+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Low acceptability of A/H1N1 pandemic vaccination in French adult population: did public health policy fuel public dissonance?



Low acceptability of A/H1N1 pandemic vaccination in French adult population: did public health policy fuel public dissonance?



Plos One 5(4): E10199



In July 2009, French public health authorities embarked in a mass vaccination campaign against A/H1N1 2009 pandemic-influenza. We explored the attitudes and behaviors of the general population toward pandemic vaccination. We conducted a cross-sectional online survey among 2,253 French representative adults aged 18 to 64 from November 17 to 25, 2009 (completion rate: 93.8%). The main outcome was the acceptability of A/H1N1 vaccination as defined by previous receipt or intention to get vaccinated ("Yes, certainly", "Yes, probably"). Overall 17.0% (CI 95%, 15.5% to 18.7%) of respondents accepted A/H1N1 vaccination. Independent factors associated with acceptability included: male sex (p = .0001); older age (p = .002); highest or lowest level of education (p = .016); non-clerical occupation (p = .011); having only one child (p = .008); and having received seasonal flu vaccination in prior 3 years (p<.0001). Acceptability was also significantly higher among pregnant women (37.9%) and other at risk groups with chronic diseases (34.8%) (p = .002). Only 35.5% of respondents perceived A/H1N1 influenza illness as a severe disease and 12.7% had experienced A/H1N1 cases in their close relationships with higher acceptability (p<.0001 and p = .006, respectively). In comparison to 26.0% respondents who did not consult their primary care physician, acceptability was significantly higher among 8.0% respondents who were formally advised to get vaccinated, and lower among 63.7% respondents who were not advised to get vaccinated (respectively: 15.8%, 59.5% and 11.7%- p<.0001). Among respondents who refused vaccination, 71.2% expressed concerns about vaccine safety. Our survey occurred one week before the peak of the pandemic in France. We found that alarming public health messages aiming at increasing the perception of risk severity were counteracted by daily personal experience which did not confirm the threat, while vaccine safety was a major issue. This dissonance may have been amplified by having not involved primary care physicians in the mass vaccination campaign.

(PDF emailed within 1 workday: $29.90)

Accession: 054182455

Download citation: RISBibTeXText

PMID: 20421908


Related references

Positive attitudes of French general practitioners towards A/H1N1 influenza-pandemic vaccination: a missed opportunity to increase vaccination uptakes in the general public?. Vaccine 28(15): 2743-2748, 2010

Vaccine Narratives and Public Health: Investigating Criticisms of H1N1 Pandemic Vaccination. Plos Currents 7, 2015

Factors in association with acceptability of A/H1N1 vaccination during the influenza A/H1N1 pandemic phase in the Hong Kong general population. Vaccine 28(29): 4632-4637, 2010

Acceptability of A/H1N1 vaccination during pandemic phase of influenza A/H1N1 in Hong Kong: population based cross sectional survey. Bmj 339: B4164, 2009

Pandemic H1N1 in Canada and the use of evidence in developing public health policies--a policy analysis. Social Science & Medicine 83: 1-9, 2013

Public Health Policy and Experience of the 2009 H1N1 Influenza Pandemic in Pune, India. International Journal of Health Policy and Management 7(2): 154-166, 2018

Public health awareness: knowledge, attitude and behaviour of the general public on health risks during the H1N1 influenza pandemic. Journal of Public Health 25(3): 333-337, 2017

Immunogenicity and safety of an inactivate pandemic H1N1 vaccine provided by the Thai ministry of public health as a routine public health service. Southeast Asian Journal of Tropical Medicine and Public Health 43(3): 680-686, 2012

Expanding practitioner scopes of practice during public health emergencies: experiences from the 2009 H1N1 pandemic vaccination efforts. Biosecurity and Bioterrorism 8(3): 223-231, 2011

Anticipating crisis: towards a pandemic flu vaccination strategy through alignment of public health and industrial policy. Vaccine 23(50): 5732-5742, 2005

Enhancing community partnerships during a public health emergency: the school-located vaccination clinics model in Kanawha County, WV during the 2009 influenza A (H1N1) pandemic. West Virginia Medical Journal 107(6): 28-34, 2012

"Pandemic Public Health Paradox": Time Series Analysis of the 2009/10 Influenza A / H1N1 Epidemiology, Media Attention, Risk Perception and Public Reactions in 5 European Countries. Plos One 11(3): E0151258, 2016

Acceptance of pandemic (H1N1) 2009 influenza vaccination by the Australian public. Medical Journal of Australia 192(1): 33-36, 2010

Involving the public in epidemiological public health research: a qualitative study of public and stakeholder involvement in evaluation of a population-wide natural policy experiment. Bmj Open 8(4): E019805, 2018

Dramatic change in public attitudes towards vaccination during the 2009 influenza A(H1N1) pandemic in France. Euro Surveillance 18(44), 2014