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Understanding Knowledge, Attitudes, and Behaviors Related to Influenza and the Influenza Vaccine in US–Mexico Border Communities

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Abstract

Hispanics are less likely to receive the influenza vaccine compared to other racial and ethnic groups in the US. Hispanic residents of the US–Mexico border region may have differing health beliefs and behaviors, and their cross-border mobility impacts disease control. To assess beliefs and behaviors regarding influenza prevention and control among border populations, surveys were conducted at border clinics. Of 197 respondents, 34 % reported conditions for which vaccination is indicated, and travel to Mexico was common. Few (35 %) believed influenza could make them ‘very sick’, and 76 % believed they should take antibiotics to treat influenza. Influenza vaccine awareness was high, and considered important, but only 36 % reported recent vaccination. The belief that influenza vaccination is ‘very important’ was strongly associated with recent vaccination; “Didn’t think about it” was the most common reason for being un-vaccinated. Misconceptions about influenza risk, prevention and treatment were common in this Hispanic border population; improved educational efforts and reminder systems could impact vaccination behaviors.

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References

  1. Thompson WW, Shay DK, Weintraub E, et al. Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA. 2003;289(2):179–86.

    Article  PubMed  Google Scholar 

  2. Thompson WW, Shay DK, Weintraub E, et al. Influenza-associated hospitalizations in the United States. JAMA. 2004;292(11):1333–40.

    Article  CAS  PubMed  Google Scholar 

  3. Jefferson TO, Rivetti D, Di Pietrantonj C, Rivetti A, Demicheli V. Vaccines for preventing influenza in healthy adults. Cochrane Database Syst Rev. 2007; (2): CD001269.

  4. Cohen R, Martinez M. Early release of estimates from the National Health Interview Survey, January–March 2011. National center for health statistics; 2011. Available at: http://www.cdc.gov/nchs/nhis/releases.htm. Accessed October 21, 2011.

  5. Merrill RM, Beard JD. Influenza vaccination in the United States, 2005–2007. Med. Sci. Monit. 2009; 15(7): PH92–100.

    Google Scholar 

  6. Vargas Bustamante A, Chen J, Rodriguez HP, Rizzo JA, 2010; Ortega AN. Use of preventive care services among latino subgroups. Am j prev med. 38: 610–6.

    Google Scholar 

  7. Larson E, Ferng Y-H, Wong J, et al. Knowledge and misconceptions regarding upper respiratory infections and influenza among urban Hispanic households: need for targeted messaging. J Immigr Minor Health. 2009;11(2):71–82.

    Article  PubMed  Google Scholar 

  8. Bethel JW, Waterman SH. Knowledge, attitudes and practices regarding influenza prevention and control measures among Hispanics in San Diego County—2006. Ethn Dis. 2009;19(4):377–83.

    PubMed  Google Scholar 

  9. United States-Mexico Border Health Commission. Healthy Border 2010: An agenda for improving health on the United States-Mexico Border. El Paso, TX: U.S.-Mexico Border Health Commission; 2003. Available at: http://www.borderhealth.org/files/res_63.pdf. Accessed October 21, 2011.

  10. Doyle TJ, Bryan RT. Infectious disease morbidity in the US region bordering Mexico, 1990–1998. J Infect Dis. 2000;182(5):1503–10.

    Article  CAS  PubMed  Google Scholar 

  11. Hollingsworth TD, Ferguson NM, Anderson RM. Frequent travelers and rate of spread of epidemics. Emerging Infect Dis. 2007;13(9):1288–94.

    Article  PubMed  Google Scholar 

  12. Centers for disease control and prevention. Swine influenza A (H1N1) infection in two children—Southern California, March–April 2009. MMWR Morb Mortal Wkly Rep. 2009; 58(15): 400–2.

  13. Centers for Disease Control and Prevention. Outbreak of swine-origin influenza A (H1N1) virus infection - Mexico, March-April 2009. MMWR Morb Mortal Wkly Rep. 2009; 58(17): 467–70.

  14. Anon. WHO | Swine flu illness in the United States and Mexico - update 2. Available at: http://www.who.int/csr/don/2009_04_26/en/index.html. Accessed September 1, 2011.

  15. Anon. Ed Martinez | Reporting on Health. Available at: http://www.reportingonhealth.org/resources/sources/ed-martinez. Accessed October 20, 2011.

  16. Centers for Disease Control and Prevention. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2011. MMWR Morb Mortal Wkly Rep. 2011;60:1128–32.

    Google Scholar 

  17. Luby SP, Agboatwalla M, Feikin DR, et al. Effect of handwashing on child health: a randomised controlled trial. Lancet. 2005;366(9481):225–33.

    Article  PubMed  Google Scholar 

  18. Jefferson T, Del Mar C, Dooley L, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev. 2010; (1): CD006207.

  19. Levy SB. The 2000 Garrod lecture. Factors impacting on the problem of antibiotic resistance. J Antimicrob Chemother. 2002;49(1):25–30.

    Article  CAS  PubMed  Google Scholar 

  20. Brewer NT, Hallman WK. Subjective and objective risk as predictors of influenza vaccination during the vaccine shortage of 2004–2005. Clin Infect Dis. 2006;43(11):1379–86.

    Article  PubMed  Google Scholar 

  21. Fiore AE, Uyeki TM, Broder K, et al. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Recomm Rep. 2010; 59(RR-8):1–62.

  22. Stinchfield PK. Practice-proven interventions to increase vaccination rates and broaden the immunization season. Am J Med. 2008;121(7 Suppl 2):S11–21.

    Article  PubMed  Google Scholar 

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Correspondence to Alba E. Phippard.

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Phippard, A.E., Kimura, A.C., Lopez, K. et al. Understanding Knowledge, Attitudes, and Behaviors Related to Influenza and the Influenza Vaccine in US–Mexico Border Communities. J Immigrant Minority Health 15, 741–746 (2013). https://doi.org/10.1007/s10903-012-9652-0

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  • DOI: https://doi.org/10.1007/s10903-012-9652-0

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