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Influenza vaccination in the elderly.

Abstract
This study analyzed influenza vaccination in a group of elderly veterans living in a Florida VA nursing home care unit (NHCU). A survey questionnaire, developed to assess veterans' vaccination status, attitude and perception, was presented orally by a technician in the form of an interview and the responses were annotated in appropriate areas of the questionnaire. Only 34% of the 202 veterans had been vaccinated within the last 12 months (compliant group), although the study subjects were in a high-risk group, i.e., 65 years of age or older, an average length of stay at the NHCU of 12 months and > 70% suffered from chronic disease(s) with a past history of smoking. Thus, the veterans not vaccinated outnumbered those who were by 2:1. Vaccine acceptance was significantly influenced by physician's advice and the subject's knowledge and fear about the vaccine. Veterans advised to take the vaccine yearly, within the last 5 years and more than 5 years ago had vaccination rates of 96.4, 57.8 and 17.6%, respectively. Veterans never instructed had an immunization rate of 0%. Over half of the veterans (50.7%) had regular contact with a physician. Therefore, more frequent physician reminders to vaccinate could enhance the yearly vaccine coverage rate. Subjects who received the vaccine previously but failed to do so on a yearly basis acted out of fear of side effects and shots (most frequent reason given; 34.3% of all reasons), misconceptions about the vaccine recommendation (27.6%), as well as lack of motivation (19.5%).(ABSTRACT TRUNCATED AT 250 WORDS)
AuthorsR Ganguly, T B Webster
JournalJournal of investigational allergology & clinical immunology (J Investig Allergol Clin Immunol) 1995 Mar-Apr Vol. 5 Issue 2 Pg. 73-7 ISSN: 1018-9068 [Print] Spain
PMID7655703 (Publication Type: Journal Article)
Topics
  • Aged
  • Female
  • Florida (epidemiology)
  • Humans
  • Influenza, Human (epidemiology, prevention & control)
  • Interviews as Topic
  • Male
  • Nursing Homes
  • Patient Compliance
  • Surveys and Questionnaires
  • Vaccination
  • Veterans

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