Details

Autor(en) / Beteiligte

• Fry, Carla A.
• Silverman, Erin P.
• Miller, Sarah

Titel

Addressing Pneumococcal Vaccine Uptake Disparities among African-American Adults in the United States

Ist Teil von

• Public health Nursing, 2016-07, Vol.33 (4), p.277-282

Ort / Verlag

United States: Blackwell Publishing Ltd

Erscheinungsjahr

2016

Quelle

MEDLINE

Beschreibungen/Notizen

• Objective Pneumococcal illnesses affect over one million Americans annually, making invasive pneumococcal disease (pneumonia) the most prevalent vaccine‐preventable illness. Despite well‐documented vaccine safety and efficacy, pneumococcal vaccine (PPSV23) uptake remains low, particularly among minorities. This study sought to define variables predicting PPSV23 uptake in eligible African‐American (AA) adults. Design and Sample This was a cross‐sectional study using a combined version of the Health Belief (HBM) and Precaution Adoption Process Models (PAPM). A convenience sample of 295 AA adults self‐administered the Vaccine Uptake Questionnaire (VUQ). Measures Bivariate chi‐square analyses were conducted and significant variables evaluated using backward stepwise logistic regression. Results PPSV23 uptake was 32.2% (n = 95). Older age, female gender, vaccine awareness, increased knowledge, higher trust scores, perceived susceptibility, and presence of provider recommendation for PPSV23 predicted vaccine uptake. In regression modeling, age, awareness, and provider recommendation remained significant predictors with younger age, unawareness, and lack of provider recommendation decreasing the likelihood of vaccination. Conclusion Three dimensions of the HBM (barriers, cues, and susceptibility) predicted PPSV23 uptake. With 147 (47.8%) unaware of PPSV23 existence prior to this study, adding the dimension “unaware” from the PAPM may strengthen the model and assist efforts to increase PPSV23 uptake among AA adults.