title: Understanding the interplay of factors informing vaccination behavior in three Canadian provinces.
abstract: Arguably, the two most critical components in any response to a pandemic are effective risk communication and the rapid development of a vaccine. Despite the roll-out of a publicly-funded H1N1 vaccine program across the country, less than half of all Canadians were vaccinated during the 2009-10 pandemic. Using focus group data, this study examined vaccinating behaviors, the impact of public health messaging, and the public's attitudes toward H1N1 and the H1N1 vaccine in three Canadian provinces. Drawing on vaccine risk communication literature, a framework was devised to identify and analyze the factors related to vaccine uptake and vaccine refusal. The most predictive factor for H1N1 vaccine uptake was a prior history of vaccinating against seasonal influenza. Other important factors included barriers to immunizing (access issues) and an individual's perception of serious risk from contracting H1N1. Although critical gaps in the public's understanding of influenza infections were identified, together with misinformation about vaccination effectiveness and safety, these factors were less frequently reported to be the core factors influencing an individual's decision to vaccinate.
authors.affiliation: University of Alberta; School of Public Health; Edmonton, AB Canada.
authors.forename: Franziska
authors.initials: F
authors.lastname: Boerner
authors.forename: Jennifer
authors.initials: J
authors.lastname: Keelan
authors.forename: Laura
authors.initials: L
authors.lastname: Winton
authors.forename: Cindy
authors.initials: C
authors.lastname: Jardine
authors.forename: S Michelle
authors.initials: SM
authors.lastname: Driedger
mesh_terms: D000293:Adolescent; D000328:Adult; D002170:Canada; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000276:immunology; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D032541:Mass Vaccination / Q000523:psychology*; D008875:Middle Aged; D058873:Pandemics / Q000517:prevention & control*; D010349:Patient Compliance / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines
keywords: H1N1 influenza A; influenza; pandemic; perceptions; uptake; vaccination