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Factors associated with influenza vaccine receipt in community dwelling adults and their children

机译：在社区居住的成年人及其子女中接种流感疫苗的相关因素

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Background: Factors associated with influenza vaccine receipt are well studied in healthcare personnel, pregnant women, and the elderly. There has been substantially less research in community dwelling adults and children, and none among entire households. Many studies determine vaccination status by self-report or behavioral intention, outcomes susceptible to misclassification. Given that vaccine is recommended for everyone over six months, re-evaluating these factors is warranted. Methods: The Household Influenza Vaccine Effectiveness (HIVE) study is a prospective cohort of households with children. In 2010-2011,549 adults representing 312 households completed surveys evaluating knowledge, attitudes, and practices regarding influenza vaccination for themselves and their children. Using the health belief model (HBM) as a framework, we examined factors associated with documented seasonal influenza vaccine receipt using log-binomial regression models. Results: In multivariate models, cues to action such as doctor recommendation, (RR 1.62, 95% CI: 1.25-2.10), perceived benefits (RR 1.25,95% CI: 1.04-1.50), and perceived susceptibility (RR 1.21,95% CI: 1.03-1.42) were significantly associated with increased likelihood of vaccine receipt among adults while high perceived barriers were associated with decreased likelihood (RR 0.38, 95% Cl: 0.25-0.59). Similarly, parents reporting higher barriers were less likely (RR 0.58,95% Cl: 0.42-0.79) and those perceiving greater benefits (RR 4.16, 95% CI: 2.28-7.59) and severity (RR 1.13, 95% CI: 1.00-1.27 were more likely to vaccinate their children. The observed effects of perceptions of susceptibility, severity, and benefits were more pronounced at low cues to action for children, as were the effects of perceptions of barriers and severity among adults. Conclusion: Perceived benefits and barriers are most strongly associated with vaccine receipt. However, the effects of various factors were most pronounced in the absence of cues to action, which may be an important component of targeted interventions. (c) 2014 Elsevier Ltd. All rights reserved.
机译：背景：与流感疫苗接种相关的因素已在医护人员，孕妇和老年人中进行了充分研究。对成年人和儿童社区住宅的研究很少，而在整个家庭中都没有。许多研究通过自我报告或行为意图来确定疫苗接种状态，其结果易于分类错误。鉴于建议六个月以上的所有人使用疫苗，因此有必要重新评估这些因素。方法：家庭流感疫苗效力（HIVE）研究是有子女家庭的前瞻性队列。在2010-2011年间，代表312户家庭的549位成人完成了调查，评估了他们本人及其子女的流感疫苗接种知识，态度和做法。使用健康信念模型（HBM）作为框架，我们使用对数二项回归模型检查了与记录的季节性流感疫苗接种相关的因素。结果：在多变量模型中，采取行动的线索包括医生的建议（RR 1.62，95％CI：1.25-2.10），感知收益（RR 1.25,95％CI：1.04-1.50）和感知敏感性（RR 1.21,95） ％CI：1.03-1.42）与成年人中接种疫苗的可能性增加显着相关，而较高的感知障碍与可能性降低相关（RR 0.38，95％Cl：0.25-0.59）。同样，报告较高障碍的父母的可能性较小（RR 0.58,95％Cl：0.42-0.79），而那些父母认为更大的好处（RR 4.16，95％CI：2.28-7.59）和严重程度（RR 1.13，95％CI：1.00- 1.27的儿童接种疫苗的可能性更高;在对儿童采取行动的暗示较低的情况下，对易感性，严重性和益处的感知所观察到的效果更加明显;在成年人中，对障碍和严重性的感知所产生的效果也是如此。障碍与疫苗接种最密切相关，但是，在缺乏行动线索的情况下，各种因素的影响最为明显，这可能是有针对性的干预措施的重要组成部分（c）2014 Elsevier Ltd.保留所有权利。

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