Seasonal and 2009 H1N1 influenza vaccine uptake, predictors of vaccination, and self-reported barriers to vaccination among secondary school teachers and staff

Figures & data

Table 1 Survey items and measurement characteristics for psychosocial variables

Variable	Range	Seasonal influenza alpha	2009 H1N1 influenza alpha
Perceived severity	2–10	0.896	0.822
Flu is a serious disease
Flu is a serious disease in adults my age
Perceived susceptibility	2–10	0.832	0.822
I am very likely to get the flu
Compared to my friends, I am more likely to get the flu
Perceived benefits	3–15	0.817	0.717
Flu vaccine will prevent me from getting sick with the flu
If I get the flu vaccine, it will help me protect my friends and family from getting the flu
Flu vaccine will prevent me from missing work because of the flu
Perceived barriers	5–25	0.676	0.779
Flu vaccine will make me sick
Flu vaccine does not prevent the flu
Getting a flu vaccine costs too much money
Getting the flu vaccine is painful or uncomfortable
I would feel sore the day after a flu vaccine
Self-efficacy	1–5	-	-
I feel comfortable getting the flu vaccine
Social norms	5–25	0.691	0.757
Most people important to me think I should get a flu vaccine
My doctor thinks I should get a flu vaccine
My coworkers think I should get a flu vaccine
I know other people my age who got the flu vaccine
Most of my coworkers got the flu vaccine

Table 2 Correlates of seasonal and 2009 H1N1 influenza vaccine uptake among middle- and high-school staff members in rural georgia

	Seasonal influenza vaccination				2009 H1N1 influenza vaccination
Variable	Bivariate/Unadjusted OR (95% CI)	p-value	Multivariate/Adjusted OR (95% CI)	p-value	Bivariate/Unadjusted OR (95% CI)	p-value	Multivariate/Adjusted OR (95% CI)	p-value
Demographic variables
Age	1.03 (0.99, 1.08)	0.141	-		1.00 (0.97, 1.02)	0.747	-
Race
White	-		-				-
Minority	0.44 (0.14, 1.41)	0.166	-		0.53 (0.10, 2.70)	0.443	-
Gender
Male	-		-		-		-
Female	0.46 (0.13, 1.63)	0.229	-		0.51 (0.14, 1.83)	0.300	-
Psychosocial variables
Perceived severity	1.87 (1.25, 2.78)	0.002**	1.57 (1.00, 2.48)	0.050*	2.04 (1.12, 3.69)	0.019*	1.83 (0.91, 3.66)	0.089
Perceived susceptibility	1.15 (0.88, 1.50)	0.300	-		1.36 (0.94, 1.97)	0.108	-
Perceived benefits	1.24 (1.00, 1.54)	0.048*	0.98 (0.72, 1.35)	0.917	1.38 (1.04, 1.85)	0.0277*	0.96 (0.56, 1.63)	0.869
Perceived barriers	0.80 (0.65, 0.98)	0.033*	0.950 (0.71, 1.28)	0.733	0.70 (0.54, 0.90)	0.005**	0.70 (0.52, 0.93)	0.0146*
Self-efficacy	4.59 (2.09, 10.0)	<0.001***	4.46 (1.54, 12.9)	0.006**	2.92 (1.38, 6.19)	0.005**	1.62 (0.44, 5.93)	0.464
Social norms	1.45 (1.13, 1.88)	0.004**	1.38 (0.95, 2.00)	0.087	1.43 (1.12, 1.82)	0.004**	1.39 (1.00, 1.94)	0.050*

* p . 0.05

** p . 0.01

*** p < 0.001.

Table 3 Reasons for acceptance or refusal of seasonal and 2009 H1N1 influenza vaccinations

	Seasonal influenza vaccination N(%)	2009 H1N1 influenza vaccination N (%)
Reasons for acceptance	(n = 41)	(n = 14)
To protect other family members	27 (65.9)	13 (92.9)2
Wanted to avoid getting the seasonal flu/H1N1	38 (92.7)1	14 (100.0)1
Had a good experience with the seasonal flu vaccine in the past	31 (75.6)	9 (64.3)
Know someone who got sick from the seasonal flu/H1N1	33 (80.5)2	4 (28.6)
Heard about it on the news	32 (78.0)3	13 (92.9)3
Recommended by a friend/family member	26 (63.4)	8 (57.1)
Recommended by family doctor	26 (63.4)	10 (71.4)
Family has had good experiences with the seasonal flu vaccine in the past	28 (68.3)	-
Got very sick from seasonal flu in the past	10 (24.4)	-
Reasons for refusal	(n = 25)	(n = 52)
Did not know I was eligible for the seasonal flu/H1N1 vaccine	2 (8.0)	14 (26.9)
Concerned about side effects from the vaccine	13 (52.0)3	30 (57.7)1
Did not need it	14 (56.0)2	13 (25.0)
The vaccine was not available when I went to get it	3 (21.0)	7 (13.5)
Was not recommended to me	5 (20.0)	17 (32.7)
Hard to get the flu vaccine	1 (4.0)	9 (17.3)
Hard to find time to fit it in	7 (28.0)	11 (21.1)
Vaccine costs too much	2 (8.0)	5 (9.6)
Concerned it would make me sick	16 (64.0)1	30 (57.7)2
No appointment times were available	2 (8.0)	1 (1.9)
The seasonal flu/H1N1 vaccine does not prevent the flu	5 (20.0)	12 (23.1)
Allergic to eggs	2 (8.0)	2 (3.8)
Did not want a new vaccine	-	27 (51.9)3

1–3 Superscript numbers indicate the top three reasons for vaccine acceptance or refusal.