Influence of family on acceptance of influenza vaccination among Japanese patients

Osamu Takahashi, Yoshinori Noguchi, Mahbubur Rahman, Takuro Shimbo, Masashi Goto, Kunihiko Matsui, Atsushi Asai, Motoki Onishi, Hiroshi Koyama, Izumi Sawada, Takeshi Yoshinaka, Tsuguya Fukui

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background. Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japan, compared with western countries. Objective. Our aim was to assess whether medical and personal characteristics are associated with receiving influenza vaccination in Japanese patients. Methods. Out-patients of a city hospital were recruited for a case-control study between November 1998 and February 1999. Cases were 98 out-patients aged 18 years or older who received influenza vaccination. Controls were 112 non-vaccinated out-patients matched with cases for primary physician and date of clinic visit. The candidates were interviewed by telephone and asked to respond to a 26-item questionnaire. The data were analysed using multiple logistic regression models. Results. The factors associated with the acceptance of influenza vaccination were: (i) recommendation by a family member and/or a close friend [odds ratio (OR) 17.74; 95% confidence interval (CI) 1.95-161.771; (ii) belief in influenza vaccine efficacy (OR 10.55; 95% CI 3.42-32.49); (iii) having a family member and/or friends who had been vaccinated before (OR 6.44; 95% CI 2.37-17.50); (iv) physician's recommendation (OR 4.03; 95% CI 1.42-11.37); and (v) knowledge about the influenza vaccine (OR 3.06; 95% CI 1.02-9.20). Fear of adverse reactions (OR 0.21; 95% CI 0.07-0.66) was the sole factor associated with non-acceptance of influenza vaccine. Conclusion. Patients in Japan are likely to be greatly influenced by their family members or close friends in their decision of whether to accept influenza vaccination, unlike US patients who make health care decisions on their own. When implementing an influenza vaccination programme, this effect of cultural background observed in Japan should be taken into account in other countries.

Original languageEnglish (US)
Pages (from-to)162-166
Number of pages5
JournalFamily Practice
Volume20
Issue number2
DOIs
StatePublished - Apr 2003
Externally publishedYes

Fingerprint

Human Influenza
Vaccination
Influenza Vaccines
Odds Ratio
Confidence Intervals
Japan
Outpatients
Logistic Models
Morbidity
Physicians
Mortality
Urban Hospitals
Ambulatory Care
Telephone
Fear
Case-Control Studies
Vaccines
Delivery of Health Care

Keywords

  • Cross-cultural
  • Decision making
  • Family
  • Influenza vaccination
  • Japan

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Takahashi, O., Noguchi, Y., Rahman, M., Shimbo, T., Goto, M., Matsui, K., ... Fukui, T. (2003). Influence of family on acceptance of influenza vaccination among Japanese patients. Family Practice, 20(2), 162-166. https://doi.org/10.1093/fampra/20.2.162

Influence of family on acceptance of influenza vaccination among Japanese patients. / Takahashi, Osamu; Noguchi, Yoshinori; Rahman, Mahbubur; Shimbo, Takuro; Goto, Masashi; Matsui, Kunihiko; Asai, Atsushi; Onishi, Motoki; Koyama, Hiroshi; Sawada, Izumi; Yoshinaka, Takeshi; Fukui, Tsuguya.

In: Family Practice, Vol. 20, No. 2, 04.2003, p. 162-166.

Research output: Contribution to journalArticle

Takahashi, O, Noguchi, Y, Rahman, M, Shimbo, T, Goto, M, Matsui, K, Asai, A, Onishi, M, Koyama, H, Sawada, I, Yoshinaka, T & Fukui, T 2003, 'Influence of family on acceptance of influenza vaccination among Japanese patients', Family Practice, vol. 20, no. 2, pp. 162-166. https://doi.org/10.1093/fampra/20.2.162
Takahashi O, Noguchi Y, Rahman M, Shimbo T, Goto M, Matsui K et al. Influence of family on acceptance of influenza vaccination among Japanese patients. Family Practice. 2003 Apr;20(2):162-166. https://doi.org/10.1093/fampra/20.2.162
Takahashi, Osamu ; Noguchi, Yoshinori ; Rahman, Mahbubur ; Shimbo, Takuro ; Goto, Masashi ; Matsui, Kunihiko ; Asai, Atsushi ; Onishi, Motoki ; Koyama, Hiroshi ; Sawada, Izumi ; Yoshinaka, Takeshi ; Fukui, Tsuguya. / Influence of family on acceptance of influenza vaccination among Japanese patients. In: Family Practice. 2003 ; Vol. 20, No. 2. pp. 162-166.
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abstract = "Background. Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japan, compared with western countries. Objective. Our aim was to assess whether medical and personal characteristics are associated with receiving influenza vaccination in Japanese patients. Methods. Out-patients of a city hospital were recruited for a case-control study between November 1998 and February 1999. Cases were 98 out-patients aged 18 years or older who received influenza vaccination. Controls were 112 non-vaccinated out-patients matched with cases for primary physician and date of clinic visit. The candidates were interviewed by telephone and asked to respond to a 26-item questionnaire. The data were analysed using multiple logistic regression models. Results. The factors associated with the acceptance of influenza vaccination were: (i) recommendation by a family member and/or a close friend [odds ratio (OR) 17.74; 95{\%} confidence interval (CI) 1.95-161.771; (ii) belief in influenza vaccine efficacy (OR 10.55; 95{\%} CI 3.42-32.49); (iii) having a family member and/or friends who had been vaccinated before (OR 6.44; 95{\%} CI 2.37-17.50); (iv) physician's recommendation (OR 4.03; 95{\%} CI 1.42-11.37); and (v) knowledge about the influenza vaccine (OR 3.06; 95{\%} CI 1.02-9.20). Fear of adverse reactions (OR 0.21; 95{\%} CI 0.07-0.66) was the sole factor associated with non-acceptance of influenza vaccine. Conclusion. Patients in Japan are likely to be greatly influenced by their family members or close friends in their decision of whether to accept influenza vaccination, unlike US patients who make health care decisions on their own. When implementing an influenza vaccination programme, this effect of cultural background observed in Japan should be taken into account in other countries.",
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AU - Takahashi, Osamu

