title: Predicting influenza vaccination intent among at-risk chinese older adults in Hong Kong.
abstract: BACKGROUND
  Older adults with major chronic illnesses are very susceptible to influenza and its serious complications, but many do not obtain vaccinations. Little is known about factors associated with intention to obtain influenza vaccination among at-risk Chinese older adults in Hong Kong.
  
  
  OBJECTIVE
  The aim of this study was to identify factors associated with intent to obtain influenza vaccination among at-risk Chinese older adults in Hong Kong.
  
  
  METHODS
  This multicenter descriptive correlational study recruited a convenience sample of 306 Chinese older adults with medical risk factors for influenza and its serious complications from the general outpatient clinics in Hong Kong. Interviews were conducted to assess intent to obtain influenza vaccination for the coming year, health beliefs about influenza, and discomfort following past vaccinations.
  
  
  RESULTS
  The current influenza vaccination rate was 58.5%; only 36.3% intended to get vaccinated the following year. After controlling for clinical and demographic factors in a logistic regression model, perceived susceptibility predicted intention to obtain future vaccination (OR = 1.42, 95% CI [1.14, 1.78]), whereas postvaccination discomfort was negatively associated with intention (OR = 0.063, 95% CI [0.006, 0.63]).
  
  
  CONCLUSIONS
  Intention to obtain influenza vaccination was low among at-risk Chinese older adults. Strengthening health beliefs and creating strategies to provide positive influenza vaccination experiences are possible approaches to interventions to improve uptake of influenza vaccination rates.
authors: Doris S. F. Yu, PhD, RN, is Associate Professor; Lisa P. L. Low, RN, RHV, MPhil, PhD, is Professional Consultant; Iris F. K. Lee, PhD, RN, is Associate Professor; Diana T. F. Lee, RN, RM, PhD, is Director/Chair Professor of Nursing; and Wai Man Ng, RN, MSc, is Registered Nurse, The Nethersole School of Nursing, The Chinese University of Hong Kong.
authors: Doris S F
authors: DS
authors: Yu
authors: Lisa P L
authors: LP
authors: Low
authors: Iris F K
authors: IF
authors: Lee
authors: Diana T F
authors: DT
authors: Lee
authors: Wai Man
authors: WM
authors: Ng
mesh_terms: D000368:Aged / Q000523:psychology* / Q000706:statistics & numerical data*; D000369:Aged, 80 and over; D044466:Asian People / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice; D006723:Hong Kong; D006801:Humans; D007252:Influenza Vaccines; D007251:Influenza, Human / Q000517:prevention & control*; D016015:Logistic Models; D008297:Male; D010342:Patient Acceptance of Health Care; D012307:Risk Factors; D012959:Socioeconomic Factors; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines