@article{frew_acceptance_2011,
	title = {Acceptance of pandemic 2009 influenza {A} ({H1N1}) vaccine in a minority population: determinants and potential points of intervention},
	volume = {127 Suppl 1},
	issn = {1098-4275},
	shorttitle = {Acceptance of pandemic 2009 influenza {A} ({H1N1}) vaccine in a minority population},
	doi = {10/cx82cg},
	abstract = {OBJECTIVE: We sought to understand pandemic 2009 influenza A (H1N1) vaccine acceptance in a minority community including correlates of vaccine hesitancy and refusal. We identified intervention points to increase H1N1 vaccine coverage.
PATIENTS AND METHODS: Minority parents and caregivers of children ≤ 18 years participated in a cross-sectional survey. Statistical analyses included bivariate correlations, exploratory factor analyses, internal-consistency assessment, and logistic regressions.
RESULTS: The sample (N = 223) included mostly lower-income (71\% [n = 159]) and black (66\% [n = 147]) participants. Potential and actual receipt of pediatric H1N1 vaccination was low (36\% [n = 80]). Pediatric H1N1 vaccine acceptance was associated with lack of insurance (odds ratio [OR]: 3.04 [95\% confidence interval (CI): 1.26-7.37]), perceived H1NI pediatric susceptibility (OR: 1.66 [95\% Cl: 1.41-1.95]), child vaccination prioritization in family (OR: 3.34 [95\% CI: 1.33-8.38]), believing that H1N1 is a greater community concern than other diseases (OR: 1.77 [95\% CI: 1.01-3.09]), believing that other methods of containment (eg, hand-washing, masks) are not as effective as the H1N1 vaccine (OR: 1.73 [95\% CI: 1.06-2.83]), and a desire to promote influenza vaccination in the community (OR: 2.35 [95\% CI: 1.53-3.61]).
CONCLUSIONS: We found low acceptance of the H1N1 vaccine in our study population. Perceived influenza susceptibility, concern about H1N1 disease, and confidence in vaccinations as preventive methods were associated with vaccine acceptance. Physician support for HIN1 vaccination will aid in increasing immunization coverage for this population, and health departments are perceived as ideal community locations for vaccine administration.},
	language = {eng},
	journal = {Pediatrics},
	author = {Frew, Paula M. and Hixson, Brooke and del Rio, Carlos and Esteves-Jaramillo, Alejandra and Omer, Saad B.},
	month = may,
	year = {2011},
	pmid = {21502254},
	note = {00000 },
	keywords = {Female, Humans, Male, United States, Adult, Child, Child, Preschool, Infant, Logistic Models, Cross-Sectional Studies, Vaccination, Patient Acceptance of Health Care, Confidence Intervals, Socioeconomic Factors, Odds Ratio, Influenza, Human, Influenza Vaccines, Influenza A Virus, H1N1 Subtype, Pandemics, Minority Groups, Treatment Refusal, Attitude to Health},
	pages = {S113--119},
	annote = {Objective: With this study we aimed to elucidate attitudes toward H1N1 vaccine acceptance among black and Hispanic parents of infants and children (aged 0 –18 years) in Atlanta, Georgia, to understand correlates of vaccine hesitancy and refusal and to identify intervention points to increase vaccine coverage for H1N1 vaccination in community settings.
target population: English and Spanish-speaking parents and caregivers of children younger than 18 years in Atlanta. 25 locations including churches, bookstores, educational forums, community meetings, and special events such as family health fairs that revealed the potential to recruit an adequate number of participants.
Assessment of intent: “On a scale of 0 (definitely not) to 10 (definitely so), please rank the likelihood of your child(ren) getting a swine (H1N1) flu vaccine in the next 90 days?” Also measured intent to get seasonal flu vaccine. Then dichotomized variables to "definitely will" or "willing"
Primary results: The sample included mostly lower-income (71\%) and black participants. Potential and actual receipt of pediatric H1N1 vaccination was low (36\%). Pediatric H1N1 vaccine acceptance was associated with lack of insurance, perceived H1NI pediatric susceptibility, child vaccination prioritization in family, believing that H1N1 is a greater community concern than other diseases, believing that other methods of containment (eg, hand-washing, masks) are not as effective as the H1N1 vaccine, and a desire to promote influenza vaccination in the community.