AU - Noguchi, Yoshinori

AU - Rahman, Mahbubur

AU - Shimbo, Takuro

AU - Goto, Masashi

AU - Matsui, Kunihiko

AU - Asai, Atsushi

AU - Onishi, Motoki

AU - Koyama, Hiroshi

AU - Sawada, Izumi

AU - Yoshinaka, Takeshi

AU - Fukui, Tsuguya

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N2 - Background. Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japan, compared with western countries. Objective. Our aim was to assess whether medical and personal characteristics are associated with receiving influenza vaccination in Japanese patients. Methods. Out-patients of a city hospital were recruited for a case-control study between November 1998 and February 1999. Cases were 98 out-patients aged 18 years or older who received influenza vaccination. Controls were 112 non-vaccinated out-patients matched with cases for primary physician and date of clinic visit. The candidates were interviewed by telephone and asked to respond to a 26-item questionnaire. The data were analysed using multiple logistic regression models. Results. The factors associated with the acceptance of influenza vaccination were: (i) recommendation by a family member and/or a close friend [odds ratio (OR) 17.74; 95% confidence interval (CI) 1.95-161.771; (ii) belief in influenza vaccine efficacy (OR 10.55; 95% CI 3.42-32.49); (iii) having a family member and/or friends who had been vaccinated before (OR 6.44; 95% CI 2.37-17.50); (iv) physician's recommendation (OR 4.03; 95% CI 1.42-11.37); and (v) knowledge about the influenza vaccine (OR 3.06; 95% CI 1.02-9.20). Fear of adverse reactions (OR 0.21; 95% CI 0.07-0.66) was the sole factor associated with non-acceptance of influenza vaccine. Conclusion. Patients in Japan are likely to be greatly influenced by their family members or close friends in their decision of whether to accept influenza vaccination, unlike US patients who make health care decisions on their own. When implementing an influenza vaccination programme, this effect of cultural background observed in Japan should be taken into account in other countries.

AB - Background. Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japan, compared with western countries. Objective. Our aim was to assess whether medical and personal characteristics are associated with receiving influenza vaccination in Japanese patients. Methods. Out-patients of a city hospital were recruited for a case-control study between November 1998 and February 1999. Cases were 98 out-patients aged 18 years or older who received influenza vaccination. Controls were 112 non-vaccinated out-patients matched with cases for primary physician and date of clinic visit. The candidates were interviewed by telephone and asked to respond to a 26-item questionnaire. The data were analysed using multiple logistic regression models. Results. The factors associated with the acceptance of influenza vaccination were: (i) recommendation by a family member and/or a close friend [odds ratio (OR) 17.74; 95% confidence interval (CI) 1.95-161.771; (ii) belief in influenza vaccine efficacy (OR 10.55; 95% CI 3.42-32.49); (iii) having a family member and/or friends who had been vaccinated before (OR 6.44; 95% CI 2.37-17.50); (iv) physician's recommendation (OR 4.03; 95% CI 1.42-11.37); and (v) knowledge about the influenza vaccine (OR 3.06; 95% CI 1.02-9.20). Fear of adverse reactions (OR 0.21; 95% CI 0.07-0.66) was the sole factor associated with non-acceptance of influenza vaccine. Conclusion. Patients in Japan are likely to be greatly influenced by their family members or close friends in their decision of whether to accept influenza vaccination, unlike US patients who make health care decisions on their own. When implementing an influenza vaccination programme, this effect of cultural background observed in Japan should be taken into account in other countries.

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KW - Decision making

KW - Family

KW - Influenza vaccination

KW - Japan

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