (Quebec, Canada). Respondents were asked questions on several health topics such as perceived knowledge and beliefs about influenza immunization, medical consultations, perceived health status and life habits. Significant variables in the univariate analysis were introduced into a multivariate logistic regression model to determine independent factors for having received the influenza vaccine (aOR and 95% CI) among adults aged ≥60 years and younger adults with ≥1 chronic condition.
RESULTS
A total of 4,620 interviews were analyzed. Among the target groups, 55.4% of adults aged ≥60 and 32.2% of adults aged 18-59 with at least one chronic disease had received the influenza vaccine during the 2013-2014 season. Several determinants were significantly associated with influenza vaccination in both groups such as having received a recommendation from a healthcare professional. Among adults aged ≥60, not having consulted a chiropractor over the last 12 months (aOR = 2.37; 1.09-5.19), non-smokers (aOR = 1.78; 1.22-2.59) and self-perceived poor health status (aOR = 1.45; 1.01-2.06) were significantly linked to flu vaccination. In the younger group, influenza vaccination was independently associated to low alcohol consumption (aOR = 2.14; 1.13-4.05) and being overweight (aOR = 1.63; 1.12-2.38).
CONCLUSIONS
Many determinants influence the decision to get vaccinated against influenza. Specific messages should be tailored for high-risk groups to effectively increase influenza vaccine coverage.
DOI: 10.1080/21645515.2018.1486155
PubMed: 29883242
Affiliations:
Links toward previous steps (curation, corpus...)
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CHUS , Sherbrooke , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>b Direction de santé publique du CIUSSS de l'Estrie - CHUS , Sherbrooke , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>c Institut universitaire en première ligne en santé et services sociaux , Sherbrooke , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>c Institut universitaire en première ligne en santé et services sociaux , Sherbrooke , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation></author><author><name sortKey="Gosselin, Virginie" sort="Gosselin, Virginie" uniqKey="Gosselin V" first="Virginie" last="Gosselin">Virginie Gosselin</name><affiliation wicri:level="1"><nlm:affiliation>d Centre de recherche du CHUS , Sherbrooke , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>d Centre de recherche du CHUS , Sherbrooke , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation></author><author><name sortKey="Petit, Genevieve" sort="Petit, Genevieve" uniqKey="Petit G" first="Geneviève" last="Petit">Geneviève Petit</name><affiliation wicri:level="1"><nlm:affiliation>a Département des sciences de la santé communautaire , Université de Sherbrooke , Sherbrooke , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>a Département des sciences de la santé communautaire , Université de Sherbrooke , Sherbrooke , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>b Direction de santé publique du CIUSSS de l'Estrie - CHUS , Sherbrooke , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>b Direction de santé publique du CIUSSS de l'Estrie - CHUS , Sherbrooke , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation></author><author><name sortKey="Guay, Maryse" sort="Guay, Maryse" uniqKey="Guay M" first="Maryse" last="Guay">Maryse Guay</name><affiliation wicri:level="1"><nlm:affiliation>a Département des sciences de la santé communautaire , Université de Sherbrooke , Sherbrooke , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>a Département des sciences de la santé communautaire , Université de Sherbrooke , Sherbrooke , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>e Institut national de santé publique du Québec, Québec , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>e Institut national de santé publique du Québec, Québec , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>f Centre de recherche - Hôpital Charles-Le Moyne , Longueuil , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>f Centre de recherche - Hôpital Charles-Le Moyne , Longueuil , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation></author><author><name sortKey="Gagneur, Arnaud" sort="Gagneur, Arnaud" uniqKey="Gagneur A" first="Arnaud" last="Gagneur">Arnaud Gagneur</name><affiliation wicri:level="1"><nlm:affiliation>d Centre de recherche du CHUS , Sherbrooke , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>d Centre de recherche du CHUS , Sherbrooke , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>g Département de pédiatrie , Université de Sherbrooke , Sherbrooke , Québec , Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>g Département de pédiatrie , Université de Sherbrooke , Sherbrooke , Québec </wicri:regionArea><wicri:noRegion>Québec </wicri:noRegion></affiliation></author></analytic><series><title level="j">Human vaccines & immunotherapeutics</title><idno type="eISSN">2164-554X</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Decision Making</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Quebec</term><term>Seasons</term><term>Surveys and Questionnaires (statistics & numerical data)</term><term>Vaccination Coverage (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires ()</term><term>Femelle</term><term>Grippe humaine ()</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Prise de décision</term><term>Québec</term><term>Saisons</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</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>Quebec</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>Patient Acceptance of Health Care</term><term>Surveys and Questionnaires</term><term>Vaccination Coverage</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Decision Making</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Seasons</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Grippe humaine</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Prise de décision</term><term>Québec</term><term>Saisons</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Very low uptake has been noted for influenza vaccination in the province of Quebec. This study aimed to identify the determinants of influenza vaccination among a large regional population.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A telephone survey was administered to a random digit sample in the Eastern Townships region (Quebec, Canada). Respondents were asked questions on several health topics such as perceived knowledge and beliefs about influenza immunization, medical consultations, perceived health status and life habits. Significant variables in the univariate analysis were introduced into a multivariate logistic regression model to determine independent factors for having received the influenza vaccine (aOR and 95% CI) among adults aged ≥60 years and younger adults with ≥1 chronic condition.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 4,620 interviews were analyzed. Among the target groups, 55.4% of adults aged ≥60 and 32.2% of adults aged 18-59 with at least one chronic disease had received the influenza vaccine during the 2013-2014 season. Several determinants were significantly associated with influenza vaccination in both groups such as having received a recommendation from a healthcare professional. Among adults aged ≥60, not having consulted a chiropractor over the last 12 months (aOR = 2.37; 1.09-5.19), non-smokers (aOR = 1.78; 1.22-2.59) and self-perceived poor health status (aOR = 1.45; 1.01-2.06) were significantly linked to flu vaccination. In the younger group, influenza vaccination was independently associated to low alcohol consumption (aOR = 2.14; 1.13-4.05) and being overweight (aOR = 1.63; 1.12-2.38).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Many determinants influence the decision to get vaccinated against influenza. Specific messages should be tailored for high-risk groups to effectively increase influenza vaccine coverage.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29883242</PMID><DateCompleted><Year>2019</Year><Month>06</Month><Day>17</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2164-554X</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><Issue>11</Issue><PubDate><Year>2018</Year></PubDate></JournalIssue><Title>Human vaccines & immunotherapeutics</Title><ISOAbbreviation>Hum Vaccin Immunother</ISOAbbreviation></Journal><ArticleTitle>Determinants of influenza vaccination among a large adult population in Quebec.</ArticleTitle><Pagination><MedlinePgn>2722-2727</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/21645515.2018.1486155</ELocationID><Abstract><AbstractText Label="OBJECTIVES">Very low uptake has been noted for influenza vaccination in the province of Quebec. This study aimed to identify the determinants of influenza vaccination among a large regional population.</AbstractText><AbstractText Label="METHODS">A telephone survey was administered to a random digit sample in the Eastern Townships region (Quebec, Canada). Respondents were asked questions on several health topics such as perceived knowledge and beliefs about influenza immunization, medical consultations, perceived health status and life habits. Significant variables in the univariate analysis were introduced into a multivariate logistic regression model to determine independent factors for having received the influenza vaccine (aOR and 95% CI) among adults aged ≥60 years and younger adults with ≥1 chronic condition.