Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Factors associated with uptake of influenza vaccine in people aged 50 to 64 years in Hong Kong: a case–control study

Authors: May PS Yeung, Stephen Kam-Cheung Ng, Edmond Tak Fai Tong, Stephen Sek-Kam Chan, Richard Coker

Published in: BMC Public Health | Issue 1/2015

Login to get access

Abstract

Background

In Hong Kong, people aged 50–64 years were added as a recommended priority group (recommended group) for influenza vaccination by the Department of Health (DH) starting from 2011/12 onwards. The coverage rate of influenza vaccination for this age group was suboptimal at 8.5 % in 2012/13. This study investigates the factors associated with the uptake of influenza vaccination among adults in Hong Kong aged 50–64 years.

Methods

A case–control study was conducted in communities by street intercept interviews from 17 July to 15 August 2013. Cases were adults aged 50–64 years who had received the influenza vaccine in 2011/12 or 2012/13, while controls were the same as the cases, except they had not received the influenza vaccine in 2011/12 or 2012/13. Multiple logistic regression analysis was performed on the data to explore the associations between vaccination status and the variables.

Results

Six hundred and four respondents in total were interviewed and included in the analysis. There were 193 cases (vaccinated) and 411 controls (non-vaccinated), with a case-to-control ratio of 1:2.1. The following were strongly associated with vaccination compared to other factors: ‘eligible for free government vaccine’ (OR6.38, 95 % CI, 3.43-11.87, p < 0.001); ‘willing to receive flu vaccination for free’ (OR4.84, 95 % CI, 2.13-11.03, p < 0.001); ‘perceived having severe or moderate symptoms when contracting flu’ (OR2.90, 95 % CI, 1.21-6.97, p = 0.02), and ‘convenient to reach a vaccination location’ (OR2.87, 95 % CI, 1.06-7.74, p = 0.04). The majority of the cases (80.8 %) and controls (93.9 %) were not aware that they belonged to a recommended group for influenza vaccination and most (>80 %) were willing to be vaccinated if it was free.

