Journal of Epidemiology and Global Health

Volume 11, Issue 1, March 2021, Pages 34 - 41

Knowledge, Perception, Attitudes and Behavior on Influenza Immunization and the Determinants of Vaccination

Authors
Khalil Choucair1, ORCID, Jack El Sawda2, Sarah Assaad3, ORCID, Nadim G. El Chakhtoura4, Habiba Hassouna5, ORCID, Nisreen Sidani6, Mohamad Yasmin4, ORCID, Ali Rteil6, Souha S. Kanj6, Zeina A. Kanafani6, *
1Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USA
2Department of Internal Medicine, Mckeesport Internal Medicine Center, Pittsburgh, PA, USA
3Department of Biostatistics and Epidemiology, University of Cambridge, UK
4Department of Internal Medicine, Case Western Reserve University, Cleveland, OH, USA
5Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA
6Department of Surgery, American University of Beirut, Beirut, Lebanon
*Corresponding author. Email: zk10@aub.edu.lb
Corresponding Author
Zeina A. Kanafani
Received 24 September 2019, Accepted 22 August 2020, Available Online 11 September 2020.
DOI
https://doi.org/10.2991/jegh.k.200906.001How to use a DOI?
Keywords
Influenza; determinants of vaccination; healthcare workers; health-belief model; KAB; perception
Abstract

Background: We sought to determine the knowledge of, perception, attitudes, and behaviors toward influenza virus and immunization, and the determinants of vaccination among students, patients, and Healthcare Workers (HCWs) at the American University of Beirut and its affiliated Medical Center.

Methods: We conducted a cross-sectional study between October 2016 and January 2017 utilizing a self-administered questionnaire that was provided to 247 randomly selected adult participants. Data collected included socio-demographic characteristics, prior vaccination against influenza, knowledge, perception, attitudes, and behaviors toward influenza and influenza immunization. A multivariable regression model was used to evaluate for independent associations between the different variables and regular or yearly vaccination as a primary outcome.

Results: The overall survey response rate was 77%. A substantial proportion of respondents (47.4%) had never received the influenza vaccine. Only 10.2% of students, 19.1% of patients, and 35.6% of HCWs reported regular or yearly influenza vaccine uptake. HCWs had the lowest knowledge score about influenza and its vaccine despite high self-reported levels of knowledge. Barriers to vaccinations included lack of information (31%), fear of adverse effects (29%), and a perception of not being at risk (23%). Several factors were independently associated with regular or yearly vaccination uptake including having children (adjusted OR = 3.8; 95% CI 1.2–12.5), a “very good” self-reported level of knowledge (OR = 16.3; 95% CI 1.4–194.2) and being afraid of the consequences of influenza (OR = 0.2; 95% CI 0.1–0.6).

Conclusion: Adherence rates with regular or yearly vaccination against influenza remain low across all study groups. We were able to identify predictors as well as barriers to vaccination. Future awareness and vaccination campaigns should specifically aim at correcting misconceptions about vaccination, particularly among HCWs, along with addressing the barriers to vaccination. Predictors of vaccination should be integrated in the design of future campaigns.

Copyright
© 2020 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
11 - 1
Pages
34 - 41
Publication Date
2020/09/11
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
https://doi.org/10.2991/jegh.k.200906.001How to use a DOI?
Copyright
© 2020 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Khalil Choucair
AU  - Jack El Sawda
AU  - Sarah Assaad
AU  - Nadim G. El Chakhtoura
AU  - Habiba Hassouna
AU  - Nisreen Sidani
AU  - Mohamad Yasmin
AU  - Ali Rteil
AU  - Souha S. Kanj
AU  - Zeina A. Kanafani
PY  - 2020
DA  - 2020/09/11
TI  - Knowledge, Perception, Attitudes and Behavior on Influenza Immunization and the Determinants of Vaccination
JO  - Journal of Epidemiology and Global Health
SP  - 34
EP  - 41
VL  - 11
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.200906.001
DO  - https://doi.org/10.2991/jegh.k.200906.001
ID  - Choucair2020
ER  -