@article{ho_barriers_2016,
	title = {Barriers and facilitators towards getting influenza and pneumococcal vaccinations among community-dwelling elderly: {A} qualitative study},
	volume = {45},
	issn = {0304-4602},
	url = {http://www.annals.edu.sg/pdf/45VolNo9Sep2016/SHBC2016.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed17&NEWS=N&AN=612898398},
	abstract = {Background \& Hypothesis: Influenza and pneumococcal vaccination uptake rates are low among seniors in Singapore. This qualitative study seeks to understand the barriers and facilitators towards receiving influenza and pneumococcal vaccinations among community-dwelling seniors. Method(s): Four focus groups discussions (FGDs) were conducted in English, Mandarin, Malay, and Hokkien among seniors (n = 32) at a senior activity centre in September 2015. Topics explored included knowledge and perceptions of influenza, pneumonia and vaccinations; history of influenza/pneumococcal vaccination; motivators and barriers towards receiving influenza/pneumococcal vaccinations; and intention of getting free vaccinations during vaccination drives. FGDs were audio-recorded and expanded notes were developed, coded, and analysed using qualitative thematic analysis. Result(s): Most participants confused influenza with the common cold and pneumonia, and mistook pneumonia as tuberculosis or asthma. While they could state symptoms of influenza and pneumonia, participants cited polluted air, unhealthy food, and smoking as causes of these illnesses. Participants knew that they were susceptible to influenza and that pneumonia could lead to hospitalisation and death. However, they reported mixed attitudes towards vaccination. Main concerns were fear of side effects and possible contraindications to existing medical conditions. While some thought that vaccinations would boost their immunity and prevent illnesses, many questioned the necessity of vaccinations. Malay seniors appeared more receptive towards vaccination, likely due to previous experiences prior to performing the Haj. Discussion \& Conclusion(s): Continuous educational outreach efforts are needed to improve knowledge and address misconceptions about respiratory illnesses and vaccinations among seniors to improve vaccine uptake. Potential facilitators for vaccination include subsidising vaccine costs and actively engaging seniors through healthcare providers.},
	language = {English},
	number = {9 Supplement 1},
	journal = {Annals of the Academy of Medicine Singapore},
	author = {Ho, H. and Chan, Y. Y. and Ibrahim, M. A. and Lim, O. and Chiam, A. L. and Chow, A. and Wong, C.},
	year = {2016},
	keywords = {*influenza, *qualitative research, *vaccination, aged, air pollution, asthma, clinical article, common cold, death, fear, health care personnel, human, immunity, mandarin, nonhuman, perception, pneumonia, side effect, smoking, symptom, thematic analysis, thinking, tuberculosis, vaccine},
	pages = {S235},
}

{"_id":"hWi5xrG2HAs5no5FG","bibbaseid":"ho-chan-ibrahim-lim-chiam-chow-wong-barriersandfacilitatorstowardsgettinginfluenzaandpneumococcalvaccinationsamongcommunitydwellingelderlyaqualitativestudy-2016","authorIDs":[],"author_short":["Ho, H.","Chan, Y. Y.","Ibrahim, M. A.","Lim, O.","Chiam, A. L.","Chow, A.","Wong, C."],"bibdata":{"bibtype":"article","type":"article","title":"Barriers and facilitators towards getting influenza and pneumococcal vaccinations among community-dwelling elderly: A qualitative study","volume":"45","issn":"0304-4602","url":"http://www.annals.edu.sg/pdf/45VolNo9Sep2016/SHBC2016.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed17&NEWS=N&AN=612898398","abstract":"Background & Hypothesis: Influenza and pneumococcal vaccination uptake rates are low among seniors in Singapore. This qualitative study seeks to understand the barriers and facilitators towards receiving influenza and pneumococcal vaccinations among community-dwelling seniors. Method(s): Four focus groups discussions (FGDs) were conducted in English, Mandarin, Malay, and Hokkien among seniors (n = 32) at a senior activity centre in September 2015. Topics explored included knowledge and perceptions of influenza, pneumonia and vaccinations; history of influenza/pneumococcal vaccination; motivators and barriers towards receiving influenza/pneumococcal vaccinations; and intention of getting free vaccinations during vaccination drives. FGDs were audio-recorded and expanded notes were developed, coded, and analysed using qualitative thematic analysis. Result(s): Most participants confused influenza with the common cold and pneumonia, and mistook pneumonia as tuberculosis or asthma. While they could state symptoms of influenza and pneumonia, participants cited polluted air, unhealthy food, and smoking as causes of these illnesses. Participants knew that they were susceptible to influenza and that pneumonia could lead to