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      Determinants of adherence to influenza vaccination among inner-city adults with persistent asthma

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          Abstract

          Aims:

          Despite guideline recommendation, influenza vaccination rates among asthmatic patients remain low. The objective of this study was to identify health beliefs associated with vaccination adherence in asthmatic patients.

          Methods:

          We surveyed 167 adults with persistent asthma undergoing follow-up at a hospital-based clinic. Vaccination beliefs questions were based on the Health Belief Model. Patients who reported receiving influenza immunisation most or every year were considered adherent to vaccination.

          Results:

          Overall, 71% of patients were adherent to influenza vaccination. In multivariate analyses, doctor or nurse recommendation (odds ratio [OR]: 14.71, 95% CI 5.40–40.05), the belief that the vaccine protects against influenza (OR: 7.21, 95% CI 2.25–23.10), and the belief that the vaccine could cause a cold (OR: 0.46, 95% CI 0.19–1.13) were independent predictors of adherence.

          Conclusions:

          Vaccination beliefs and physician recommendation were associated with influenza vaccination adherence among inner-city asthmatics. Future interventions should target these potentially modifiable factors.

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          Author and article information

          Journal
          Prim Care Respir J
          Prim Care Respir J
          Primary Care Respiratory Journal: Journal of the General Practice Airways Group
          Nature Publishing Group
          1471-4418
          1475-1534
          August 2007
          08 August 2007
          : 16
          : 4
          : 229-235
          Affiliations
          [1 ] Department of Medicine, Montefiore Medical Center , Bronx, New York, NY, USA
          [2 ] Division of General Internal Medicine, Mount Sinai School of Medicine, NY, USA
          [3 ] Department of Health Policy, Mount Sinai School of Medicine , NY, USA
          [4 ] Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Mount Sinai School of Medicine , NY, USA
          Author notes
          [* ] Mount Sinai School of Medicine , Box 1087, One Gustave L. Levy Place, New York, NY 10029 Tel: (212) 241-7367 Fax: (212) 831-8116 E-mail: Juan.Wisnivesky@ 123456msnyuhealth.org
          Article
          PMC6634226 PMC6634226 6634226 pcrj200756
          10.3132/pcrj.2007.00056
          6634226
          17660889
          b2e5ae0d-4bdf-4a3a-b03d-2b637dcd4cbe
          Copyright © 2007 General Practice Airways Group
          History
          : 22 November 2006
          : 23 March 2007
          Categories
          Original Research

          predictors,health beliefs,adherence,influenza vaccination,asthma

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