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Prim Care Respir J. 2007 Aug;16(4):229-35.

Determinants of adherence to influenza vaccination among inner-city adults with persistent asthma.

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1
Department of Medicine, Montefiore Medical Center, Bronx, New York, NY, USA.

Abstract

AIMS:

Despite guideline recommendation, influenza vaccination rates among asthmatic patients remain low. The objective of this study was to identify health beliefs associated with vaccination adherence in asthmatic patients.

METHODS:

We surveyed 167 adults with persistent asthma undergoing follow-up at a hospital-based clinic. Vaccination beliefs questions were based on the Health Belief Model. Patients who reported receiving influenza immunisation most or every year were considered adherent to vaccination.

RESULTS:

Overall, 71% of patients were adherent to influenza vaccination. In multivariate analyses, doctor or nurse recommendation (odds ratio [OR]: 14.71, 95% CI 5.40-40.05), the belief that the vaccine protects against influenza (OR: 7.21, 95% CI 2.25-23.10), and the belief that the vaccine could cause a cold (OR: 0.46, 95% CI 0.19-1.13) were independent predictors of adherence.

CONCLUSIONS:

Vaccination beliefs and physician recommendation were associated with influenza vaccination adherence among inner-city asthmatics. Future interventions should target these potentially modifiable factors.

PMID:
17660889
DOI:
10.3132/pcrj.2007.00056
[Indexed for MEDLINE]
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