Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jan 3;38(1):2.
doi: 10.1186/s41043-018-0159-8.

Flu vaccination among older persons: study of knowledge and practices

Tatjana Gazibara  1 , Nikolina Kovacevic  1 , Darija Kisic-Tepavcevic  1 , Selmina Nurkovic  1 , Ilma Kurtagic  1 , Teodora Gazibara  1 , Tatjana Pekmezovic  2
Affiliations

Flu vaccination among older persons: study of knowledge and practices

Tatjana Gazibara et al. J Health Popul Nutr. .

Abstract

Background: Surveys of older adults' knowledge relative to flu immunization have highlighted its relevance in the improvement of vaccination coverage. The purpose of this study was to estimate the proportion of older persons who have ever been immunized against seasonal flu in the municipality of Vračar (Belgrade, Serbia), assess their knowledge related to flu and flu vaccination, and to determine factors associated with flu immunization.

Methods: In the period November 2012-January 2013, 480 persons aged above 65 years were recruited at the Community Health Center, of which 354 persons were finally included in the study. Data were collected using a questionnaire. To assess the level of knowledge, correct answers were awarded 1 point. The total knowledge score ranged from 0 to 17 and was divided into three levels: poor (0-4 points), moderate (5-8 points), good (9-13 points), and excellent (14-17 points).

Results: The proportion of ever vaccinated older persons was 47.7%. Of those, one third (29.1%) had been immunized regularly. Most seniors (61.9%) demonstrated good, whereas one third (29.8%) demonstrated excellent level of knowledge. In terms of reasons for non-compliance, the highest proportion of older persons declined vaccination because "they were in good health" (33.5%) and because "they did not believe that vaccine protects from flu" (31.5%). Independent predictors of being ever immunized against seasonal flu were having higher level of education, being more knowledgeable relative to flu vaccination, and taking more medications.

Conclusions: Our results indicate that health care sector requires well-coordinated promotion campaigns to enhance acceptance of flu vaccination. Organized immunization counseling could provide accurate, evidence-based information in order to transform misbeliefs, prejudice, and negative attitude towards vaccination.

Keywords: Flu; Knowledge; Older persons; Vaccine.

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

Ethical approval for the study was obtained from the Institutional Review Board of the Faculty of Medicine, University of Belgrade. Participants signed an informed consent prior to enrollment in the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Distribution of reasons for flu vaccination acceptance among older persons
Fig. 2
Fig. 2
Distribution of reasons for non-compliance with flu vaccination among older persons based on their opinions
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Verma R, Khanna P, Chawla S. Influenza vaccine: an effective preventive vaccine for developing countries. Hum Vaccin Immunother. 2012;8(5):675–678. doi: 10.4161/hv.19516. - DOI - PubMed
    1. World Health Organization (WHO). Seasonal Influenza factsheet. Availbale at: http://www.who.int/mediacentre/factsheets/fs211/en/index.html. Accessed 5 May 2013.
    1. Jain S, Kamimoto L, Bramley AM, Schmitz AM, Benoit SR, Louie J, et al. Hospitalized patients with 2009 H1N1 influenza in the United States, April-June 2009. N Engl J Med. 2009;361(20):1935–1944. doi: 10.1056/NEJMoa0906695. - DOI - PubMed
    1. Tan EK, Lim LH, Teoh YL, Ong G, Bock HL. Influenza and seasonal influenza vaccination among diabetics in Singapore: knowledge, attitudes and practices. Singap Med J. 2010;51(8):623–630. - PubMed
    1. Madjid M, Alfred A, Sahai A, Conyers JL, Casscells SW. Factors contributing to suboptimal vaccination against influenza: results of a nationwide telephone survey of persons with cardiovascular disease. Tex Heart Inst J. 2009;36(6):546–552. - PMC - PubMed

Publication types

MeSH terms

Substances