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Vaccine. 2017 Oct 9;35(42):5543-5550. doi: 10.1016/j.vaccine.2017.08.064. Epub 2017 Sep 5.

Using campaigns to improve perceptions of the value of adult vaccination in the United States: Health communication considerations and insights.

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Grady College Center for Health & Risk Communication, Grady College of Journalism and Mass Communication, University of Georgia, Athens, GA, United States; National Vaccine Program Office, U.S. Department of Health and Human Services, Washington, D.C., United States. Electronic address:
National Vaccine Program Office, U.S. Department of Health and Human Services, Washington, D.C., United States.
Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, United States.


Vaccines have much relevance and promise for improving adult health in the United States, but to date, overall use and uptake remain far below desired levels. Many adults have not received recommended vaccinations and many healthcare providers do not strongly and actively encourage their use with patients. This has led some public health and medical experts to conclude that adult vaccines are severely undervalued by the U.S. public and healthcare providers and to call for campaigns and communication-based efforts to foster increased appreciation, and in turn, higher adult immunization rates. A narrative integrative review that draws upon the vaccine valuation and health communication literatures is used to develop a framework to guide campaign and communication-based efforts to improve public, provider, and policymakers' assessment of the value of adult vaccination. The review does this by: (1) distinguishing social psychological value from economic value; (2) identifying the implications of social psychological value considerations for adult vaccination-related communication campaigns; and (3) using five core health communication considerations to illustrate how social psychological notions of value can be integrated into campaigns or communication that are intended to improve adult vaccination value perceptions and assessments, and in turn, motivate greater support for and uptake of recommended adult vaccines.


Adult vaccination; Behavior change; Health communication; Social psychology; Vaccination acceptance; Value of vaccines

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