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

Richard Lyn-Cook, Ethan A. Halm, Juan P. Wisnivesky

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31 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)229-235
Number of pages7
JournalPrimary Care Respiratory Journal
Volume16
Issue number4
DOIs
StatePublished - Aug 1 2007

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Keywords

  • Adherence
  • Asthma
  • Health beliefs
  • Influenza vaccination
  • Predictors

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Public Health, Environmental and Occupational Health

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