Conclusion: We found low acceptance of the H1N1 vaccine in our study population. Perceived influenza susceptibility, concern about H1N1 disease, and confidence in vaccinations as preventive methodswere associated with vaccine acceptance. Physician support for HIN1 vaccination will aid in increasing immunization coverage for this population, and health departments are perceived as ideal communitylocations for vaccine administration
Twenty-two percent (n 50) of the parents had had their children vaccinated for seasonal influenza in the previous 3 months. The overall seasonal influenza vaccine-acceptance rate for children was 40.8\%
acceptance of pediatric seasonal influenza vaccination was associated with parents who were younger than the median age (36 years of age), attributed importance of seasonal influenza vaccine compared with other childhood vaccinations such as those against measles-mumps-rubella or polio, perceived child susceptibility to influenza as higher, and had confidence in the effectiveness of the influenza vaccine
significant factors that predicted H1N1 vaccine acceptance for children included lack of insurance, higher perceived child susceptibility to H1N1, prioritizing children over other family members for vaccination, and having the belief that H1N1 is a greater community concern than other diseases
indicate low pediatric influenza vaccination-acceptance rates for both seasonal (40.8\%) and H1N1 (35.9\%) influenza among this group of minority adults
Minority populations less likely to accept immunizations
phenomenon may result from negative vaccine attitudes in the community and poor experiences with health care providers along with general concerns about vaccination.
more comprehensive education of minority parents with regard to childhood risk of influenza morbidity and mortality may provide an intervention option
Those who create prevention messages should be careful not to overemphasize the effectiveness of hand-washing at the expense of vaccinations
Among the black population, negative vaccination attitudes shared by community members may stem from a collective lack of information, misconceptions about immunizations, and a history of unsatisfying health system encounters
physicians have a central leadership role in educating parents about the importance of vaccinations
Moreover, our study results show parental confidence in the health departments to provide H1N1 vaccination compared with other community-based venues
The low level of vaccine acceptance highlightsthe importance of accounting for individual- and community-level concerns to understand the factors that influence parental decision-making on children’s vaccination.},
	file = {Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority--Frew et al--Pediatrics--2011.pdf:files/45130/Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority--Frew et al--Pediatrics--2011.pdf:application/pdf}
}

{"_id":"tFMTRMsJ3yxf27L5m","bibbaseid":"frew-hixson-delrio-estevesjaramillo-omer-acceptanceofpandemic2009influenzaah1n1vaccineinaminoritypopulationdeterminantsandpotentialpointsofintervention-2011","authorIDs":[],"author_short":["Frew, P. M.","Hixson, B.","del Rio, C.","Esteves-Jaramillo, A.","Omer, S. B."],"bibdata":{"bibtype":"article","type":"article","title":"Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority population: determinants and potential points of intervention","volume":"127 Suppl 1","issn":"1098-4275","shorttitle":"Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority population","doi":"10/cx82cg","abstract":"OBJECTIVE: We sought to understand pandemic 2009 influenza A (H1N1) vaccine acceptance in a minority community including correlates of vaccine hesitancy and refusal. We identified intervention points to increase H1N1 vaccine coverage. PATIENTS AND METHODS: Minority parents and caregivers of children ≤ 18 years participated in a cross-sectional survey. Statistical analyses included bivariate correlations, exploratory factor analyses, internal-consistency assessment, and logistic regressions. RESULTS: The sample (N = 223) included mostly lower-income (71% [n = 159]) and black (66% [n = 147]) participants. Potential and actual receipt of pediatric H1N1 vaccination was low (36% [n = 80]). Pediatric H1N1 vaccine acceptance was associated with lack of insurance (odds ratio [OR]: 3.04 [95% confidence interval (CI): 1.26-7.37]), perceived H1NI pediatric susceptibility (OR: 1.66 [95% Cl: 1.41-1.95]), child vaccination prioritization in family (OR: 3.34 [95% CI: 1.33-8.38]), believing that H1N1 is a greater community concern than other diseases (OR: 1.77 [95% CI: 1.01-3.09]), believing that other methods of containment (eg, hand-washing, masks) are not as effective as the H1N1 vaccine (OR: 1.73 [95% CI: 1.06-2.83]), and a desire to promote influenza vaccination in the community (OR: 2.35 [95% CI: 1.53-3.61]). CONCLUSIONS: We found low acceptance of the