Resistance to Influenza Vaccination: Psychographics, Audience Segments, and Potential Promotions to Increase Vaccination

2008 ◽  
Vol 14 (2) ◽  
pp. 67-90 ◽  
Author(s):  
Robert John ◽  
Marshall K. Cheney
Keyword(s):  
Influenza Vaccination ◽  
Seasonal Influenza ◽  
Risk Groups ◽  
The United States ◽  
Vaccination Rate ◽  
Marketing Mix ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Control And Prevention ◽  
Promotional Messages

Except for individuals 65 years of age and older, no other group in the United States has an influenza vaccination rate above one-third of the population, even among groups that the Centers for Disease Control and Prevention (CDC) recommend for priority annual seasonal influenza vaccination. To improve the vaccination rate we need to know more about influenza vaccine psychographics among indifferent or resistant individuals or the attitudes, beliefs, opinions, and values surrounding their decision not to obtain annual vaccination. This formative research project is based on eight focus group discussions with 74 individuals from groups that do not participate in influenza vaccination at rates similar to the general population and/or are members of identifiable high-risk groups about their perceptions and beliefs about the flu shot. Three audience segments were identified: Plans to Get, Needs More Information, and Makes You Sick Because they have strongly held negative views toward the product, no special intervention should be directed toward the Makes You Sick segment. Since the actual product cannot be changed (vaccine), different aspects of the marketing mix of price, place, and promotion need to be adjusted to influence the Plans to Get and Needs More Information segments to obtain a vaccination. Ideas for appropriate promotional messages are offered.

Seasonal Influenza Vaccination Patterns Among Pregnant Women in New Mexico

2019 ◽  
Vol 18 (4) ◽  
pp. 214-223
Author(s):  
Upasana Chalise ◽  
Jill A. McDonald ◽  
Anup Amatya ◽  
Martha Morales
Keyword(s):  
Health Care ◽  
New Mexico ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Seasonal Influenza ◽  
Vaccine Coverage ◽  
The United States ◽  
Vaccination Rate ◽  
Seasonal Influenza Vaccination ◽  
Border States

Introduction: Seasonal influenza vaccination is recommended for pregnant women, but half of the pregnant women in the United States remain unvaccinated. Vaccine coverage in U.S.–Mexico border states has not been examined in depth even though risk factors for low vaccine coverage exist in these states, especially in the counties bordering Mexico. Method: Using 2012-2014 New Mexico (NM) Pregnancy Risk Assessment and Monitoring System data, this study examined the weighted annual seasonal influenza vaccination rates and the relationship of various factors to vaccination among NM residents with a live birth during those years. Results: Among respondents, 53.8% were Hispanic, 15.7% were Native American, and 30.5% were non-Hispanic White. The vaccination rate in NM increased from 49.0% in 2012 to 64.8% in 2014. The adjusted odds of vaccination were higher among women whose health care provider recommended/offered vaccination during the year prior to delivery compared to women whose provider did not (AOR = 11.92, 95% confidence interval [CI: 9.86, 14.42]) and among those living in the U.S.–Mexico nonborder counties compared to those living in the border counties (AOR = 1.23, 95% CI [1.18, 1.25]). Conclusion: Efforts to increase the vaccination rate among pregnant women in border states should concentrate on health care providers and the highest risk women, such as those resident in the border region.

scholarly journals PIN41 INFLUENZA VACCINATION RATES AMONG HIGH RISK GROUPS IN THE UNITED STATES

2011 ◽  
Vol 14 (3) ◽  
pp. A121
Author(s):  
M. DiBonaventura ◽  
J.S. Wagner ◽  
A. Goren
Keyword(s):  
United States ◽  
High Risk ◽  
Influenza Vaccination ◽  
Risk Groups ◽  
The United States ◽  
Vaccination Rates

scholarly journals 2741. Seasonal Influenza Vaccine Timing in Children and Adults Hospitalized with Influenza in the United States, FluSurv-NET, 2013–2017

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S964-S965
Author(s):  
Julia C Haston ◽  
Shikha Garg ◽  
Angela P Campbell ◽  
Jill Ferdinands ◽  
Alissa O’Halloran ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Seasonal Influenza ◽  
Patient Characteristics ◽  
Risk Groups ◽  
The United States ◽  
Vaccine Effectiveness ◽  
Chi Square ◽  
Surveillance Network ◽  
Seasonal Influenza Vaccine ◽  
Hispanic Patients

