Focus group interviews on racial and ethnic attitudes regarding adult vaccinations.

Nicholas A. Daniels · Teresa C. Juarbe · Martha Rangel‐Lugo · Gina Moreno-John · Eliseo J. Pérez‐Stable

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Vaccine Coverage and Hesitancy Cultural Competency in Health Care Intramuscular injections and effects

Abstract

UNLABELLED: Adult immunizations have dramatically improved the health of many Americans. In the United States, researchers have documented disparities in the utilization of adult vaccinations between whites and racial and ethnic minority populations. This article examines racial and ethnic attitudes regarding recommended adult vaccinations. METHODS: Four adult focus groups (N=22) were conducted in community churches in San Francisco, CA. Participants were either age-appropriate or had clinical indications to receive a strong recommendation for influenza and pneumococcal immunizations but had not been routinely immunized against influenza and had never been vaccinated against pneumococcal disease. Content analysis was used to analyze narrative data and identify emerging themes. RESULTS: Participants reported that they lacked information about the benefits or potential side effects of influenza and pneumococcal vaccinations and that their physicians were not routinely informing them of, or recommending, these vaccinations. Meanwhile, most participants expressed a willingness to be vaccinated against pneumococcal infection and influenza. All focus group participants felt that community churches were a potential venue for delivery of adult vaccines. CONCLUSIONS: Many adult racial and ethnic minorities have basic information regarding the influenza vaccine but lack sufficient information regarding the benefits of pneumococcal vaccinations. Physicians should provide information regarding adult vaccinations to all patients. On-site vaccination and vaccine education programs in community churches may be successful in increasing the utilization of adult vaccinations in unvaccinated church populations.

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References

1986The problem of rigor in qualitative research 2002Disparities in Health Care by Race, Ethnicity, and Language Among the Insured 2003What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and veterans affairs practices 2001Racial Disparity in Influenza Vaccination 1999Use of a Low-Literacy Patient Education Tool to Enhance Pneumococcal Vaccination Rates 2002Failure to vaccinate Medicare inpatients: a missed opportunity.2002Adult pneumococcal vaccination: a review of physician and patient barriers 2002Attitudinal factors among adult prescription recipients associated with choice of where to be vaccinated1

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2020Influenza Vaccination among Underserved African‐American Older Adults 2017A formative research-guided educational intervention to improve the knowledge and attitudes of seniors towards influenza and pneumococcal vaccinations 2017Improving adult immunization equity: Where do the published research literature and existing resources lead?2006Acceptance of pneumococcal vaccine under standing orders by race and ethnicity.

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