Influenza vaccination hesitancy in five countries of South America. Confidence, complacency and convenience as determinants of immunization rates

Autor: Berenice Rodríguez-Zea, Laura Noboa, Juan Arroyo-Laguna, Emilio Gutiérrez-Calderón, Pedro Crocco, Mónica Ruoti, Andréa Fachel-Leal, Yamila Comes, Esteban Puentes-Rosas, Elsa Sarti, Blanca Estela Pelcastre-Villafuerte, Daniela Riva-Knauth, Miguel Ángel González-Block
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Viral Diseases
Epidemiology
Maternal Health
Geographical locations
0302 clinical medicine
Risk groups
Medical Conditions
Elderly
Imunização
Pregnancy
Risk Factors
Medicine and Health Sciences
Odds Ratio
Medicine
Public and Occupational Health
030212 general & internal medicine
Aged
80 and over
Sociedade
Vaccines
Multidisciplinary
05 social sciences
Vaccination
Obstetrics and Gynecology
Middle Aged
Vaccination and Immunization
Infectious Diseases
Influenza Vaccines
Female
Research Article
Adult
Infectious Disease Control
Adolescent
Influenza vaccine
Science
Immunology
Affect (psychology)
050105 experimental psychology
03 medical and health sciences
Young Adult
Influenza
Human
Adults
Humans
0501 psychology and cognitive sciences
Aspectos sociais [América do Sul]
Aged
Chile (Country)
business.industry
Immunization Programs
Biology and Life Sciences
South America
Influenza
Vacinação
Logistic Models
Immunization
Age Groups
Medical Risk Factors
Logistic analysis
People and Places
Multivariate Analysis
Women's Health
Population Groupings
Preventive Medicine
Immunization status
Exit survey
business
Demography
Zdroj: PLoS ONE
Repositório Institucional da UFRGS
Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
PLoS ONE, Vol 15, Iss 12, p e0243833 (2020)
ISSN: 1932-6203
Popis: Introduction Influenza morbidity and mortality are significant in the countries of South America, yet influenza vaccination is as low as 56.7% among pregnant women, reaching 76.7% of adults with chronic diseases. This article measures the relative values for the vaccination hesitancy indicators of confidence, complacency and convenience by risk-groups in urban areas of five countries of South America with contrasting vaccination rates, analyzing their association with sociodemographic variables and self-reported immunization status. Methods An exit survey was applied to 640 individuals per country in Brazil, Chile, Paraguay, Peru and Uruguay, distributed equally across risk groups of older adults, adults with risk factors, children ≤6 and pregnant women. Indicators were constructed for vaccine confidence, complacency and convenience. Analysis of variance and multiple logistic analysis was undertaken. Results Adults with risk factors are somewhat more confident of the influenza vaccine yet also more complacent. Convenience is higher for mothers of minors. Children and older adults report higher levels of vaccination. The 3Cs are more different across countries than across risk groups, with values for Chile higher for confidence and those for Uruguay the lowest. Complacency is lower in Brazil and higher in Uruguay. Results suggest that confidence and complacency affect vaccination rates across risk groups and countries. Conclusions Influenza vaccine confidence, complacency and convenience have to be bolstered to improve effective coverage across all risk groups in the urban areas of the countries studied. The role played by country contextual and national vaccination programs has to be further researched in relation to effective coverage of influenza vaccine.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje