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Underutilization of Influenza Vaccine

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  • Marshall K. Cheney
  • Robert John

Abstract

Yearly influenza vaccination continues to be underutilized by those who would most benefit from it. The Health Belief Model was used to explain differences in beliefs about influenza vaccination among at-risk individuals resistant to influenza vaccination. Survey data were collected from 74 members of at-risk groups who were not vaccinated for influenza during the previous flu season. Accepting individuals were more likely to perceive flu as a threat to health and perceive access barriers, and cues to action were the most important influence on whether they plan to get vaccinated. In comparison, resistant individuals did not feel threatened by the flu, access barriers were not a problem, and they did not respond favorably to cues to action. Perceived threat, perceived access barriers, and cues to action were significantly associated with plans to be vaccinated for influenza in the next flu season. Participants who saw influenza as a threat to their health had 5.4 times the odds of planning to be vaccinated than those who did not. Participants reporting barriers to accessing influenza vaccination had 7.5 times the odds of reporting plans to be vaccinated. Those responding positively to cues to action had 12.2 times the odds of planning to be vaccinated in the next flu season than those who did not. Accepting and resistant individuals have significant differences in their beliefs, which require different intervention strategies to increase vaccination rates. These findings provide important information to researchers and practitioners working to increase influenza vaccination rates.

Suggested Citation

  • Marshall K. Cheney & Robert John, 2013. "Underutilization of Influenza Vaccine," SAGE Open, , vol. 3(2), pages 21582440134, April.
    • Handle: RePEc:sae:sagope:v:3:y:2013:i:2:p:2158244013484732
    DOI: 10.1177/2158244013484732
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    References listed on IDEAS

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    1. Zimmerman, R.K. & Nowalk, M.P. & Raymund, M. & Tabbarah, M. & Hall, D.G. & Wahrenberger, J.T. & Wilson, S.A. & Ricci, E.M., 2003. "Tailored Interventions to Increase Influenza Vaccination in Neighborhood Health Centers Serving the Disadvantaged," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1699-1705.
    2. Prislin, R. & Dyer, J.A. & Blakely, C.H. & Johnson, C.D., 1998. "Immunization status and sociodemographic characteristics: The mediating role of beliefs, attitudes, and perceived control," American Journal of Public Health, American Public Health Association, vol. 88(12), pages 1821-1826.
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    1. I‐Hui Chen & Shih‐Min Hsu & Jiunn‐Shyan Julian Wu & Yu‐Tsang Wang & Yen‐Kuang Lin & Min‐Huey Chung & Pin‐Hsuan Huang & Nae‐Fang Miao, 2019. "Determinants of nurses’ willingness to receive vaccines: Application of the health belief model," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(19-20), pages 3430-3440, October.
    2. Silva Guljaš & Zvonimir Bosnić & Tamer Salha & Monika Berecki & Zdravka Krivdić Dupan & Stjepan Rudan & Ljiljana Majnarić Trtica, 2021. "Lack of Informations about COVID-19 Vaccine: From Implications to Intervention for Supporting Public Health Communications in COVID-19 Pandemic," IJERPH, MDPI, vol. 18(11), pages 1-15, June.

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