H1N1 vaccine in our study population. Perceived influenza susceptibility, concern about H1N1 disease, and confidence in vaccinations as preventive methods were associated with vaccine acceptance. Physician support for HIN1 vaccination will aid in increasing immunization coverage for this population, and health departments are perceived as ideal community locations for vaccine administration.","language":"eng","journal":"Pediatrics","author":[{"propositions":[],"lastnames":["Frew"],"firstnames":["Paula","M."],"suffixes":[]},{"propositions":[],"lastnames":["Hixson"],"firstnames":["Brooke"],"suffixes":[]},{"propositions":["del"],"lastnames":["Rio"],"firstnames":["Carlos"],"suffixes":[]},{"propositions":[],"lastnames":["Esteves-Jaramillo"],"firstnames":["Alejandra"],"suffixes":[]},{"propositions":[],"lastnames":["Omer"],"firstnames":["Saad","B."],"suffixes":[]}],"month":"May","year":"2011","pmid":"21502254","note":"00000 ","keywords":"Female, Humans, Male, United States, Adult, Child, Child, Preschool, Infant, Logistic Models, Cross-Sectional Studies, Vaccination, Patient Acceptance of Health Care, Confidence Intervals, Socioeconomic Factors, Odds Ratio, Influenza, Human, Influenza Vaccines, Influenza A Virus, H1N1 Subtype, Pandemics, Minority Groups, Treatment Refusal, Attitude to Health","pages":"S113–119","annote":"Objective: With this study we aimed to elucidate attitudes toward H1N1 vaccine acceptance among black and Hispanic parents of infants and children (aged 0 –18 years) in Atlanta, Georgia, to understand correlates of vaccine hesitancy and refusal and to identify intervention points to increase vaccine coverage for H1N1 vaccination in community settings. target population: English and Spanish-speaking parents and caregivers of children younger than 18 years in Atlanta. 25 locations including churches, bookstores, educational forums, community meetings, and special events such as family health fairs that revealed the potential to recruit an adequate number of participants. Assessment of intent: “On a scale of 0 (definitely not) to 10 (definitely so), please rank the likelihood of your child(ren) getting a swine (H1N1) flu vaccine in the next 90 days?” Also measured intent to get seasonal flu vaccine. Then dichotomized variables to \"definitely will\" or \"willing\" Primary results: The sample included mostly lower-income (71%) and black participants. Potential and actual receipt of pediatric H1N1 vaccination was low (36%). Pediatric H1N1 vaccine acceptance was associated with lack of insurance, perceived H1NI pediatric susceptibility, child vaccination prioritization in family, believing that H1N1 is a greater community concern than other diseases, believing that other methods of containment (eg, hand-washing, masks) are not as effective as the H1N1 vaccine, and a desire to promote influenza vaccination in the community. Conclusion: We found low acceptance of the H1N1 vaccine in our study population. Perceived influenza susceptibility, concern about H1N1 disease, and confidence in vaccinations as preventive methodswere associated with vaccine acceptance. Physician support for HIN1 vaccination will aid in increasing immunization coverage for this population, and health departments are perceived as ideal communitylocations for vaccine administration Twenty-two percent (n 50) of the parents had had their children vaccinated for seasonal influenza in the previous 3 months. The overall seasonal influenza vaccine-acceptance rate for children was 40.8% acceptance of pediatric seasonal influenza vaccination was associated with parents who were younger than the median age (36 years of age), attributed importance of seasonal influenza vaccine compared with other childhood vaccinations such as those against measles-mumps-rubella or polio, perceived child susceptibility to influenza as higher, and had confidence in the effectiveness of the influenza vaccine significant factors that predicted H1N1 vaccine acceptance for children included lack of insurance, higher perceived child susceptibility to H1N1, prioritizing children over other family members for vaccination, and having the belief that H1N1 is a greater community concern than other diseases indicate low pediatric influenza vaccination-acceptance rates for both seasonal (40.8%) and H1N1 (35.9%) influenza among this group of minority adults Minority populations less likely to accept immunizations phenomenon may result from negative vaccine attitudes in the community and poor experiences with health care providers along with general concerns about vaccination. more comprehensive education of minority parents with regard to childhood risk of influenza morbidity and mortality may provide an intervention option Those who create prevention messages should be careful not to overemphasize the effectiveness of hand-washing at the expense of vaccinations Among the black population, negative vaccination