title: Cross-sectional survey of older peoples' views related to influenza vaccine uptake.
abstract: BACKGROUND
  The population's views concerning influenza vaccine are important in maintaining high uptake of a vaccine that is required yearly to be effective. Little is also known about the views of the more vulnerable older population over the age of 74 years.
  
  
  METHODS
  A cross-sectional survey of community dwelling people aged 75 years and over wh, previous participant was conducted using a postal questionnaire. Responses were analysed by vaccine uptake records and by socio-demographic and medical factors.
  
  
  RESULTS
  85% of men and 75% of women were vaccinated against influenza in the previous year. Over 80% reported being influenced by a recommendation by a health care worker. The most common reason reported for non uptake was good health (44%), or illness considered to be due to the vaccine (25%). An exploration of the crude associations with socio-economic status suggested there may be some differences in the population with these two main reasons. 81% of people reporting good health lived in owner occupied housing with central heating vs. 63% who did not state this as a reason (p = 0.04), whereas people reporting ill health due to the vaccine was associated with poorer social circumstances. 11% lived in the least deprived neighbourhood compared to 36% who did not state this as a reason (p = 0.05) and were less likely to be currently married than those who did not state this as a reason (25% vs 48% p = 0.05).
  
  
  CONCLUSIONS
  Vaccine uptake was high, but non uptake was still noted in 1 in 4 women and 1 in 7 men aged over 74 years. Around 70% reported they would not have the vaccine in the following year. The divergent reasons for non-uptake, and the positive influence from a health care worker, suggests further uptake will require education and encouragement from a health care worker tailored towards the different views for not having influenza vaccination. Non-uptake of influenza vaccine because people viewed themselves as in good health may explain the modest socio-economic differentials in influenza vaccine uptake in elderly people noted elsewhere. Reporting of ill-health due to the vaccine may be associated with a different, poorer background.
authors.affiliation: Department of Epidemiology and Public Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. Punam.mangtani@lshtm.ac.uk
authors.forename: Punam
authors.initials: P
authors.lastname: Mangtani
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Breeze
authors.forename: Sue
authors.initials: S
authors.lastname: Stirling
authors.forename: Smita
authors.initials: S
authors.lastname: Hanciles
authors.forename: Sari
authors.initials: S
authors.lastname: Kovats
authors.forename: Astrid
authors.initials: A
authors.lastname: Fletcher
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006302:Health Services Research; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data*; D007252:Influenza Vaccines / Q000008:administration & dosage* / Q000009:adverse effects; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D012111:Residence Characteristics; D012307:Risk Factors; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000523:psychology* / Q000706:statistics & numerical data; D006113:United Kingdom
chemical_list: D007252:Influenza Vaccines