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.
Identifieur interne : 000598 ( PubMed/Curation ); précédent : 000597; suivant : 000599Inspecting the Mechanism: A Longitudinal Analysis of Socioeconomic Status Differences in Perceived Influenza Risks, Vaccination Intentions, and Vaccination Behaviors during the 2009-2010 Influenza Pandemic.
Auteurs : Jürgen Maurer [Suisse]Source :
- Medical decision making : an international journal of the Society for Medical Decision Making [ 1552-681X ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse multivariée, Classe sociale, Comportement en matière de santé, Grippe humaine (), Grippe humaine (épidémiologie), Humains, Jeune adulte, Sous-type H1N1 du virus de la grippe A (immunologie), Sujet âgé, Vaccination (psychologie), Vaccins antigrippaux (administration et posologie), États-Unis d'Amérique (épidémiologie), Études longitudinales, Évaluation des risques.
- MESH :
- administration et posologie : Vaccins antigrippaux.
- immunologie : Sous-type H1N1 du virus de la grippe A.
- psychologie : Vaccination.
- épidémiologie : Grippe humaine, États-Unis d'Amérique.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse multivariée, Classe sociale, Comportement en matière de santé, Grippe humaine, Humains, Jeune adulte, Sujet âgé, Études longitudinales, Évaluation des risques.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Health Behavior, Humans, Influenza A Virus, H1N1 Subtype (immunology), Influenza Vaccines (administration & dosage), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Longitudinal Studies, Middle Aged, Multivariate Analysis, Risk Assessment, Social Class, United States (epidemiology), Vaccination (psychology), Young Adult.
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- epidemiology : Influenza, Human, United States.
- immunology : Influenza A Virus, H1N1 Subtype.
- prevention & control : Influenza, Human.
- psychology : Vaccination.
- Adolescent, Adult, Aged, Health Behavior, Humans, Longitudinal Studies, Middle Aged, Multivariate Analysis, Risk Assessment, Social Class, Young Adult.
Abstract
Influenza 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.
DOI: 10.1177/0272989X15608379
PubMed: 26416814
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pubmed:26416814Le document en format XML
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<front><div type="abstract" xml:lang="en">Influenza 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.</div>
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<Title>Medical decision making : an international journal of the Society for Medical Decision Making</Title>
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<ArticleTitle>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.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND">Influenza 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.</AbstractText>
<AbstractText Label="METHODS">Nonparametric 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.</AbstractText>
<AbstractText Label="RESULTS">Education, 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.</AbstractText>
<AbstractText Label="LIMITATIONS">Sampling bias, misreporting in self-reported data, and limited generalizability to nonpandemic influenza are potential limitations of the analysis.</AbstractText>
<AbstractText Label="CONCLUSIONS">Closing 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.</AbstractText>
<CopyrightInformation>© The Author(s) 2015.</CopyrightInformation>
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<ForeName>Jürgen</ForeName>
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