attitudes shared by community members may stem from a collective lack of information, misconceptions about immunizations, and a history of unsatisfying health system encounters physicians have a central leadership role in educating parents about the importance of vaccinations Moreover, our study results show parental confidence in the health departments to provide H1N1 vaccination compared with other community-based venues The low level of vaccine acceptance highlightsthe importance of accounting for individual- and community-level concerns to understand the factors that influence parental decision-making on children’s vaccination.","file":"Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority–Frew et al–Pediatrics–2011.pdf:files/45130/Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority–Frew et al–Pediatrics–2011.pdf:application/pdf","bibtex":"@article{frew_acceptance_2011,\n\ttitle = {Acceptance of pandemic 2009 influenza {A} ({H1N1}) vaccine in a minority population: determinants and potential points of intervention},\n\tvolume = {127 Suppl 1},\n\tissn = {1098-4275},\n\tshorttitle = {Acceptance of pandemic 2009 influenza {A} ({H1N1}) vaccine in a minority population},\n\tdoi = {10/cx82cg},\n\tabstract = {OBJECTIVE: We sought to understand pandemic 2009 influenza A (H1N1) vaccine acceptance in a minority community including correlates of vaccine hesitancy and refusal. We identified intervention points to increase H1N1 vaccine coverage.\nPATIENTS AND METHODS: Minority parents and caregivers of children ≤ 18 years participated in a cross-sectional survey. Statistical analyses included bivariate correlations, exploratory factor analyses, internal-consistency assessment, and logistic regressions.\nRESULTS: The sample (N = 223) included mostly lower-income (71\\% [n = 159]) and black (66\\% [n = 147]) participants. Potential and actual receipt of pediatric H1N1 vaccination was low (36\\% [n = 80]). Pediatric H1N1 vaccine acceptance was associated with lack of insurance (odds ratio [OR]: 3.04 [95\\% confidence interval (CI): 1.26-7.37]), perceived H1NI pediatric susceptibility (OR: 1.66 [95\\% Cl: 1.41-1.95]), child vaccination prioritization in family (OR: 3.34 [95\\% CI: 1.33-8.38]), believing that H1N1 is a greater community concern than other diseases (OR: 1.77 [95\\% CI: 1.01-3.09]), believing that other methods of containment (eg, hand-washing, masks) are not as effective as the H1N1 vaccine (OR: 1.73 [95\\% CI: 1.06-2.83]), and a desire to promote influenza vaccination in the community (OR: 2.35 [95\\% CI: 1.53-3.61]).\nCONCLUSIONS: We found low acceptance of the H1N1 vaccine in our study population. Perceived influenza susceptibility, concern about H1N1 disease, and confidence in vaccinations as preventive methods were associated with vaccine acceptance. Physician support for HIN1 vaccination will aid in increasing immunization coverage for this population, and health departments are perceived as ideal community locations for vaccine administration.},\n\tlanguage = {eng},\n\tjournal = {Pediatrics},\n\tauthor = {Frew, Paula M. and Hixson, Brooke and del Rio, Carlos and Esteves-Jaramillo, Alejandra and Omer, Saad B.},\n\tmonth = may,\n\tyear = {2011},\n\tpmid = {21502254},\n\tnote = {00000 },\n\tkeywords = {Female, Humans, Male, United States, Adult, Child, Child, Preschool, Infant, Logistic Models, Cross-Sectional Studies, Vaccination, Patient Acceptance of Health Care, Confidence Intervals, Socioeconomic Factors, Odds Ratio, Influenza, Human, Influenza Vaccines, Influenza A Virus, H1N1 Subtype, Pandemics, Minority Groups, Treatment Refusal, Attitude to Health},\n\tpages = {S113--119},\n\tannote = {Objective: With this study we aimed to elucidate attitudes toward H1N1 vaccine acceptance among black and Hispanic parents of infants and children (aged 0 –18 years) in Atlanta, Georgia, to understand correlates of vaccine hesitancy and refusal and to identify intervention points to increase vaccine coverage for H1N1 vaccination in community settings.\ntarget population: English and Spanish-speaking parents and caregivers of children younger than 18 years in Atlanta. 25 locations including churches, bookstores, educational forums, community meetings, and special events such as family health fairs that revealed the potential to recruit an adequate number of participants.\nAssessment of intent: “On a scale of 0 (definitely not) to 10 (definitely so), please rank the likelihood of your child(ren) getting a swine (H1N1) flu vaccine in the next 90 days?” Also measured intent to get seasonal flu vaccine. Then dichotomized variables to \"definitely will\" or \"willing\"\nPrimary results: The sample included mostly lower-income (71\\%) and black participants. Potential and actual receipt of pediatric H1N1 vaccination was low (36\\%). Pediatric H1N1 vaccine acceptance was associated with lack of insurance, perceived H1NI pediatric susceptibility, child vaccination prioritization in family, believing that H1N1 is a greater community concern than other diseases, believing that other methods of containment (eg, hand-washing, masks) are not as effective as the H1N1 vaccine, and a desire to promote influenza vaccination in the community.