Attitudes about adult vaccines and reminder/recall in a safety net population

Vaccine. 2017 Dec 19;35(52):7292-7296. doi: 10.1016/j.vaccine.2017.11.001. Epub 2017 Nov 10.


Little is known about adult patients' attitudes toward vaccination and preferences for reminder/recall. The objective of this study was to determine patient perspectives on adult vaccines generally; attitudes about Tdap, pneumococcal polysaccharide (PPSV-23), and seasonal influenza vaccines specifically; and preferences for adult reminder/recall delivery. Twelve focus groups were conducted with 68 patients in a safety net health system. The sample was stratified by preferred language (English or Spanish), age (18-64 or 65+), and health status (with or without chronic conditions). Participants expressed positive attitudes toward vaccines generally, but had little knowledge of specific vaccines other than influenza, about which they expressed concerns. Although none reported previous experience receiving reminder/recall notices for adult vaccines, all were in favor of receiving them. These results suggest potential patient interest in greater adoption of evidence-based methods to improve immunization rates, and highlight the need for improved communication between providers and patients about adult vaccines.

Keywords: Adult vaccination; Patient perspectives; Qualitative research; Reminder/recall; Socioeconomically disadvantaged populations.

MeSH terms

  • Adult
  • Aged
  • Attitude to Health*
  • Female
  • Focus Groups
  • Humans
  • Immunization / methods
  • Immunization / psychology*
  • Immunization / statistics & numerical data
  • Immunization Programs / methods
  • Influenza Vaccines / administration & dosage
  • Influenza, Human / prevention & control
  • Male
  • Middle Aged
  • Pneumococcal Infections / prevention & control
  • Pneumococcal Vaccines / administration & dosage
  • Population Groups
  • Qualitative Research
  • Reminder Systems*
  • Vaccination / psychology*
  • Young Adult


  • Influenza Vaccines
  • Pneumococcal Vaccines