title: Influenza vaccine preference and uptake among older people in nine countries.
abstract: OBJECTIVE
  This paper is a report of a study delineating factors that influence older people's preferences and uptake of the influenza vaccine in nine countries.
  
  
  BACKGROUND
  Vaccination uptake for the aging population in many countries still remains below the World Health Organization recommended rate. Older people who perceive higher susceptibility to and severity of influenza, and more benefits from vaccination and action cues prompting vaccination, tend to accept the vaccine, but those with more perceived barriers to vaccination are less likely to accept it.
  
  
  METHODS
  A total of 208 older people from China, Indonesia, Turkey, Korea, Greece, Canada, the United Kingdom, Brazil and Nigeria were recruited to 14 vaccinated and 12 unvaccinated focus groups. They shared their experiences of influenza, and influenza vaccination, and promotion of influenza vaccination in focus groups. The data were collected in 2007.
  
  
  RESULTS
  We identified five themes and generated a hypothetical framework for in-depth understanding of vaccination behaviour among older people. Participants' vaccine preferences were determined by their behavioural beliefs in vaccination, which were based on their probability calculation of susceptibility to and severity of influenza and vaccine effectiveness, and their utility calculation of vaccine, healthcare and social costs. Action cues prompting vaccination and vaccine access further affected the vaccine uptake of participants with vaccine preferences. Vaccination coverage was likely to be higher in the countries where normative beliefs in favour of vaccination had formed.
  
  
  CONCLUSIONS
  The hypothetical framework can be used to guide healthcare providers in developing strategies to foster normative beliefs of older people in vaccination, provide effective action cues and promote vaccine access.
authors: School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
authors: Enid Wai-yung
authors: EW
authors: Kwong
authors: Samantha Mei-che
authors: SM
authors: Pang
authors: Pin-pin
authors: PP
authors: Choi
authors: Thomas Kok-shing
authors: TK
authors: Wong
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003431:Cross-Cultural Comparison; D003657:Decision Making; D058872:Epidemics / Q000517:prevention & control*; D005260:Female; D017144:Focus Groups; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000453:epidemiology / Q000276:immunology / Q000517:prevention & control*; D008297:Male; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D014611:Vaccination / Q000191:economics / Q000523:psychology* / Q000706:statistics & numerical data
chemical_list: D007252:Influenza Vaccines