\nConclusion: We found low acceptance of the H1N1 vaccine in our study population. Perceived influenza susceptibility, concern about H1N1 disease, and confidence in vaccinations as preventive methodswere associated with vaccine acceptance. Physician support for HIN1 vaccination will aid in increasing immunization coverage for this population, and health departments are perceived as ideal communitylocations for vaccine administration\nTwenty-two percent (n 50) of the parents had had their children vaccinated for seasonal influenza in the previous 3 months. The overall seasonal influenza vaccine-acceptance rate for children was 40.8\\%\nacceptance of pediatric seasonal influenza vaccination was associated with parents who were younger than the median age (36 years of age), attributed importance of seasonal influenza vaccine compared with other childhood vaccinations such as those against measles-mumps-rubella or polio, perceived child susceptibility to influenza as higher, and had confidence in the effectiveness of the influenza vaccine\nsignificant factors that predicted H1N1 vaccine acceptance for children included lack of insurance, higher perceived child susceptibility to H1N1, prioritizing children over other family members for vaccination, and having the belief that H1N1 is a greater community concern than other diseases\nindicate low pediatric influenza vaccination-acceptance rates for both seasonal (40.8\\%) and H1N1 (35.9\\%) influenza among this group of minority adults\nMinority populations less likely to accept immunizations\nphenomenon may result from negative vaccine attitudes in the community and poor experiences with health care providers along with general concerns about vaccination.\nmore comprehensive education of minority parents with regard to childhood risk of influenza morbidity and mortality may provide an intervention option\nThose who create prevention messages should be careful not to overemphasize the effectiveness of hand-washing at the expense of vaccinations\nAmong the black population, negative vaccination attitudes shared by community members may stem from a collective lack of information, misconceptions about immunizations, and a history of unsatisfying health system encounters\nphysicians have a central leadership role in educating parents about the importance of vaccinations\nMoreover, our study results show parental confidence in the health departments to provide H1N1 vaccination compared with other community-based venues\nThe low level of vaccine acceptance highlightsthe importance of accounting for individual- and community-level concerns to understand the factors that influence parental decision-making on children’s vaccination.},\n\tfile = {Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority--Frew et al--Pediatrics--2011.pdf:files/45130/Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority--Frew et al--Pediatrics--2011.pdf:application/pdf}\n}\n\n","author_short":["Frew, P. M.","Hixson, B.","del Rio, C.","Esteves-Jaramillo, A.","Omer, S. B."],"key":"frew_acceptance_2011","id":"frew_acceptance_2011","bibbaseid":"frew-hixson-delrio-estevesjaramillo-omer-acceptanceofpandemic2009influenzaah1n1vaccineinaminoritypopulationdeterminantsandpotentialpointsofintervention-2011","role":"author","urls":{},"keyword":["Female","Humans","Male","United States","Adult","Child","Child","Preschool","Infant","Logistic Models","Cross-Sectional Studies","Vaccination","Patient Acceptance of Health Care","Confidence Intervals","Socioeconomic Factors","Odds Ratio","Influenza","Human","Influenza Vaccines","Influenza A Virus","H1N1 Subtype","Pandemics","Minority Groups","Treatment Refusal","Attitude to Health"],"metadata":{"authorlinks":{}}},"bibtype":"article","biburl":"https://wsolorza.github.io/pubs.bib","creationDate":"2021-03-04T20:13:51.296Z","downloads":0,"keywords":["female","humans","male","united states","adult","child","child","preschool","infant","logistic models","cross-sectional studies","vaccination","patient acceptance of health care","confidence intervals","socioeconomic factors","odds ratio","influenza","human","influenza vaccines","influenza a virus","h1n1 subtype","pandemics","minority groups","treatment refusal","attitude to health"],"search_terms":["acceptance","pandemic","2009","influenza","h1n1","vaccine","minority","population","determinants","potential","points","intervention","frew","hixson","del rio","esteves-jaramillo","omer"],"title":"Acceptance of pandemic 2009 influenza A (H1N1) vaccine in a minority population: determinants and potential points of intervention","year":2011,"dataSources":["b2omt8b8XHMQArZCo"]}