title: Intention to receive influenza vaccine after an acute respiratory illness.
abstract: OBJECTIVE
  To determine the effects of symptoms and presence of confirmed influenza on intention to receive an influenza vaccine, specifically in patients recovering from a medically-attended acute (≤ 7 days' duration) respiratory illness (ARI).
  
  
  METHODS
  During the 2013-14 influenza season individuals seeking outpatient care for an ARI that included cough were tested for influenza using reverse transcription polymerase chain reaction assays (PCR) and completed surveys. Children (6 months-18 years) and adults (≥ 18 years) were grouped by their combined current season's influenza vaccination status (vaccinated/not vaccinated) and their vaccination intentions for next season (intend/do not intend).
  
  
  RESULTS
  Overall, 41% (323/786) were unvaccinated at enrollment; of those, nearly half (151/323) intended to be vaccinated next season. When adjusting for demographic, health, and other factors, unvaccinated individuals who intended to be vaccinated next season were approximately 1.5 times more likely to have PCR-confirmed influenza compared with vaccinated individuals who intended to be vaccinated next season.
  
  
  CONCLUSIONS
  The combined experience of not being vaccinated against influenza and seeking medical attention for an ARI seemed to influence approximately one-half of unvaccinated participants to consider influenza vaccination for next season.
authors.affiliation: University of Pittsburgh Department of Family Medicine, Pittsburgh PA, USA. tnowalk@pitt.edu.
authors.forename: Mary Patricia
authors.initials: MP
authors.lastname: Nowalk
authors.affiliation: Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh PA, USA.
authors.forename: G K
authors.initials: GK
authors.lastname: Balasubramani
authors.affiliation: University of Pittsburgh Department of Family Medicine, Pittsburgh PA, USA.
authors.forename: Mallory
authors.initials: M
authors.lastname: Schaffer
authors.affiliation: Children's Hospital of Pittsburgh of UPMC, Pittsburgh PA, USA.
authors.forename: Rhett H
authors.initials: RH
authors.lastname: Lieberman
authors.affiliation: University of Pittsburgh Department of Epidemiology, Pittsburgh PA, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Eng
authors.affiliation: University of Pittsburgh Department of Family Medicine, Pittsburgh PA, USA.
authors.forename: Shakala
authors.initials: S
authors.lastname: Kyle
authors.affiliation: Department of Epidemiology, Epidemiology Data Center University of Pittsburgh Graduate School of Public Health, Pittsburgh PA, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Wisniewski
authors.affiliation: University of Pittsburgh Department of Family Medicine, Pittsburgh PA, USA.
authors.forename: Richard K
authors.initials: RK
authors.lastname: Zimmerman
authors.affiliation: University of Pittsburgh Department of Family Medicine, Pittsburgh PA, USA.
authors.forename: Donald B
authors.initials: DB
authors.lastname: Middleton
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007252:Influenza Vaccines / Q000627:therapeutic use*; D007251:Influenza, Human / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology; D033182:Intention; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012140:Respiratory Tract Diseases / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines