Perceptions of influenza and pneumococcal vaccine uptake by older persons in Australia |
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| Institution: | 1. School of Human Services and Social Work, Griffith University, Gold Coast Campus, Parklands Drive, Southport, QLD 4222, Australia;2. Law Futures Centre, Griffith University, Nathan Campus, 170 Kessels Rd., Nathan, QLD 4111, Australia;1. School of Public Health and Community Medicine, UNSW, Sydney, NSW, Australia;2. The National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, Children’s Hospital at Westmead and University of Sydney, Sydney, NSW, Australia;3. National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Acton, ACT, Australia;4. The Sax Institute, Sydney, NSW, Australia;5. Kirby Institute, UNSW, Sydney, NSW, Australia;1. School of Public Health and Community Medicine, University of New South Wales (UNSW), Australia;2. National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children’s Hospital Network, Westmead, NSW, Australia;3. National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia;4. The Sax Institute, Sydney, Australia;1. School of Public Health and Community Medicine, UNSW, Sydney, NSW, Australia;2. The National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, Sydney, NSW, Australia;3. National Centre for Epidemiology and Population Health, The Australian National University, Acton, ACT, Australia;4. Kirby Institute, UNSW, Sydney, NSW, Australia;1. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain;2. Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain;3. UGC Occidente, Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain;4. Universidad de Castilla-La Mancha (UCLM), E. U. Enfermería y Fisioterapia de Toledo, Toledo, Spain;5. Hospital Universitario Reina Sofía, Córdoba, Spain;1. Discipline of General Practice, Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia;2. Adelaide Rural Clinical School, The University of Adelaide, Adelaide, SA, Australia;3. The Australian Sentinel Practices Research Network (ASPREN), The University of Adelaide, Adelaide, SA, Australia;4. Australian Partnership for Preparedness Research on Infectious Disease Emergencies (APPRISE) Centre of Research Excellence, NHMRC, Australia;1. School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia;2. Centre for Health Economics Research and Modelling Infectious Diseases (CHERMID), Vaccine and Infectious Disease Institute, University of Antwerp, Antwerp, Belgium;3. National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases (NCIRS), Kids Research Institute, Children’s Hospital at Westmead, NSW, Australia |
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| Abstract: | BackgroundInfluenza and pneumococcal vaccinations reduce adverse health outcomes in older adults. The Australian National Immunisation Program (NIP) provides free seasonal influenza and pneumococcal vaccinations for adults ≥65 y. Guidelines recommend all adults ≥65 y receive one dose of 23-valent pneumococcal polysaccharide vaccine (23vPPV) regardless of their risk of invasive pneumococcal disease. However, the reported rate of vaccination against pneumococcal disease is much lower than seasonal influenza. Identifying and understanding the perspective of older people on vaccination is important to informing effective promotional strategies for this age group.MethodsUsing a purposive and snowball recruitment strategy, 36 participants aged between 65 and 84 years of age were recruited in south-east Queensland and northern New South Wales. Face-to-face qualitative interviews conducted between July 2017 and January 2018 were recorded, transcribed and thematically analysed.ResultsIn this sample, the uptake of the influenza vaccine (n = 28, 78%) was greater than for the pneumococcal vaccine (n = 14, 39%). Five key themes identified were health practitioner influence; anti-vaccination influence; social responsibility; work-based vaccination; and perceptions of age. The influences on uptake were complex and multi-faceted.ConclusionsFindings provide new insights, in particular, the role of social responsibility, the long-term impact of workplace vaccinations, and how older people do not necessarily consider themselves old. |
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| Keywords: | Influenza Pneumococcal disease Immunisation program Older adults Australia |
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