Abstract Background Seasonal influenza vaccine may attenuate disease severity among people infected with influenza despite vaccination, but vaccine effectiveness may decrease with increasing time between vaccination and infection. Patient characteristics may play a role in the timing of vaccine receipt. Methods We used data from the Influenza Hospitalization Surveillance Network (FluSurv-NET) and included patients ≥ 9 years hospitalized with laboratory-confirmed influenza during October 1–April 30 of influenza seasons 2013–2014 through 2016–2017 who received seasonal influenza vaccine ≥ 14 days prior to admission. Vaccine history was obtained from vaccine registries, medical charts, and patient interviews. We defined “early vaccination” as vaccine receipt before October 15 and “late vaccination” as receipt after (date selected using typical season onset and median vaccination dates). Early and late groups were compared using Chi-square or Fisher exact tests. Results Among 21,751 vaccinated patients, 61% received vaccine before October 15, and distribution of vaccination date was similar across seasons (figure). Vaccination occurred earlier with increasing age (45% were vaccinated early among those 9–17 years but 65% in those ≥ 80 years, P < 0.01). White non-Hispanic patients were more likely to receive vaccine early compared with black non-Hispanic and Hispanic patients (63% vs. 55% and 54%; P < 0.01). Those with metabolic disorders, cardiovascular disease, kidney disease, and cancer were vaccinated earlier whereas those with HIV and liver disease were vaccinated later. Vaccine timing also varied by state (P < 0.01) but not by sex. Conclusion Among influenza-vaccinated older children and adults hospitalized with influenza, older age, white race, and certain medical conditions were associated with early receipt of influenza vaccination in unadjusted analysis. This may be due to frequent healthcare encounters and targeted public health strategies in high-risk groups. Understanding how timing of vaccine receipt varies among populations can provide insights into variables that must be controlled for in studying possible vaccine effectiveness waning and attenuation of disease among those who are infected despite vaccination. Disclosures All authors: No reported disclosures.

“It ain’t ‘nah’ it’s ‘no’”: Preparing preschoolers for the language of school

2016 ◽  
Vol 18 (4) ◽  
pp. 465-489 ◽  
Author(s):  
Colleen E Whittingham ◽  
Emily Brown Hoffman ◽  
Joseph C Rumenapp
Keyword(s):  
School Readiness ◽  
The United States ◽  
African American Community ◽  
Standard English ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Language Varieties ◽  
School Settings ◽  
Midwestern City ◽  
Childcare Providers

This research presents reflections from focus group discussions with childcare providers and parents of preschoolers in one African American community situated within a large Midwestern city in the United States. The purpose of this study was to examine parents’ and childcare providers’ conceptions of literacy and language related to school readiness. During these conversations it became clear that both parents and providers engage in a number of practices to prepare children to use the standard variety of English privileged by mainstream schooling. Participants verbalize the dual importance of encouraging all language development for young children while explicitly teaching the uses of language as situated in a larger social context. Both parents and providers discuss the need to build a bridge for children between the English varieties used at home and the standard English valued by schools. In light of these findings, the authors problematize common conceptions of ‘school readiness’ as unidirectional and discuss implications for children entering school settings where language varieties are undervalued.

scholarly journals Seasonal influenza immunisation in Europe. Overview of recommendations and vaccination coverage for three seasons: pre-pandemic (2008/09), pandemic (2009/10) and post-pandemic (2010/11)

2014 ◽  
Vol 19 (16) ◽  
Author(s):  
J Mereckiene ◽  
S Cotter ◽  
A Nicoll ◽  
P Lopalco ◽  
T Noori ◽  
...  
Keyword(s):  
Older People ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Risk Groups ◽  
European Economic Area ◽  
Clinical Risk ◽  
The Impact

Since 2008, annual surveys of influenza vaccination policies, practices and coverage have been undertaken in 29 European Union (EU)/ European Economic Area (EEA) countries. After 2009, this monitored the impact of European Council recommendation to increase vaccination coverage to 75% among risk groups. This paper summarises the results of three seasonal influenza seasons: 2008/09, 2009/10 and 2010/11. In 2008/09, 27/29 countries completed the survey; in 2009/10 and 2010/11, 28/29 completed it. All or almost all countries recommended vaccination of older people (defined as those aged ≥50, ≥55, ≥59, ≥60 or ≥65 years), and people aged ≥6 months with clinical risk and healthcare workers. A total of 23 countries provided vaccination coverage data for older people, but only 7 and 10 had data for the clinical risk groups and healthcare workers, respectively. The number of countries recommending vaccination for some or all pregnant women increased from 10 in 2008/09 to 22 in 2010/11. Only three countries could report coverage among pregnant women. Seasonal influenza vaccination coverage during and after the pandemic season in older people and clinical groups remained unchanged in countries with higher coverage. However, small decreases were seen in most countries during this period. The results of the surveys indicate that most EU/EEA countries recommend influenza vaccination for the main target groups; however, only a few countries have achieved the target of 75% coverage among risk groups. Coverage among healthcare workers remained low.

scholarly journals Competing Cultural Worldviews in the United States: A Phenomenological Examination of the Essential Core Elements of Transnationalism and Transculturalism

2014 ◽  
Author(s):  
Mark Orbe ◽  
Darlene Drummond
Keyword(s):  
United States ◽  
Social Identity ◽  
Focus Group ◽  
The United States ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cultural Worldviews ◽  
Core Elements

