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

  • Experiences with Obtaining Influenza Vaccination Among Persons in Priority Groups During a Vaccine Shortage -- United States, October-November, 2004.  // MMWR: Morbidity & Mortality Weekly Report;12/17/2004, Vol. 53 Issue 49, p1153 

    Summarizes the results of a survey regarding influenza vaccination among persons in priority groups during a vaccine shortage in the U.S. Persons included in the priority groups; Method used by the survey; Approach used in selecting the respondents for the survey; Groups at high risk targeted...

  • Flu shots for older adults: Few other preventions are as beneficial.  // Geriatrics;Feb95, Vol. 50 Issue 2, p59 

    Presents the results of a study on the benefits of flu vaccinations for the aged in Minneapolis. Comparison of the rates of vaccination and the incidence of flu.

  • Adult vaccinations: Protecting your patients from avoidable illness. Stein, Bernhardt E. // Geriatrics;Sep93, Vol. 48 Issue 9, p46 

    Cites the need for adults to be immunized against influenza. Susceptibility to influenza; Influenza infections as cause of morbidity and mortality; Classification of influenza A viruses; Immunization time; Recommended vaccines for older adults.

  • Immunisation against influenza among people aged over 65 living at home in Leicestershire during winter 1991-2. Nicholson, Karl G. // BMJ: British Medical Journal (International Edition);4/10/93, Vol. 306 Issue 6883, p974 

    Examines the size of elderly population receiving influenza vaccines in Leicestershire, England. Immunization of elderly people living in residential homes with heart, lung or renal disease; Need of educating elderly patients on the advantages of vaccines; Tolerance of vaccines among the elderly.

  • Influenza Vaccine Efficacy in Senior Citizens.  // Critical Care Alert;Oct2008 Primary Care Supplement, p2 

    The article discusses the efficacy of influenza vaccination (FLUvax) in older people.

  • Influenza Vaccine Efficacy in Senior Citizens. Kuritzky, Louis // Internal Medicine Alert;9/15/2008, Vol. 30 Issue 17, p135 

    The article underscores a study which focuses on influenza vaccine efficacy among older people

  • Effectiveness of influenza vaccination policy at... Watkins, John // BMJ: British Medical Journal (International Edition);10/25/97, Vol. 315 Issue 7115, p1069 

    Investigates on the influenza vaccine policy for the elderly people in the United Kingdom. Effectiveness of the policy; System and the methods used to contact patients; Statistics on the people who died from influenza and its complications.

  • It's that time of year again...  // Patient Care;11/30/1998, Vol. 32 Issue 19, p112 

    Cites a study suggesting that senior citizens in good health gain significant benefits from taking influenza vaccine. Detail of the study `Benefits of influenza vaccination for low-, intermediate-, and high-risk senior citizens,' by K.L. Nichol, J. Wuorema, and T. von Sternberg; Results...

  • 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.


Read the Article


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

Try another library?
Sign out of this library

Other Topics