hospitalisation and death. However, they reported mixed attitudes towards vaccination. Main concerns were fear of side effects and possible contraindications to existing medical conditions. While some thought that vaccinations would boost their immunity and prevent illnesses, many questioned the necessity of vaccinations. Malay seniors appeared more receptive towards vaccination, likely due to previous experiences prior to performing the Haj. Discussion & Conclusion(s): Continuous educational outreach efforts are needed to improve knowledge and address misconceptions about respiratory illnesses and vaccinations among seniors to improve vaccine uptake. Potential facilitators for vaccination include subsidising vaccine costs and actively engaging seniors through healthcare providers.","language":"English","number":"9 Supplement 1","journal":"Annals of the Academy of Medicine Singapore","author":[{"propositions":[],"lastnames":["Ho"],"firstnames":["H."],"suffixes":[]},{"propositions":[],"lastnames":["Chan"],"firstnames":["Y.","Y."],"suffixes":[]},{"propositions":[],"lastnames":["Ibrahim"],"firstnames":["M.","A."],"suffixes":[]},{"propositions":[],"lastnames":["Lim"],"firstnames":["O."],"suffixes":[]},{"propositions":[],"lastnames":["Chiam"],"firstnames":["A.","L."],"suffixes":[]},{"propositions":[],"lastnames":["Chow"],"firstnames":["A."],"suffixes":[]},{"propositions":[],"lastnames":["Wong"],"firstnames":["C."],"suffixes":[]}],"year":"2016","keywords":"*influenza, *qualitative research, *vaccination, aged, air pollution, asthma, clinical article, common cold, death, fear, health care personnel, human, immunity, mandarin, nonhuman, perception, pneumonia, side effect, smoking, symptom, thematic analysis, thinking, tuberculosis, vaccine","pages":"S235","bibtex":"@article{ho_barriers_2016,\n\ttitle = {Barriers and facilitators towards getting influenza and pneumococcal vaccinations among community-dwelling elderly: {A} qualitative study},\n\tvolume = {45},\n\tissn = {0304-4602},\n\turl = {http://www.annals.edu.sg/pdf/45VolNo9Sep2016/SHBC2016.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed17&NEWS=N&AN=612898398},\n\tabstract = {Background \\& Hypothesis: Influenza and pneumococcal vaccination uptake rates are low among seniors in Singapore. This qualitative study seeks to understand the barriers and facilitators towards receiving influenza and pneumococcal vaccinations among community-dwelling seniors. Method(s): Four focus groups discussions (FGDs) were conducted in English, Mandarin, Malay, and Hokkien among seniors (n = 32) at a senior activity centre in September 2015. Topics explored included knowledge and perceptions of influenza, pneumonia and vaccinations; history of influenza/pneumococcal vaccination; motivators and barriers towards receiving influenza/pneumococcal vaccinations; and intention of getting free vaccinations during vaccination drives. FGDs were audio-recorded and expanded notes were developed, coded, and analysed using qualitative thematic analysis. Result(s): Most participants confused influenza with the common cold and pneumonia, and mistook pneumonia as tuberculosis or asthma. While they could state symptoms of influenza and pneumonia, participants cited polluted air, unhealthy food, and smoking as causes of these illnesses. Participants knew that they were susceptible to influenza and that pneumonia could lead to hospitalisation and death. However, they reported mixed attitudes towards vaccination. Main concerns were fear of side effects and possible contraindications to existing medical conditions. While some thought that vaccinations would boost their immunity and prevent illnesses, many questioned the necessity of vaccinations. Malay seniors appeared more receptive towards vaccination, likely due to previous experiences prior to performing the Haj. Discussion \\& Conclusion(s): Continuous educational outreach efforts are needed to improve knowledge and address misconceptions about respiratory illnesses and vaccinations among seniors to improve vaccine uptake. Potential facilitators for vaccination include subsidising vaccine costs and actively engaging seniors through healthcare providers.},\n\tlanguage = {English},\n\tnumber = {9 Supplement 1},\n\tjournal = {Annals of the Academy of Medicine Singapore},\n\tauthor = {Ho, H. and Chan, Y. Y. and Ibrahim, M. A. and Lim, O. and Chiam, A. L. and Chow, A. and Wong, C.},\n\tyear = {2016},\n\tkeywords = {*influenza, *qualitative research, *vaccination, aged, air pollution, asthma, clinical article, common cold, death, fear, health care personnel, human, immunity, mandarin, nonhuman, perception, pneumonia, side effect, smoking, symptom, thematic analysis, thinking, tuberculosis, vaccine},\n\tpages = {S235},\n}\n\n","author_short":["Ho, H.","Chan, Y. Y.","Ibrahim, M. A.","Lim, O.","Chiam, A. 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