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BMC Geriatrics
Published in: BMC Geriatrics 1/2017

Open Access 01-12-2017 | Research Article

Psychological determinants of influenza vaccination

Authors: Jens-Oliver Bock, André Hajek, Hans-Helmut König

Published in: BMC Geriatrics | Issue 1/2017

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Abstract

Background

Previous studies investigated the determinants of individuals’ decision to vaccinate against influenza primarily focusing on social as well as certain proximal determinants, for example, behavioral beliefs. Thus, so far, the analysis of psychological factors as determinants of influenza vaccination was mainly limited to beliefs, attitudes or perceptions that were directly related to influenza vaccination and its perceived impact. However, considering general psychological factors, like general self-efficacy, optimism or subjective well-being, might further enhance the understanding of why certain people vaccinate while others do not. The aim was to investigate the relationship between various general psychological factors and older people’s decision to vaccinate against seasonal flu.

Methods

The data of individuals aged 60 or older (n = 5037; in 2014) were used from the Germany Ageing Survey. The data were collected in face-to-face interviews and in self-administered questionnaires. They include questions on the use of influenza vaccination and the psychological factors of optimism, self-efficacy, self-esteem, perceived stress, self-regulation, life satisfaction, and negative affect as well as positive affect. The psychological determinants of regular influenza vaccination were investigated using multiple logistic regressions.

Results

53.2% of all participants were regular users of influenza vaccination. There were significant bivariate correlations of all cited psychological factor with influenza vaccination except for life satisfaction and negative affect. After controlling for numerous potential socio-demographic, morbidity- and lifestyle-related confounders, regular influenza vaccination was still positively associated with lower levels of self-esteem and a higher level of perceived stress.

Conclusions

There are significant associations of general individual psychological constructs with the decision to vaccinate against influenza. Future research might determine the impact of psychological factors on the decision to vaccinate in longitudinal research designs. This might be helpful to understand the causal mechanisms behind this relationship, which could help to design interventions that increase vaccination rates in certain target groups.
Appendix
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Literature
1.
2.
Demicheli V, Di Pietrantonj C, Jefferson T, Rivetti A, Rivetti D. Vaccines for preventing influenza in healthy adults. Cochrane Libr. 2007;3:CD001269.
3.
Zaman K, Roy E, Arifeen SE, Rahman M, Raqib R, Wilson E, Omer SB, Shahid NS, Breiman RF, Steinhoff MC. Effectiveness of maternal influenza immunization in mothers and infants. N Engl J Med. 2008;359(15):1555–64.CrossRefPubMed
4.
Burls A, Jordan R, Barton P, Olowokure B, Wake B, Albon E, Hawker J. Vaccinating healthcare workers against influenza to protect the vulnerable—is it a good use of healthcare resources?: a systematic review of the evidence and an economic evaluation. Vaccine. 2006;24(19):4212–21.CrossRefPubMed
5.
Nichol KL, Nordin JD, Nelson DB, Mullooly JP, Hak E. Effectiveness of influenza vaccine in the community-dwelling elderly. N Engl J Med. 2007;357(14):1373–81.CrossRefPubMed
6.
Beyer WE, McElhaney J, Smith DJ, Monto AS, Nguyen-Van-Tam JS, Osterhaus AD. Cochrane re-arranged: support for policies to vaccinate elderly people against influenza. Vaccine. 2013;31(50):6030–3.CrossRefPubMed
7.
Grohskopf LA, Sokolow LZ, Olsen SJ, Bresee JS, Broder KR, Karron RA. Prevention and control of influenza with vaccines: recommendations of the advisory committee on immunization practices, United States, 2015–16 influenza season. MMWR Morb Mortal Wkly Rep. 2015;64(30):818–25.CrossRefPubMed
8.
9.
Hollmeyer HG, Hayden F, Poland G, Buchholz U. Influenza vaccination of health care workers in hospitals—a review of studies on attitudes and predictors. Vaccine. 2009;27(30):3935–44.CrossRefPubMed
10.
Kohlhammer Y, Schnoor M, Schwartz M, Raspe H, Schäfer T. Determinants of influenza and pneumococcal vaccination in elderly people: a systematic review. Public Health. 2007;121(10):742–51.CrossRefPubMed
11.
Nagata JM, Hernández-Ramos I, Kurup AS, Albrecht D, Vivas-Torrealba C, Franco-Paredes C. Social determinants of health and seasonal influenza vaccination in adults≥ 65 years: a systematic review of qualitative and quantitative data. BMC Public Health. 2013;13(1):1.CrossRef
12.
Ward J, Raude J. Understanding influenza vaccination behaviors: a comprehensive sociocultural framework. Expert review of vaccines. 2014;13(1):17–29.CrossRefPubMed
13.
Yuen CYS, Tarrant M. Determinants of uptake of influenza vaccination among pregnant women–a systematic review. Vaccine. 2014;32(36):4602–13.CrossRefPubMed
14.
Weinstein ND, Kwitel A, McCaul KD, Magnan RE, Gerrard M, Gibbons FX. Risk perceptions: assessment and relationship to influenza vaccination. Health Psychol. 2007;26(2):146.CrossRefPubMed
15.
Myers LB, Goodwin R. Determinants of adults’ intention to vaccinate against pandemic swine flu. BMC Public Health. 2011;11(1):1.CrossRef
16.
Chapman GB, Coups EJ. Emotions and preventive health behavior: worry, regret, and influenza vaccination. Health Psychol. 2006;25(1):82.CrossRefPubMed
17.
Leder S, Florack A, Keller J. Self-regulation and protective health behaviour: how regulatory focus and anticipated regret are related to vaccination decisions. Psychol Health. 2015;30(2):165–88.CrossRefPubMed
18.
Wheelock A, Thomson A, Sevdalis N. Social and psychological factors underlying adult vaccination behavior: lessons from seasonal influenza vaccination in the US and the UK. Expert review of vaccines. 2013;12(8):893–901.CrossRefPubMed
19.
Brannon L, Feist J, Updegraff J. Health psychology: an introduction to behavior and health. Wadsworth: Cengage Learning; 2014.
20.
Poland CM, Poland GA. Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education. Vaccine. 2011;29(37):6145–8.CrossRefPubMed
21.
Jo H, Lee S, Ahn MO, Jung SH. Structural relationship of factors affecting health promotion behaviors of Korean urban residents. Health Prom Int. 2003;18(3):229–36.CrossRef
22.
Mulkana SS, Hailey BJ. The role of optimism in health-enhancing behavior. Am J Health Behav. 2001;25(4):388–95.CrossRefPubMed
23.
Tolma EL, Reninger BM, Evans A, Ureda J. Examining the theory of planned behavior and the construct of self-efficacy to predict mammography intention. Health Educ Behav. 2006;33(2):233–51.CrossRefPubMed
24.
Oscarsson MG, Wijma BE, Benzein EG. ‘I do not need to… I do not want to… I do not give it priority…’–why women choose not to attend cervical cancer screening. Health Expect. 2008;11(1):26–34.CrossRefPubMedPubMedCentral
25.
Ridolfi DR, Crowther JH. The link between women's body image disturbances and body-focused cancer screening behaviors: a critical review of the literature and a new integrated model for women. Body Image. 2013;10(2):149–62.CrossRefPubMed
26.
Ng DM, Jeffery RW. Relationships between perceived stress and health behaviors in a sample of working adults. Health Psychol. 2003;22(6):638.CrossRefPubMed
27.
Engstler H, Hameister N. Deutscher Alterssurvey (DEAS): Kurzbeschreibung des Datensatzes SUF DEAS2014, Version 1.0. Berlin: DZA; 2016.
28.
Brandtstädter J, Wentura D. Veränderungen der Zeit-und Zukunftsperspektive im Übergang zum höheren Erwachsenenalter: entwicklungspsychologische und differentielle Aspekte. Z Entwicklungspsychol Padagog Psychol. 1994;26:2–21.
29.
Schwarzer R, Jerusalem M. Skalen zur Erfassung von Lehrer-und Schülermerkmalen. Berlin: Freie Universität Berlin; 1999.
30.
Schwarzer R, Jeruswalem M. Generalized self-efficacy scale. In: Weinman J, Wright S, Johnston M, editors. Measures in health psychology: a user’s portfolio causal and control beliefs. Windsor: NFER-NELSON; 1995. p. 35–7.
31.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress.J Health Soc Behav. 1983; 24(4):385–96.
32.
Rosenberg M. Society and the adolescent self-image. Princeton: Princeton University Press; 1965.CrossRef
33.
Pavot W, Diener E. Review of the satisfaction with life scale. Psychol Assess. 1993;5(2):164–72.CrossRef
34.
Bauer IM, Baumeister RF. Self-regulatory strength. In: Vohs KD, Baumeister RF, editors. Handbook of self-regulation: research, theory, and applications. New York: Guilford Publications; 2011. p. 64–82.
35.
Ziegelmann JP, Lippke S. Selbstregulation in der Gesundheitsverhaltensänderung: Strategienutzung und Bewältigungsplanung im jungen, mittleren und höheren Alter. Z Gesundh. 2006;14(2):82–90.CrossRef
36.
Freund AM, Baltes PB. Life-management strategies of selection, optimization and compensation: measurement by self-report and construct validity. J Pers Soc Psychol. 2002;82(4):642.CrossRefPubMed
37.
Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54(6):1063–70.CrossRefPubMed
38.
Brown GW, Andrews B, Harris T, Adler Z, Bridge L. Social support, self-esteem and depression. Psychol Med. 1986;16(04):813–31.CrossRefPubMed
39.
Ståhl T, Rütten A, Nutbeam D, Bauman A, Kannas L, Abel T, Lüschen G, Rodriquez DJ, Vinck J, van der Zee J. The importance of the social environment for physically active lifestyle—results from an international study. Soc Sci Med. 2001;52(1):1–10.CrossRefPubMed
40.
Allgöwer A, Wardle J, Steptoe A. Depressive symptoms, social support, and personal health behaviors in young men and women. Health Psychol. 2001;20(3):223–7.CrossRefPubMed
41.
Muhlenkamp AF, Sayles JA. Self-esteem, social support, and positive health practices. Nurs Res. 1986;35(6):334–8.CrossRefPubMed
42.
Gerrard M, Gibbons FX, Reis-Bergan M, Russell DW. Self-esteem, self-serving cognitions, and health risk behavior. J Pers. 2000;68(6):1177–201.CrossRefPubMed
43.
Emler N. The costs and causes of low self-esteem, vol. 21. York: Joseph Rowntree Foundation; 2002.
44.
Bergdahl J, Bergdahl M. Perceived stress in adults: prevalence and association of depression, anxiety and medication in a Swedish population. Stress Health. 2002;18(5):235–41.CrossRef
45.
Rusli BN, Edimansyah BA, Naing L. Working conditions, self-perceived stress, anxiety, depression and quality of life: a structural equation modelling approach. BMC Public Health. 2008;8(1):1.CrossRef
46.
Böhmer MM, Walter D, Krause G, Müters S, Gößwald A, Wichmann O. Determinants of tetanus and seasonal influenza vaccine uptake in adults living in Germany. Human vaccines. 2011;7(12):1317–25.CrossRefPubMed
47.
Endrich MM, Blank PR, Szucs TD. Influenza vaccination uptake and socioeconomic determinants in 11 European countries. Vaccine. 2009;27(30):4018–24.CrossRefPubMed
48.
Holm MV, Blank PR, Szucs TD. Trends in influenza vaccination coverage rates in Germany over five seasons from 2001 to 2006. BMC Infect Dis. 2007;7(1):1.CrossRef
49.
Engstler H, Motel-Klingebiel A. Datengrundlagen und Methoden des Deutschen Alterssurveys (DEAS). In Motel-Klingebiel A, Wurm S, Tesch-Römer C, editors: Altern im Wandel. Befunde des Deutschen Alterssurveys (DEAS). Stuttgart: Verlag W. Kohlhammer; 2010. pp. 34–60.
50.
51.
Neller K. Kooperation und Verweigerung. Eine non-response-Studie [co-operation and refusal: a non-response study]. ZUMA Nachrichten. 2005;29(57):9–36.
52.
Klaus D, Engstler H, Mahne K, Wolff JK, Simonson J, Wurm S, Tesch-Römer C. Cohort profile: the German Ageing Survey (DEAS). Int J Epidemiol. 2017:1–8.
53.
Bronchetti ET, Huffman DB, Magenheim E. Attention, intentions, and follow-through in preventive health behavior: field experimental evidence on flu vaccination. J Econ Behav Organ. 2015;116:270–91.CrossRef
54.
Maurer J. Inspecting the mechanism: a longitudinal analysis of socioeconomic status differences in perceived influenza risks, vaccination intentions, and vaccination behaviors during the 2009–2010 influenza pandemic. Med Decis Mak. 2016;36(7):887–99.CrossRef
55.
Maurer J. Who has a clue to preventing the flu? Unravelling supply and demand effects on the take-up of influenza vaccinations. J Health Econ. 2009;28(3):704–17.CrossRefPubMed
Metadata
Title
Psychological determinants of influenza vaccination
Authors
Jens-Oliver Bock
André Hajek
Hans-Helmut König
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2017
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-017-0597-y

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