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Influenza vaccine uptake in Tunisia from two high-risk groups’ perception and attitudes

A qualitative study

Bibliographic Data

ID22073858
AuthorsAïcha Boukthir (0000-0003-3903-2141, Institut Pasteur de Tunis, corresponding author), Hind Bouguerra (Tunis University), Afif Ben Salah (0000-0002-6696-4713, Institut Pasteur de Tunis), Astrid C Erber (0000-0001-5252-9676, University of Oxford), Sana Chaabene (Institut Pasteur de Tunis), Hayet Moussa (Tunis University), François Guillemette (0000-0003-2333-8410, Université du Québec à Trois-Rivières), Nissaf Ben Alaya (0000-0002-3326-9861, Tunis University), Jihène Bettaieb (0000-0003-0056-452X, Tunis University)
Year2023
Volume11
Pages1212431-1212431
Publication date2023-08-16
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1212431
PMID37655288
OpenAlexW4385951942
LanguageEN
Citations received1
References cited27

Background: Pregnant women (PW) and older adult with chronic diseases (ECD) are priority groups for the influenza vaccination. This study was designed to have a better insight into the influenza perceptions and barriers of the vaccine uptake from these groups' perspectives. Methods: This qualitative study consisted of 20 focus group discussions (FGDs) enrolled from five governorates across the country (north, center, and south) between March 18 and July 10, 2019, in urban and rural areas. FGDs were conducted in Arabic (Tunisian dialect) and following the topic guide. Data were transcribed in the local language then translated into English and analyzed using Nvivo12 Software. This permitted the analysis thematic approach, using codes determined by the focus groups. Results: A total of 170 individuals participated in the FGDs (84 ECD and 86 PW). Both groups recognized the weakness of the immune system as key determinant for severity. While PW raised the lack of information about the vaccine, the ECD emphasized accessibility problems. Five main barriers to influenza vaccination were identified: cultural barriers and use of traditional medicine, misleading or lack of information about influenza and the vaccine, advice against its uptake, problems of availability and accessibility of the vaccine as well as mistrust towards the vaccine including adverse effects, vaccine composition and effectiveness. Conclusion: The study provided refined information from the perspectives of users to orient the policies regarding the promotion of influenza vaccine by decision makers among these two high risk groups

Environmental health · Family medicine · Focus group · Influenza vaccine · Political science · Qualitative research · Thematic analysis · Vaccination · Immune responses and vaccinations · Influenza Virus Research Studies · Medicine · Vaccine Coverage and Hesitancy · Immunology

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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