Abstract
The purpose of this study is to examine factors affecting the intent to vaccinate during the 2009 H1N1 pandemic and to leverage the results to inform public health policy decisions aimed at increasing vaccine uptake during the COVID-19 pandemic. Using the National 2009 H1N1 Flu Survey data and state-level administrative data, we employ logistic regression and mediation models to estimate the association between vaccine uptake and state level public health spending, political ideology, and H1N1 case and death rates as well as a set of individual and household characteristics. We find that higher public health spending can significantly increase the intent to vaccinate, mainly through raising concerns about the pandemic and promoting vaccine relevant doctor patient interactions. We conclude that physicians, especially primary care physicians, should play more important roles in the ongoing vaccination efforts against the COVID-19 virus.
Original language | English (US) |
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Pages (from-to) | 325-333 |
Number of pages | 9 |
Journal | Vaccine |
Volume | 40 |
Issue number | 2 |
DOIs | |
State | Published - Jan 21 2022 |
Keywords
- COVID-19 pandemic
- H1N1 flu survey
- H1N1 pandemic
- Health policy
- Logistic regression
- Pandemic
- Physicians
- Primary care
- Public health
- Vaccinate
- Vaccine
ASJC Scopus subject areas
- General Veterinary
- Public Health, Environmental and Occupational Health
- Infectious Diseases
- Molecular Medicine
- General Immunology and Microbiology