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Influenza vaccine acceptance and hesitancy among adults hospitalized with severe acute respiratory illnesses, United States 2019-2020.
Lytle, Kelsey L; Collins, Sean P; Feldstein, Leora R; Baughman, Adrienne H; Brown, Samuel M; Casey, Jonathan D; Erickson, Heidi L; Exline, Matthew C; Files, D Clark; Gibbs, Kevin W; Ginde, Adit A; Gong, Michelle N; Grijalva, Carlos G; Khan, Akram; Lindsell, Christopher J; Peltan, Ithan D; Prekker, Matthew E; Rice, Todd W; Shapiro, Nathan I; Steingrub, Jay S; Stubblefield, William B; Tenforde, Mark W; Womack, Kelsey N; Patel, Manish M; Self, Wesley H.
  • Lytle KL; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Collins SP; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Feldstein LR; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Baughman AH; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Brown SM; Intermountain Medical Center and University of Utah, Salt Lake City, UT, USA.
  • Casey JD; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Erickson HL; Hennepin County Medical Center and the University of Minnesota Medical School, Minneapolis, MN, USA.
  • Exline MC; The Ohio State University, Columbus, OH, USA.
  • Files DC; Wake Forest School of Medicine, Winston Salem North Carolina, USA.
  • Gibbs KW; Wake Forest School of Medicine, Winston Salem North Carolina, USA.
  • Ginde AA; University of Colorado School of Medicine, Aurora, CO, USA.
  • Gong MN; Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
  • Grijalva CG; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Khan A; Oregon Health & Sciences University, Portland, OR, USA.
  • Lindsell CJ; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Peltan ID; Intermountain Medical Center and University of Utah, Salt Lake City, UT, USA.
  • Prekker ME; Hennepin County Medical Center and the University of Minnesota Medical School, Minneapolis, MN, USA.
  • Rice TW; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Shapiro NI; Beth Israel Deaconess Medical Center, Boston, MA, USA.
  • Steingrub JS; Baystate Medical Center, Springfield, MA, USA.
  • Stubblefield WB; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Tenforde MW; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Womack KN; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Patel MM; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Self WH; Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: wesley.self@vumc.org.
Vaccine ; 39(37): 5271-5276, 2021 08 31.
Article in English | MEDLINE | ID: covidwho-1371544
ABSTRACT

INTRODUCTION:

Understanding patient factors associated with not being vaccinated is essential for successful implementation of influenza vaccination programs.

METHODS:

We enrolled adults hospitalized with severe acute respiratory illness at 10 United States (US) hospitals during the 2019-2020 influenza season. We interviewed patients to collect data about influenza vaccination, sociodemographic characteristics, and vaccine perceptions.

RESULTS:

Among 679 participants, 264 (38.9%) reported not receiving influenza vaccination. Among those not vaccinated, 135 (51.1%) reported choosing not to receive a vaccine because of perceived ineffectiveness (36.7%) or risk (14.4%) of influenza vaccination. Sociodemographic factors associated with not being vaccinated included no medical insurance (aOR = 6.42; 95% CI 2.52-16.38) and being non-White or Hispanic (aOR = 1.54, 95% CI 1.02-2.32).

CONCLUSIONS:

Optimizing uptake of influenza vaccination in the US may be improved by educational programs regarding vaccine safety and effectiveness and enhancing vaccine access, particularly among non-White and Hispanic Americans and those without medical insurance.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Influenza Vaccines / Influenza, Human Type of study: Prognostic study Topics: Vaccines Limits: Adult / Humans Country/Region as subject: North America Language: English Journal: Vaccine Year: 2021 Document Type: Article Affiliation country: J.vaccine.2021.07.057

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Influenza Vaccines / Influenza, Human Type of study: Prognostic study Topics: Vaccines Limits: Adult / Humans Country/Region as subject: North America Language: English Journal: Vaccine Year: 2021 Document Type: Article Affiliation country: J.vaccine.2021.07.057