Conclusions

Factors related to free and convenient vaccination, the perception of the severity of symptoms when contracting influenza had a comparatively strong association with influenza vaccination uptake amongst 50–64 year olds, compared to other factors.
Literature
1.
Mereckiene J, Cotter S, D’Ancona F, Giambi C, Nicoll A, Levy-Bruhl D, et al. Differences in national influenza vaccination policies across the European Union, Norway and Iceland 2008–2009. Euro Surveill. 2010;Nov 4;15(44).pii: 19700.
2.
Nokleby H, Nicoll A. Risk groups and other target groups - preliminary ECDC guidance for developing influenza vaccination recommendations for the season 2010–11. Euro Surveill. 2010;15(12).pii: 19525.
3.
Centers for Disease Control Prevention. Prevention and control of seasonal influenza with vaccines. Recommendations of the Advisory Committee on Immunization Practices–United States, 2013–2014. MMWR Recomm Rep. 2013;62(RR-07):1–43.
4.
Kunze U, Böhm G, Groman E. Influenza vaccination in Austria from 1982 to 2011: a country resistant to influenza prevention and control. Vaccine. 2013;31(44):5099–103.CrossRefPubMed
5.
Nichol KL, Lind A, Margolis KL, Murdoch M, McFadden R, Hauge M, et al. The effectiveness of vaccination against influenza in healthy, working adults. N Engl J Med. 1995;333(14):889–93.CrossRefPubMed
6.
Bridges CB, Thompson WW, Meltzer MI, Reeve GR, Talamonti WJ, Cox NJ, et al. Effectiveness and cost-benefit of influenza vaccination of healthy working adults: a randomized controlled trial. JAMA. 2000;284(13):1655–63.CrossRefPubMed
7.
Jefferson T, Di Pietrantonj C, Rivetti A, Bawazeer GA, Al-Ansary LA, Ferroni E. Vaccines for preventing influenza in healthy adults. Cochrane Database Syst Rev. 2010;7:Cd001269.
8.
Osterholm MT, Kelley NS, Sommer A, Belongia EA. Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. Lancet Infect Dis. 2012;12(1):36–44.CrossRefPubMed
9.
Pierce MB, Zaninotto P, Steel N, Mindell J. Undiagnosed diabetes-data from the English longitudinal study of ageing. Diabet Med. 2009;26(7):679–85.CrossRefPubMed
10.
11.
12.
CHAN D. Seasonal influenza vaccination coverage survey for the 2012/13 season. Communicable Diseases Watch. 2013;10(19):74–5.
13.
Fleiss J, Levin B, Paik M. Statistical Methods for Rates and Proportions. New York: Wiley; 2003.CrossRef
14.
15.
Department of Health. Evaluation of the Publicity of Human Swine Influenza Vaccination Programme 2009/10 (Main Report). (Internal document). Hong Kong. 2010.
16.
Opel DJ, Mangione-Smith R, Taylor JA, Korfiatis C, Wiese C, Catz S, et al. Development of a survey to identify vaccine-hesitant parents: the parent attitudes about childhood vaccines survey. Hum Vaccin. 2011;7(4):419–25.CrossRefPubMedPubMedCentral
17.
Takahashi O, Noguchi V, Rahman M, Shimbo T, Goto M, Matsui K, et al. Influence of family on acceptance of influenza vaccination among Japanese patients. Fam Pract. 2003;20(2):162–6.CrossRefPubMed
18.
19.
Mok E, Yeung SH, Chan MF. Prevalence of influenza vaccination and correlates of intention to be vaccinated among Hong Kong Chinese. Public Health Nurs. 2006;23(6):506–15.CrossRefPubMed
20.
Liao QY, Wong WS, Fielding R. Comparison of different risk perception measures in predicting seasonal influenza vaccination among Healthy Chinese adults in Hong Kong: a prospective longitudinal study. Plos One. 2013;8(7):e68019.CrossRefPubMedPubMedCentral
21.
Wada K, Smith DR. Influenza vaccination uptake among the working age population of Japan: results from a national cross-sectional survey. Plos One. 2013;8(3):e59272.CrossRefPubMedPubMedCentral
22.
Chapman GB, Coups EJ. Predictors of influenza vaccine acceptance among healthy adults. Prev Med. 1999;29(4):249–62.CrossRefPubMed
23.
Kroneman M, Paget WJ, van Essen GA. Influenza vaccination in Europe: an inventory of strategies to reach target populations and optimise vaccination uptake. Euro Surveill. 2003;8(6):130–8.PubMed
24.
de Lataillade C, Auvergne S, Delannoy I. 2005 and 2006 seasonal influenza vaccination coverage rates in 10 countries in Africa, Asia Pacific, Europe, Latin America and the Middle East. J Public Health Policy. 2009;30(1):83–101.CrossRefPubMed
25.
Blank PR, Schwenkglenks M, Szucs TD. Vaccination coverage rates in eleven European countries during two consecutive influenza seasons. J Infect. 2009;58(6):446–58.CrossRefPubMed
26.
Endrich MM, Blank PR, Szucs TD. Influenza vaccination uptake and socioeconomic determinants in 11 European countries. Vaccine. 2009;27(30):4018–24.CrossRefPubMed
27.
Carrasco-Garrido P, de Andres AL, Hernandez-Barrera V, de Miguel AG, Jimenez-Garcia R. Patient’s perceptions and information provided by the public health service are predictors for influenza vaccine uptake. Hum Vaccin. 2009;5(12):839–42.CrossRefPubMed
28.
Cassidy W, Marioneaux DM, Windham AF, Manning S, Fishbein D, Horswell RL. Factors influencing acceptance of influenza vaccination given in an ED. Am J Emerg Med. 2009;27(9):1027–33.CrossRefPubMed
29.
30.
Vaux S, Van Cauteren D, Guthmann JP, Le Strat Y, Vaillant V, de Valk H, et al. Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France: a cross-sectional survey. BMC Public Health. 2011;12:11.
31.
Uscher-Pines L, Maurer J, Kellerman A, Harris KM. Healthy young and middle age adults: what will it take to vaccinate them for influenza? Vaccine. 2010;28(46):7420–2.CrossRefPubMed
32.
Fiebach NH, Viscoli CM. Patient acceptance of influenza vaccination. Am J Med. 1991;91(4):393–400.CrossRefPubMed
33.
van Essen GA, Kuyvenhoven MM, de Melker RA. Compliance with influenza vaccination. Its relation with epidemiologic and sociopsychological factors. Arch Fam Med. 1997;6(2):157–62. discussion 63.CrossRefPubMed
34.
Looijmans-van Den Akker I, van den Heuvel PM, Verheij Th JM, van Delden JJM, van Essen GA, Hak E. No intention to comply with influenza and pneumococcal vaccination: Behavioural determinants among smokers and non-smokers. Prev Med. 2007;45(5):380–5.CrossRefPubMed
35.
Santibanez TA, Mootrey GT, Euler GL, Janssen AP. Behavior and beliefs about influenza vaccine among adults aged 50–64 years. Am J Health Behav. 2010;34(1):77–89.CrossRefPubMed
Metadata
Title
Factors associated with uptake of influenza vaccine in people aged 50 to 64 years in Hong Kong: a case–control study
Authors
May PS Yeung
Stephen Kam-Cheung Ng
Edmond Tak Fai Tong
Stephen Sek-Kam Chan
Richard Coker
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1990-0

Other articles of this Issue 1/2015

BMC Public Health 1/2015 Go to the issue

Research article

Impact evaluation of a community-based intervention to reduce risky sexual behaviour among female sex workers in Shanghai, China

Study protocol

Cost-effectiveness of a multifaceted implementation strategy for the Dutch multidisciplinary guideline for nonspecific low back pain: design of a stepped-wedge cluster randomised controlled trial

Research article

Participation in modified sports programs: a longitudinal study of children’s transition to club sport competition

Research article

Risk factors for homicide victimization in post-genocide Rwanda: a population -based case- control study

Research article

The HIV epidemic and sexual and reproductive health policy integration: views of South African policymakers

Study protocol

The effect of a sit-stand workstation intervention on daily sitting, standing and physical activity: protocol for a 12 month workplace randomised control trial