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Evaluating the importance of policy amenable factors in explaining influenza vaccination: a cross-sectional multinational study

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Title: Evaluating the importance of policy amenable factors in explaining influenza vaccination: a cross-sectional multinational study
Authors: Wheelock, A
Miraldo, M
Thomson, A
Vincent, C
Sevdalis, N
Item Type: Journal Article
Abstract: Objectives Despite continuous efforts to improve influenza vaccination coverage, uptake among high-risk groups remains suboptimal. We aimed to identify policy amenable factors associated with vaccination and to measure their importance in order to assist in the monitoring of vaccination sentiment and the design of communication strategies and interventions to improve vaccination rates. Setting The USA, the UK and France. Participants A total of 2412 participants were surveyed across the three countries. Outcome measures Self-reported influenza vaccination. Methods Between March and April 2014, a stratified random sampling strategy was employed with the aim of obtaining nationally representative samples in the USA, the UK and France through online databases and random-digit dialling. Participants were asked about vaccination practices, perceptions and feelings. Multivariable logistic regression was used to identify factors associated with past influenza vaccination. Results The models were able to explain 64%–80% of the variance in vaccination behaviour. Overall, sociopsychological variables, which are inherently amenable to policy, were better at explaining past vaccination behaviour than demographic, socioeconomic and health variables. Explanatory variables included social influence (physician), influenza and vaccine risk perceptions and traumatic childhood experiences. Conclusions Our results indicate that evidence-based sociopsychological items should be considered for inclusion into national immunisation surveys to gauge the public’s views, identify emerging concerns and thus proactively and opportunely address potential barriers and harness vaccination drivers.
Issue Date: 1-Jul-2017
Date of Acceptance: 1-Jun-2017
URI: http://hdl.handle.net/10044/1/48921
DOI: https://dx.doi.org/10.1136/bmjopen-2016-014668
ISSN: 2044-6055
Publisher: BMJ Publishing Group
Journal / Book Title: BMJ Open
Volume: 7
Copyright Statement: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Sponsor/Funder: Imperial College Healthcare NHS Trust
National Institute for Health Research (NIHR)
Funder's Grant Number: RDPSC 79560
RDPSC 79560
Keywords: Adult
Behaviour
Beliefs
Influenza
Perceptions
Vaccine
Publication Status: Published
Article Number: e014668
Appears in Collections:Imperial College Business School
Division of Surgery
Faculty of Medicine



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