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Vaccine
In Press, Uncorrected Proof - Note to users
doi:10.1016/j.vaccine.2011.10.050 | How to Cite or Link Using DOI
Knowledge, attitudes, and beliefs about seasonal influenza and H1N1 vaccinations in a low-income, public health clinic population
Matthew D. Redelingsa, Corresponding Author Contact Information, E-mail The Corresponding Author, E-mail The Corresponding Author, Jennifer Pirona, Lisa V. Smitha, Amy Chana, Julia Heinzerlingb, Kathleen M. Sanchezb, Dalia Bedairc, Mirna Ponced, Tony Kuod
a Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology, United States
b Los Angeles County Department of Public Health, Immunization Program, United States
c Los Angeles County Department of Public Health, Injury and Violence Prevention Program, United States
d Los Angeles County Department of Public Health, Office of Senior Health, United States
Received 2 February 2011; Accepted 23 October 2011. Available online 30 October 2011.
Abstract
Objective
The Public Health Center Vaccine Survey (PHCVS) examines the knowledge, attitudes, and beliefs about seasonal influenza and H1N1 vaccinations in a largely low-income, urban, public health clinic population in Los Angeles County, USA.
Design
A cross-sectional survey of vulnerable individuals at risk for severe influenza infection was conducted in one of the nation's largest local public health jurisdictions.
Subjects
A total of 1550 clinic patients were recruited in the waiting rooms of five large public health centers in Los Angeles County from June to August, 2010.
Results
Among prospective respondents who met eligibility criteria, 92% completed the survey. The majority was black or Latino and most were between the ages of 18 and 44 years. More than half were unemployed; two-thirds had no health insurance; and nearly one-half reported having a high school education or less. About one-fifth reported they had received the H1N1 vaccine during the previous flu season. In comparative analyses, negative beliefs about vaccine safety and efficacy were highly predictive of H1N1 vaccination. Blacks were less likely than non-black respondents to report receiving the H1N1 vaccine (OR = 0.7, 95% CI = 0.6?1.0). Blacks were also less likely than other respondents to agree that vaccines can prevent disease (OR = 0.4, 95% CI = 0.3?0.5), that vaccines are safe (OR = 0.5, 95% CI = 0.4?0.6), and that they trust doctors/clinicians who recommend vaccines (OR = 0.5, 95% CI = 0.4?0.7).
Conclusions
Study findings provide a useful risk profile of vulnerable groups in Los Angeles County, which may be generalizable to other urban jurisdictions in the United States. They also describe real world situations that can be used to forecast potential challenges that vaccine beliefs may pose to national as well as local influenza pandemic planning and response, especially for communities with limited access to these preventive services.
http://www.sciencedirect.com/science/article/pii/S0264410X11016872
In Press, Uncorrected Proof - Note to users
doi:10.1016/j.vaccine.2011.10.050 | How to Cite or Link Using DOI
Knowledge, attitudes, and beliefs about seasonal influenza and H1N1 vaccinations in a low-income, public health clinic population
Matthew D. Redelingsa, Corresponding Author Contact Information, E-mail The Corresponding Author, E-mail The Corresponding Author, Jennifer Pirona, Lisa V. Smitha, Amy Chana, Julia Heinzerlingb, Kathleen M. Sanchezb, Dalia Bedairc, Mirna Ponced, Tony Kuod
a Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology, United States
b Los Angeles County Department of Public Health, Immunization Program, United States
c Los Angeles County Department of Public Health, Injury and Violence Prevention Program, United States
d Los Angeles County Department of Public Health, Office of Senior Health, United States
Received 2 February 2011; Accepted 23 October 2011. Available online 30 October 2011.
Abstract
Objective
The Public Health Center Vaccine Survey (PHCVS) examines the knowledge, attitudes, and beliefs about seasonal influenza and H1N1 vaccinations in a largely low-income, urban, public health clinic population in Los Angeles County, USA.
Design
A cross-sectional survey of vulnerable individuals at risk for severe influenza infection was conducted in one of the nation's largest local public health jurisdictions.
Subjects
A total of 1550 clinic patients were recruited in the waiting rooms of five large public health centers in Los Angeles County from June to August, 2010.
Results
Among prospective respondents who met eligibility criteria, 92% completed the survey. The majority was black or Latino and most were between the ages of 18 and 44 years. More than half were unemployed; two-thirds had no health insurance; and nearly one-half reported having a high school education or less. About one-fifth reported they had received the H1N1 vaccine during the previous flu season. In comparative analyses, negative beliefs about vaccine safety and efficacy were highly predictive of H1N1 vaccination. Blacks were less likely than non-black respondents to report receiving the H1N1 vaccine (OR = 0.7, 95% CI = 0.6?1.0). Blacks were also less likely than other respondents to agree that vaccines can prevent disease (OR = 0.4, 95% CI = 0.3?0.5), that vaccines are safe (OR = 0.5, 95% CI = 0.4?0.6), and that they trust doctors/clinicians who recommend vaccines (OR = 0.5, 95% CI = 0.4?0.7).
Conclusions
Study findings provide a useful risk profile of vulnerable groups in Los Angeles County, which may be generalizable to other urban jurisdictions in the United States. They also describe real world situations that can be used to forecast potential challenges that vaccine beliefs may pose to national as well as local influenza pandemic planning and response, especially for communities with limited access to these preventive services.
http://www.sciencedirect.com/science/article/pii/S0264410X11016872