Survey of vaccination knowledge and acceptance among adults admitted to an urban emergency department

Autor: Kathryn Sutcliffe, Paul E. Kilgore, Robert Sherwin, Kaitlyn DeHoff, Emily T. Martin, Keith S Kaye, Ryan E. Malosh, Richard Evans
Rok vydání: 2017
Předmět:
Adult
Male
Health Knowledge
Attitudes
Practice
Michigan
medicine.medical_specialty
Reminder Systems
Population
Logistic regression
Health Services Accessibility
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Humans
Medicine
030212 general & internal medicine
Cities
education
Text Messaging
education.field_of_study
General Veterinary
General Immunology and Microbiology
business.industry
Vaccination
Public Health
Environmental and Occupational Health
Primary care physician
Viral Vaccines
030208 emergency & critical care medicine
Bacterial Infections
Odds ratio
Emergency department
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Bacterial vaccine
Infectious Diseases
Virus Diseases
Family medicine
Bacterial Vaccines
Molecular Medicine
Female
Medical emergency
Willingness to accept
Emergency Service
Hospital
business
Zdroj: Vaccine. 35:1148-1151
ISSN: 0264-410X
DOI: 10.1016/j.vaccine.2017.01.014
Popis: Background Adult vaccination rates in the United States have fallen below national target levels and may be exacerbated by lack of access to a primary care physician. We assessed patient knowledge of and attitudes towards vaccines in an urban emergency department population and analyzed the feasibility of using this setting as a vaccine delivery site from a patient perspective. Methods In-person interviewers administered surveys to 250 adult patients presenting to the Detroit Receiving Hospital emergency department in Detroit, Michigan. Respondents were asked about vaccination status, preferences, and willingness to accept vaccination reminders via text messaging. Odds ratios and 95% Wald confidence intervals assessing differences between vaccinated and non-vaccinated individuals were generated with univariate logistic regression. Results Vaccinated adults were more likely to have a primary care provider than non-vaccinated adults (OR 1.94, 95% CI: 1.09–3.45). Non-vaccinated adults were significantly more likely to have unvaccinated adult relatives (OR8.64, 95% CI: 4.10–18.22). Nearly all respondents used a cell phone, and 75.8% of unvaccinated adults were willing to receive text messages reminders about vaccines. Conclusions Although less likely to have a primary care access point than vaccinated participants, non-vaccinated respondents reported interest in receiving vaccinations. Emergency departments could serve as vaccination hubs for patients and unvaccinated accompanying family members. Text message reminders offer a potential source of additional vaccine prompts and education.
Databáze: OpenAIRE
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