Barriers to pneumococcal and XXXX vaccination in older community-dwelling adults (2000-2001).

@entity1 @entity683
OBJECTIVES: To identify facilitators of and barriers to vaccination in @entity1 from a range of socioeconomic levels. DESIGN: A survey was conducted in 2001 using computer-assisted telephone interviewing. SETTING: @entity1 from inner-city health centers and suburban practices were interviewed. @entity1 : Inclusion criteria were aged 66 and older and an office visit after September 30, 1998. MEASUREMENTS: Self-reported @entity683 and pneumococcal vaccination status and facilitating conditions, attitudes, social influences, and perceived consequences from the Triandis model were assessed. RESULTS: Overall, 557 interviews were completed with 775 eligible @entity1 (72%). @entity1 who reported having received pneumococcal vaccine more frequently believed that their physicians recommended the vaccine than did the unvaccinated (97% vs 49%; P=.001). This was also true for @entity683 vaccine (99% vs 80%; P<.001). More unvaccinated @entity1 than vaccinated @entity1 felt that obtaining either vaccine was more trouble than it is worth (pneumococcal 19% vs 1%; P=.04, @entity683 20% vs 1%; P=.004). The vaccinated were more likely to be willing to obtain the @entity683 and pneumococcal vaccines at the same time (pneumococcal 91% vs 59%; P=.002, @entity683 91% vs 55%; P=.014). CONCLUSION: Physicians should take every opportunity to recommend vaccination to their eligible adult @entity1 . Offering @entity683 and pneumococcal vaccines at the same visit is an acceptable means to ensure that adults are fully vaccinated.
