DOI QR코드

DOI QR Code

The issue of vaccine refusal: the study of a risky behavior

  • Mikhail Osadchuk (Department of Polyclinic Therapy, Sechenov First Moscow State Medical University (Sechenov University)) ;
  • Yuliya Tikhonova (Department of Organization and Economics of Pharmacy, Sechenov First Moscow State Medical University (Sechenov University)) ;
  • Mariya Krivetskaya (Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University))
  • 투고 : 2022.12.23
  • 심사 : 2023.07.17
  • 발행 : 2023.07.31

초록

Purpose: Influenza is the most common seasonal infectious disease that causes permanent social, economic, and medical problems worldwide. Therefore, the most effective way to prevent influenza is through vaccines. The aim of this study is to identify the influence of factors that determine the refusal of influenza vaccine among three subjects groups. Materials and Methods: A survey was conducted amongst the three high-risk groups in 2018-2019 (Moscow, Russia). The survey involved 1,620 parents and pregnant women (group 1), 324 doctors (group 2), and 433 students (group 3). Poor vaccine uptake was observed among respondents in all three groups. Results: According to the survey results, only 22.2% of children and 13.8% of adults were vaccinated against influenza. Group 2 showed increased rates with 36.7% of vaccinated adults and 58.7% of children. The lowest adherence to annual vaccinations was recorded in group 3 (only 17.3%). There is also a negative correlation between adherence to vaccination and smoking (-0.66), unhealthy diet (-0.73), poor oral hygiene (-0.61), and insufficient awareness of the need for influenza vaccine as well (-0.81). Conclusion: Thus, a general lack of vaccination awareness has a fundamental role in forming a negative attitude toward influenza vaccine. It is necessary to conduct research to promote vaccination against influenza to improve vaccine uptake among high-risk groups, particularly students.

키워드

참고문헌

  1. Cunningham AL, Garcon N, Leo O, et al. Vaccine development: from concept to early clinical testing. Vaccine 2016;34:6655-64. 
  2. Vaccines against influenza WHO position paper: November 2012. Wkly Epidemiol Rec 2012;87:461-76. 
  3. Lorenc T, Marshall D, Wright K, Sutcliffe K, Sowden A. Seasonal influenza vaccination of healthcare workers: systematic review of qualitative evidence. BMC Health Serv Res 2017;17:732. 
  4. Vallee-Tourangeau G, Promberger M, Moon K, et al. Motors of influenza vaccination uptake and vaccination advocacy in healthcare workers: development and validation of two short scales. Vaccine 2018;36:6540-5. 
  5. Dini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: a comprehensive critical appraisal of the literature. Hum Vaccin Immunother 2018;14:772-89. 
  6. Levi M, Bonanni P, Biffino M, et al. Influenza vaccination 2014-2015: results of a survey conducted among general practitioners in Italy. Hum Vaccin Immunother 2018;14:1342-50. 
  7. Van Hooste WLC, Bekaert M. To be or not to be vaccinated?: the ethical aspects of influenza vaccination among healthcare workers. Int J Environ Res Public Health 2019;16:3981. 
  8. Kahn KE, Black CL, Ding H, et al. Influenza and tdap vaccination coverage among pregnant women: United States, April 2018. MMWR Morb Mortal Wkly Rep 2018;67:1055-9. 
  9. Grohskopf LA, Sokolow LZ, Broder KR, et al. Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices: United States, 2017-18 influenza season. MMWR Recomm Rep 2017;66:1-20. 
  10. Liang JL, Tiwari T, Moro P, et al. Prevention of pertussis, tetanus, and diphtheria with vaccines in the United States: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2018;67:1-44. 
  11. Ding H, Black CL, Ball S, et al. Influenza vaccination coverage among pregnant women: United States, 2014-15 Influenza season. MMWR Morb Mortal Wkly Rep 2015;64:1000-5. 
  12. Kahn KE, Black CL, Ding H, et al. Pregnant women and Tdap vaccination, Internet Panel Survey, United States, April 2017 [Internet]. Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention; 2018 [cited 2022 May 12]. Available from: https://www.cdc.gov/vaccines/imz-managers/coverage/adultvaxview/pubs-resources/tdap-report-2017.html 
  13. National Vaccine Advisory Committee. Recommendations from the National Vaccine Advisory committee: standards for adult immunization practice. Public Health Rep 2014;129:115-23. 
  14. Ding H, Black CL, Ball S, et al. Influenza vaccination coverage among pregnant women: United States, 2016-17 influenza season. MMWR Morb Mortal Wkly Rep 2017;66:1016-22. 
  15. Stark LM, Power ML, Turrentine M, et al. Influenza vaccination among pregnant women: patient beliefs and medical provider practices. Infect Dis Obstet Gynecol 2016;2016:3281975. 
  16. O'Leary ST, Riley LE, Lindley MC, et al. Immunization practices of U.S. obstetrician/gynecologists for pregnant patients. Am J Prev Med 2018;54:205-13. 
  17. Community Preventive Services Task Force. Vaccination: the guide to community preventive services [Internet]. Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention, Community Preventive Services Task Force; 2008 [cited 2022 May 12]. Available from: https://www.thecommunityguide.org/topic/vaccination 
  18. Mazzoni SE, Brewer SE, Pyrzanowski JL, et al. Effect of a multi-modal intervention on immunization rates in obstetrics and gynecology clinics. Am J Obstet Gynecol 2016;214:617. 
  19. Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine 2014;32:2150-9. 
  20. Walter D, Bohmer M, Reiter S, Krause G, Wichmann O. Risk perception and information-seeking behaviour during the 2009/10 influenza A(H1N1)pdm09 pandemic in Germany. Euro Surveill 2012;17:20131. 
  21. Nyhan B, Reifler J. Does correcting myths about the flu vaccine work?: an experimental evaluation of the effects of corrective information. Vaccine 2015;33:459-64. 
  22. Daley MF, Crane LA, Chandramouli V, et al. Misperceptions about influenza vaccination among parents of healthy young children. Clin Pediatr (Phila) 2007;46:408-17. 
  23. Dube E, Gagnon D, Nickels E, Jeram S, Schuster M. Mapping vaccine hesitancy: country-specific characteristics of a global phenomenon. Vaccine 2014;32:6649-54. 
  24. Verger P, Bocquier A, Vergelys C, Ward J, Peretti-Watel P. Flu vaccination among patients with diabetes: motives, perceptions, trust, and risk culture: a qualitative survey. BMC Public Health 2018;18:569. 
  25. Kassianos G. Willingness of European healthcare workers to undergo vaccination against seasonal influenza: current situation and suggestions for improvement. Drugs Context 2015;4:212268. 
  26. De Serres G, Skowronski DM, Ward BJ, et al. Influenza vaccination of healthcare workers: critical analysis of the evidence for patient benefit underpinning policies of enforcement. PLoS One 2017;12:e0163586. 
  27. Najera RF, Reiss DR. First do no harm: protecting patients through immunizing health care workers. Health Matrix Clevel 2016;26:363-402. 
  28. Lukich N, Kekewich M, Roth V. Should influenza vaccination be mandatory for healthcare workers? Healthc Manage Forum 2018;31:214-7. 
  29. To KW, Lai A, Lee KC, Koh D, Lee SS. Increasing the coverage of influenza vaccination in healthcare workers: review of challenges and solutions. J Hosp Infect 2016;94:133-42. 
  30. Thomas RE, Jefferson T, Lasserson TJ. Influenza vaccination for healthcare workers who care for people aged 60 or older living in long-term care institutions. Cochrane Database Syst Rev 2013;(7):CD005187.