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Sociocultural determinants of anticipated acceptance of pandemic influenza vaccine in Pune, India: a community survey using mixed-methods
- Source :
- International Journal of Public Health. 62:103-115
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- To investigate community priority and determinants of pandemic influenza vaccine acceptance in Pune, India. Community willingness to accept vaccines is often neglected in pandemic preparedness. Despite an acknowledged need, few such studies have been done in lower income countries. A cross-sectional, mixed-methods study used semi-structured explanatory model interviews to assess anticipated acceptance of nasal and injectable vaccines at different prices among 436 urban and rural residents. Logistic regression models identified sociocultural determinants of vaccine acceptance. Over 93 % anticipated acceptance at no-cost; 87.8 % for INR 150 nasal vaccine; 74.1 % for INR 500 and 61.7 % for INR 1000 injectable vaccines. Some respondents preferred low-cost over free vaccines. Illness-related concerns about social isolation, contaminants identified as perceived causes, private-hospital or traditional-healer help seeking, and income were positively associated with anticipated acceptance. Humoral imbalances as perceived cause, home remedies for help-seeking and age were negatively associated. High acceptability of pandemic influenza vaccines indicates good prospects for mass vaccination. It appeared that confidence was higher in the vaccines than in the health systems delivering them. Vaccination programmes should consider sociocultural determinants influencing vaccine acceptance.
- Subjects :
- Adult
Male
Rural Population
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
Health (social science)
Adolescent
Cross-sectional study
030231 tropical medicine
Explanatory model
India
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Environmental health
Influenza, Human
Pandemic
medicine
Humans
030212 general & internal medicine
Social isolation
Pandemics
Aged
Cultural Characteristics
business.industry
Public health
Vaccination
Public Health, Environmental and Occupational Health
Middle Aged
Patient Acceptance of Health Care
Help-seeking
Cross-Sectional Studies
Socioeconomic Factors
Influenza Vaccines
Immunology
Female
medicine.symptom
Willingness to accept
business
Subjects
Details
- ISSN :
- 16618564 and 16618556
- Volume :
- 62
- Database :
- OpenAIRE
- Journal :
- International Journal of Public Health
- Accession number :
- edsair.doi.dedup.....523ea03bb2c067830b7d5a395111e859