</AbstractText><AbstractText Label="RESULTS">A total of 4,620 interviews were analyzed. Among the target groups, 55.4% of adults aged ≥60 and 32.2% of adults aged 18-59 with at least one chronic disease had received the influenza vaccine during the 2013-2014 season. Several determinants were significantly associated with influenza vaccination in both groups such as having received a recommendation from a healthcare professional. Among adults aged ≥60, not having consulted a chiropractor over the last 12 months (aOR = 2.37; 1.09-5.19), non-smokers (aOR = 1.78; 1.22-2.59) and self-perceived poor health status (aOR = 1.45; 1.01-2.06) were significantly linked to flu vaccination. In the younger group, influenza vaccination was independently associated to low alcohol consumption (aOR = 2.14; 1.13-4.05) and being overweight (aOR = 1.63; 1.12-2.38).</AbstractText><AbstractText Label="CONCLUSIONS">Many determinants influence the decision to get vaccinated against influenza. Specific messages should be tailored for high-risk groups to effectively increase influenza vaccine coverage.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Baron</LastName><ForeName>Geneviève</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>a Département des sciences de la santé communautaire , Université de Sherbrooke , Sherbrooke , Québec , Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>b Direction de santé publique du CIUSSS de l'Estrie - CHUS , Sherbrooke , Québec , Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>c Institut universitaire en première ligne en santé et services sociaux , Sherbrooke , Québec , Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gosselin</LastName><ForeName>Virginie</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>d Centre de recherche du CHUS , Sherbrooke , Québec , Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Petit</LastName><ForeName>Geneviève</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>a Département des sciences de la santé communautaire , Université de Sherbrooke , Sherbrooke , Québec , Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>b Direction de santé publique du CIUSSS de l'Estrie - CHUS , Sherbrooke , Québec , Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guay</LastName><ForeName>Maryse</ForeName><Initials>M</Initials><Identifier Source="ORCID">0000-0002-7082-2224</Identifier><AffiliationInfo><Affiliation>a Département des sciences de la santé communautaire , Université de Sherbrooke , Sherbrooke , Québec , Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>e Institut national de santé publique du Québec, Québec , Québec , Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>f Centre de recherche - Hôpital Charles-Le Moyne , Longueuil , Québec , Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gagneur</LastName><ForeName>Arnaud</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>d Centre de recherche du CHUS , Sherbrooke , Québec , Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>g Département de pédiatrie , Université de Sherbrooke , Sherbrooke , Québec , 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>06</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Hum Vaccin Immunother</MedlineTA><NlmUniqueID>101572652</NlmUniqueID><ISSNLinking>2164-5515</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003657" MajorTopicYN="N">Decision Making</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">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="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011792" MajorTopicYN="N" Type="Geographic">Quebec</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073887" MajorTopicYN="N">Vaccination Coverage</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Influenza</Keyword><Keyword MajorTopicYN="Y">determinants</Keyword><Keyword MajorTopicYN="Y">health belief model</Keyword><Keyword MajorTopicYN="Y">population-based survey</Keyword><Keyword MajorTopicYN="Y">vaccination</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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sortKey="Baron, Genevieve" sort="Baron, Genevieve" uniqKey="Baron G" first="Geneviève" last="Baron">Geneviève Baron</name></noRegion><name sortKey="Baron, Genevieve" sort="Baron, Genevieve" uniqKey="Baron G" first="Geneviève" last="Baron">Geneviève Baron</name><name sortKey="Baron, Genevieve" sort="Baron, Genevieve" uniqKey="Baron G" first="Geneviève" last="Baron">Geneviève Baron</name><name sortKey="Gagneur, Arnaud" sort="Gagneur, Arnaud" uniqKey="Gagneur A" first="Arnaud" last="Gagneur">Arnaud Gagneur</name><name sortKey="Gagneur, Arnaud" sort="Gagneur, Arnaud" uniqKey="Gagneur A" first="Arnaud" last="Gagneur">Arnaud Gagneur</name><name sortKey="Gosselin, Virginie" sort="Gosselin, Virginie" uniqKey="Gosselin V" first="Virginie" last="Gosselin">Virginie Gosselin</name><name sortKey="Guay, Maryse" sort="Guay, Maryse" uniqKey="Guay M" first="Maryse" last="Guay">Maryse Guay</name><name sortKey="Guay, Maryse" sort="Guay, Maryse" uniqKey="Guay M" first="Maryse" last="Guay">Maryse 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