About the PCRJ
Aims, Scope and History
Editorial Board
Online first
Current Issue
Past Issues
Most popular articles
Instructions for Authors
Disclaimer and Legal Notices
Contact Us
PDF View full text as PDF document

CrossRef Right click on this DOI link and copy link/shortcut to cite this article (What is a DOI link?)

Export Export to bibliographic software or plain text

CiteULike Post to CiteULike

Email this article Email this article to friend/s or colleague/s

Cited by Cited by
•   Back to table of contents

Volume 16 Issue 4 August 2007

Original Research

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

Pages 229-235
Richard Lyn-Cooka, Ethan A Halmb,c, *Juan P Wisniveskyb,d

a Department of Medicine, Montefiore Medical Center, Bronx, New York, NY, USA

b Division of General Internal Medicine, Mount Sinai School of Medicine, NY, USA

c Department of Health Policy, Mount Sinai School of Medicine, NY, USA

d Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Mount Sinai School of Medicine, NY, USA

Received 22 November 2006 • Accepted 23 March 2007 • Online 8 August 2007

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.

Cite as: Lyn-Cook R, Halm EA, Wisnivesky JP. Determinants of adherence to influenza vaccination among inner-city adults with persistent asthma. Prim Care Respir J 2007;16(4):229-235. DOI: http://dx.doi.org/10.3132/pcrj.2007.00056

Asthma, influenza vaccination, adherence, health beliefs, predictors

* Corresponding author. Juan P Wisnivesky Tel: (212) 241-7367 Fax: (212) 831-8116 Email: Juan.Wisnivesky@msnyuhealth.org