title: Predictors of influenza vaccine uptake during the 2009/10 influenza A H1N1v ('swine flu') pandemic: Results from five national surveys in the United Kingdom.
abstract: OBJECTIVE
  To investigate reasons underlying the low uptake of the influenza A H1N1v vaccination in the UK during the 2009/10 pandemic.
  
  
  METHODS
  We analysed data from five national telephone surveys conducted in the UK during the latter stages of the pandemic to identify predictors of uptake amongst members of the public offered the vaccine by their primary care physician (n=1320). In addition to demographic variables, participants reported: reasons for declining the vaccination, levels of worry about the risk of catching swine flu, whether too much fuss was being made about the pandemic, whether they or a close friend or relative had had swine flu, how effective they felt the vaccine was, whether they had previously had a seasonal flu vaccination, how well prepared they felt the government was for a pandemic and how satisfied they were with information available about the pandemic. Most participants (n=734, 55.6%) reported being vaccinated against swine flu, compared to 396 who had not been vaccinated and were unlikely to be vaccinated in the future.
  
  
  RESULTS
  The main reasons given for declining vaccination were concerns over the vaccine's safety, and being generally healthy. Controlling for demographic variables, risk factors for not being vaccinated were: being female, not having a long-standing infirmity or illness, not having been vaccinated against seasonal flu in previous years, feeling that too much fuss had been made about the pandemic and believing that the vaccine was ineffective.
  
  
  CONCLUSIONS
  Interventions that target these factors may be effective in improving uptake in a future pandemic.
authors.affiliation: King's College London, Department of Psychological Medicine, Weston Education Centre, Cutcombe Road, London SE5 9RJ, UK. Electronic address: juliahan.yk@gmail.com.
authors.forename: You Kyung Julia
authors.initials: YK
authors.lastname: Han
authors.affiliation: University College London, Division of Psychology and Language Sciences, London, UK. Electronic address: s.michie@ucl.ac.uk.
authors.forename: Susan
authors.initials: S
authors.lastname: Michie
authors.affiliation: University College London, Centre for Health Informatics and Multiprofessional Education, UCL Institute for Health Informatics, London, UK. Electronic address: h.potts@ucl.ac.uk.
authors.forename: Henry W W
authors.initials: HW
authors.lastname: Potts
authors.affiliation: King's College London, Department of Psychological Medicine, Weston Education Centre, Cutcombe Road, London SE5 9RJ, UK. Electronic address: Gideon.rubin@kcl.ac.uk.
authors.forename: G James
authors.initials: GJ
authors.lastname: Rubin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007252:Influenza Vaccines; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D058873:Pandemics / Q000517:prevention & control*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D006113:United Kingdom; D014611:Vaccination / Q000523:psychology / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines
keywords: Adherence; Influenza; Pandemic; Vaccination