Factors associated with influenza vaccination status of residents of a rural community in Japan

Matsui, Daisuke; Shigeta, Masako; Ozasa, Kotaro; Kuriyama, Nagato; Watanabe, Isao; Watanabe, Yoshiyuki
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p149
Academic Journal
Background: The rate of influenza vaccination in Japan has declined over the past several decades. It is essential to identify community-specific factors that affect attitudes toward vaccination, but such parameters have not yet been fully determined in Japan. The present study used the Health Belief Model (HBM) to identify perceptions of influenza vaccination in a rural Japanese community. Methods: All subjects were residents of a rural town in the southern part of Kyoto, Japan. An anonymous selfadministered questionnaire was mailed to 846 randomly chosen households (containing 2,665 subjects). The survey explored gender, age, history of influenza, and factors associated with obtaining influenza vaccination, based on the HBM. Results: A total of 1,182 valid responses (response rate, 44.4%) were received. Sources of information that were associated with vaccination decisions were medical facilities for children (OR = 4.21; 95% CI: 1.17-15.1), workplaces for adults (OR = 2.40; 95% CI: 1.22-4.75), medical facilities, town office and family for elderly subjects (OR = 6.18; 95% CI: 2.42-15.7, OR = 5.59; 95% CI: 2.26-13.8 and OR = 3.29; 95%CI: 1.01-10.6). Subjects, in all age groups, who strongly agreed that the vaccine was effective were significantly more likely to be vaccinated (OR = 10.5; 95%CI: 2.68-41.7 for children; OR = 8.85; 95%CI: 4.61-16.9 for adults; OR = 19.9; 95%CI: 8.28-48.0 for the elderly). The vaccination rate of elderly subjects who expressed concerns regarding adverse vaccine effects (OR = 0.34, 95% CI: 0.15-0.78) or who were worried about practical barriers to the vaccination process (OR = 0.13; 95% CI: 0.05-0.31) was significantly lower than in other populations. Conclusions: Our results indicate that vaccination coverage can be increased if accurate information on personal risk, severity of influenza illness, and efficacy of vaccination are provided by responsible information sources that are easily accessible. Such sources include medical facilities and municipal offices. In addition, barriers and inconveniences associated with vaccination should be removed, especially if they impact on elderly people.


Related Articles

  • Nutritional support improves antibody response to influenza virus vaccine in the elderly. Chandra, Ranjit Kumar; Puri, Shakuntla // British Medical Journal (Clinical Research Edition);9/14/1985, Vol. 291 Issue 6497, p705 

    Focuses on the antibody response to influenza virus vaccine in the elderly. Rate of seroconversion in aged men given nutritional supplementation; Improvement in the immune response of the patients against the influenza disease; Significance of better protective immunity in elderly men.

  • Educational content and the effectiveness of influenza vaccination reminders. Armstrong, Katrina; Berlin, Michelle; Schwartz, J. Sanford; Propert, Kathleen; Ubel, Peter A.; Armstrong, K; Berlin, M; Schwartz, J S; Propert, K; Ubel, P A // JGIM: Journal of General Internal Medicine;Nov1999, Vol. 14 Issue 11, p695 

    Objective: To determine if a mailed patient education brochure (addressing demonstrated reasons for vaccination refusal) would result in a higher rate of influenza vaccination than a mailed postcard reminder without educational content.Design: Randomized, controlled...

  • Influenza vaccine uptake among communitydwelling Italian elderly: results from a large crosssectional study. Chiatti, Carlos; Barbadoro, Pamela; Lamura, Giovanni; Pennacchietti, Lucia; Di Stanislao, Francesco; D'Errico, Marcello M.; Prospero, Emilia // BMC Public Health;2011, Vol. 11 Issue 1, p207 

    Background: Flu vaccination significantly reduces the risk of serious complications like hospitalization and death among community-dwelling older people, therefore vaccination programmes targeting this population group represent a common policy in developed Countries. Among the determinants of...

  • Prevention of Acute Myocardial Infarction and Stroke among Elderly Persons by Dual Pneumococcal and Influenza Vaccination: A Prospective Cohort Study. Hung, Ivan F. N.; Leung, Angela Y. M.; Chu, Daniel W. S.; Leung, Doris; Cheung, Terence; Chi-Kuen Chan; Lam, Cindy L. K.; Shao-Haei Liu; Chung-Ming Chu; Pak-Leung Ho; Chan, Sophia; Tai-Hing Lam; Liang, Raymond; Kwok-Yung Yuen // Clinical Infectious Diseases;11/1/2010, Vol. 51 Issue 9, p1007 

    Background. DespiteWorld Health Organization recommendations, the rate of 23-valent pneumococcal (PPV) and influenza (TIV) vaccination among elderly persons in Hong Kong, China, is exceptionally low because of doubts about effectiveness of vaccination. The efficacy of dual vaccination remains...

  • In numbers.  // Independent Nurse;8/24/2009, p43 

    The article discusses the results of a survey of 246 general practitioners (GPs) conducted by "GP." According to the survey, majority of respondents believe that a swine flu vaccination campaign should be implemented. Forty-nine percent of respondents asserted that it is possible for quality...

  • Burden of Influenza-Like Illness and Effectiveness of Influenza Vaccination among Working Adults Aged 50-64 Years. Nichol, Kristin L.; D'Heilly, Sarah J.; Greenberg, Michael E.; Ehlinger, Edward // Clinical Infectious Diseases;2/1/2009, Vol. 48 Issue 3, p292 

    Background. Uncertainties regarding influenza disease impact and benefits of vaccination may contribute to low vaccination rates among adults aged 50-64 years. Methods. This prospective cohort study assessed the burden of influenza-like illness (ILI) among working adults aged 50-64 years and the...

  • Racial and Ethnic Disparities in Influenza Vaccination Among Elderly Adults. Rangel, María C.; Shoenbach, Victor J.; Weigle, Kristen A.; Hogan, Vijaya K.; Strauss, Ronald P.; Bangdiwala, Shrikant I. // JGIM: Journal of General Internal Medicine;May2005, Vol. 20 Issue 5, p426 

    To examine whether access to care factors account for racial/ethnic disparities in influenza vaccination among elderly adults in the United States. Indicators of access to care (predisposing, enabling, environmental/system, and health need) derived from Andersen's behavioral model were...

  • Long-Term Correlation between Influenza Vaccination Coverage and Incidence of Influenza-Like Illness in 14 European Countries. Spruijt, Ineke T.; de Lange, Marit M. A.; Dijkstra, Frederika; Donker, Gé A.; van der Hoek, Wim // PLoS ONE;9/29/2016, Vol. 11 Issue 9, p1 

    We aimed to examine the long-term correlation between influenza vaccination coverage and the incidence of influenza-like illness (ILI) in the total and elderly populations of European countries for which data was available on at least six consecutive influenza seasons. We graphically visualised...

  • Self-rated health in Pakistan: results of a national health survey. Ahmad, Khabir; Jafar, Tazeen H.; Chaturvedi, Nish // BMC Public Health;2005, Vol. 5 Issue 1, p51 

    Background: Self-rated health (SRH) is a robust predictor of mortality. In UK, migrants of South Asian descent, compared to native Caucasian populations, have substantially poorer SRH. Despite its validation among migrant South Asian populations and its popularity in developed countries as a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics