Knowledge, Attitudes and Beliefs about Flu and Pneumococcal Immunization: Findings from South Los Angeles

Background:
In August 2008, the Immunize LA Families Coalition developed and implemented a survey to ascertain self-reported flu and pneumococcal immunization among residents of South Los Angeles. The survey included questions about receipt of the vaccines, knowledge and beliefs about the flu and flu vaccine, and attitudes towards immunization.

Objectives:
To measure knowledge of and attitudes toward flu immunization, and self-reported flu and pnemococcal immunization rates

Methods:
Self-administered survey completed by adults attending three community events in South Los Angeles. Incentives were offered for completion of the survey. Convenience sampling was used. Descriptive statistical analyses were conducted

Results:
Twenty percent of the adults attending the events completed the survey (187/913). Of the respondents, 64 (34%) were African American, 110 (59%) were Latino. All were over 18. Sixty-six respondents (35%) reported that they had had a flu shot in the previous flu season; the self-reported immunization rate among African Americans was 53% in contrast to 27% among Latinos. Of the respondents over the age of 50 (n = 56), 61% reported a flu shot during the previous flu season. Approximately 26% of African Americans who had not received a flu shot reported that they didn't trust the flu shot compared to only 2% of Latinos. Both populations reported not knowing that they needed the shot as the main reason they had not been vaccinated.

Conclusions:
Self-reported flu immunization rates are low in South Los Angeles. The main reason reported for not receiving a vaccination was that they didn't know they needed the shot, followed by they didn't know where to receive the shot, and, among African-Americans, that they didn't trust the shot. Educational programs can be tailored to help increase knowledge and address identified concerns about immunizations among residents.