Factors associated with seasonal influenza immunization among church-going older African Americans |
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| Affiliation: | 1. Emory University, Rollins School of Public Health, Department of Epidemiology, United States;2. Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, United States;3. Emory University, Rollins School of Public Health, Department of Behavioral Sciences and Health Education, United States;1. School of Health Sciences, Department of Epidemiology, University of Tampere, Tampere FI-33014, Finland;2. Department of Infectious Diseases, National Institute for Health and Welfare, Helsinki, Finland;3. School of Public Health, Division of Epidemiology, University of California, Berkeley, CA, USA;1. Division of Hematology and Medical Oncology, Department of Medicine, Myeloma Center, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY;2. Department of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY;3. Division of Biostatistics and Epidemiology, Department of Public Health, Weill Cornell Medical College, New York, NY;1. Division of Hematology, Assaf Harofeh Medical Center, Zerifin, Israel;2. Sackler Faculty of Medicine, Tel Aviv University, Israel;3. Division of Hematology, Chaim Sheba Medical Center, Tel Hashomer, Israel;1. Aix Marseille Université (Aix Marseille School of Economics—SESSTIM UMR 912, Inserm IRD), Marseille, France;2. Université d’Artois, LEM, UMR 8179, Arras, France;3. ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d’Azur, Marseille, France;4. CNRS, U6579 (greqam) , Marseille, France;5. INRA, UR 1303 ALISS, Ivry-sur-Seine, France;6. CHU de Nancy, Service de Maladies Infectieuses, Nancy, France;7. Université de Lorraine, Université Paris Descartes, EA 4360 Apemac, Nancy, France |
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| Abstract: | ObjectivesChurches and faith institutions can frequently influence health behaviors among older African Americans. The church is a centerpiece of spiritual and social life among African American congregants. We explored its influence on influenza immunization coverage during the 2012–2013 influenza season.MethodsA cross-sectional study was conducted among congregation members ages 50–89 years from six churches in the Atlanta region in 2013–2014. We computed descriptive statistics, bivariate associations, and multivariable models to examine factors associated with immunization uptake among this population.ResultsOf 208 study participants, 95 (45.7%) reported receiving the influenza vaccine. Logistic regression showed that increased trust in their healthcare providers’ vaccine recommendations was a positive predictor of vaccination among participants who had not experienced discrimination in a faith-based setting (OR: 14.8 [3.7, 59.8]), but was not associated with vaccination for participants who had experienced such discrimination (OR: 1.5 [0.2, 7.0]). Belief in vaccine-induced influenza illness (OR: 0.1 [0.05, 0.23]) was a negative predictor of influenza vaccination.ConclusionMembers of this older cohort of African Americans who expressed trust in their healthcare providers’ vaccine recommendations and disbelief in vaccine-induced influenza were more likely to obtain seasonal influenza immunization. They were also more likely to act on their trust of healthcare provider's vaccine recommendations if they did not encounter negative influenza immunization attitudes within the church. Having healthcare providers address negative influenza immunization attitudes and disseminate vaccine information in a culturally appropriate manner within the church has the potential to enhance future uptake of influenza vaccination. |
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| Keywords: | Influenza Vaccination Disparities Churches African Americans |
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