The objective of this study was to explore inductively the complex ways in which everyday discourse reflects larger - and often competing - cultural worldviews. A phenomenological framework was used to analyze transcripts generated through 13 focus group discussions involving 100 individuals. This particular analysis highlights how individuals who adopted a transnational worldview worked to transform cultural divisions through criticism of existing labels that failed to capture the multicultural nature of their identifies. Alternatively, individuals who adopted a transcultural worldview worked to transcend traditional cultural divisions through a rejection of traditional labels that worked against one unified social identity. The thematic insights generated through the study are significant in that they provide a heuristic framework for scholars and practitioners who are interested in promoting greater understanding through engaging transnationalism, transculturalism, and related issues.

scholarly journals Relative disease burdens of COVID-19 and seasonal influenza in New York City, February 1 - April 18, 2020

2020 ◽  
Author(s):  
Jeremy Samuel Faust ◽  
Carlos del Rio
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Seasonal Influenza ◽  
The United States ◽  
Time Interval ◽  
Time Period ◽  
All Cause Mortality ◽  
Control And Prevention ◽  
Mortality Estimates

AbstractComparisons between the mortality burdens of COVID-19 and seasonal influenza often fail to account for the fact that the United States Centers for Disease Control and Prevention (CDC) reports annual influenza mortality estimates which are calculated based upon a series of assumptions about the underreporting of flu deaths. COVID-19 deaths, in contrast, are being reported as raw counts. In this report, we compare COVID-19 death counts to seasonal influenza death counts in New York City during the interval from February 1 - April 18, 2020. Using this approach, COVID-19 appears to have caused 21.4 times the number of deaths as seasonal influenza during the same period. We also assessed excess mortality in order to verify this finding. New York City has had approximately 13,032 excess all-cause mortality deaths during this time period. We assume that most of these deaths are COVID-19 related. We therefore calculated the ratio of excess deaths (i.e. assumed COVID-19 deaths) to seasonal influenza deaths during the same time interval and found a similar ratio of 21.1 COVID-19 to seasonal influenza deaths. Our findings are consistent with conditions on the ground today. Comparing COVID-19 deaths with CDC estimates of yearly influenza-related deaths would suggest that, this year, seasonal influenza has killed approximately the same number of Americans as COVID-19 has. This does not comport with the realities of the pandemic we see today.

scholarly journals Seasonal influenza vaccination trends from 2007–2011 in privately insured children and adults in the United States

Vaccine ◽  
2014 ◽  
Vol 32 (48) ◽  
pp. 6563-6568 ◽  
Author(s):  
Evgeniya Antonova ◽  
Christopher S. Ambrose ◽  
David Kern ◽  
Stan L. Block ◽  
Herve Caspard ◽  
...  
Keyword(s):  
United States ◽  
Influenza Vaccination ◽  
Seasonal Influenza ◽  
The United States ◽  
Seasonal Influenza Vaccination ◽  
Privately Insured

scholarly journals Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Théophile Baïssas ◽  
Florence Boisnard ◽  
Inmaculada Cuesta Esteve ◽  
Marta Garcia Sánchez ◽  
Christine E. Jones ◽  
...  
Keyword(s):  
United States ◽  
United Kingdom ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Seasonal Influenza ◽  
The United States ◽  
Seasonal Influenza Vaccination ◽  
High Performing ◽  
The United Kingdom ◽  
In Pregnancy

Abstract Background Pertussis and seasonal influenza are responsible for significant maternal, neonatal, and infant morbidity and mortality, but vaccine coverage rates (VCR) for both pertussis (administered as a tetanus, diphtheria, acellular pertussis [Tdap] vaccination) and seasonal influenza in pregnancy remain generally low. Only a small number of countries, including Spain, the United Kingdom (UK), and the United States (US), have high Tdap and seasonal influenza VCRs in pregnancy. The purpose of this study was to identify the key factors that contributed to the high VCRs observed in these countries. Methods The experience from both Tdap and seasonal influenza vaccination programmes during pregnancy were documented in Spain, the UK, and the US using a three-step approach. A literature review yielded 157 publications, and a further 117 documents were selected through desk research. A published five-pillar VCR framework for influenza was amended to evaluate the specific contributing factors leading to high Tdap and seasonal influenza VCRs among pregnant women. Results The analysis identified components that contributed to higher VCR in pregnant women across three different healthcare systems in Spain, UK, and US. The combination of several key interventions in each country led to a rapid increase in VCR that reached near-optimal levels (i.e. 75% for seasonal influenza) within a few years. As well as inclusion in national immunisation programme and vaccine reimbursement, key components that were identified included the mobilisation of health authorities, prenatal care Healthcare Professionals (HCP) and scientific societies, the inclusion of vaccination in antenatal medical guidance, the provision of educational material to HCPs, and a strong disease awareness driven by recent pertussis outbreaks in each country. Conclusions Although there is no simple, universal solution to improving sub-optimal VCRs, the list of components identified in this study from three countries with high-performing Tdap and seasonal influenza vaccination programmes provides a basis for public health and medical stakeholders in other countries to define strategies to successfully implement national vaccination programmes for pregnant women.

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