The findings in this article suggest that many adults are not well-informed about the benefits or potential side-effects of influenza and pneumococcal vaccinations and that their physicians are not routinely recommending these vaccinations, even though all study participants were either age-appropriate or had clinical indications to receive a strong recommendation for influenza and pneumococcal immunizations. Participants largely agreed that they want more information regarding the influenza and pneumococcal vaccines and that adult vaccination delivery needs to be conveniently available in more community-based sites, such as churches. Attitudinal factors regarding convenience of vaccination location confirm a previously reported study, which demonstrated that convenience was a major factor in adult vaccination decisions.
Attitudes diverged, however, on the perceived safety of vaccines and on trust of the healthcare system, with African Americans being more distrustful of vaccines and of healthcare in general.
The study has a number of limitations. We studied a small and self-selected sample of churchgoers in one metropolitan area. The focus groups varied in size and by ethnic group; therefore, the findings are limited in their representation of the knowledge, attitudes and perceptions of these populations. However, multiple steps were implemented to guarantee the scientific adequacy and rigor of the qualitative process and analysis including credibility, fittingness, and auditability. The methods used to gather detailed narrative data on the attitudes and perceptions of focus group participants and themes discussed likely do accurately reflect the general attitudes of these subpopulations.
Previous studies that have used community-based churches as a site for developing and implementing blood pressure control, cancer screening, mental health, nutritional, and research recruitment programs have been successful. The ultimate aim of this focus group study was to evaluate group-specific attitudes, to develop and implement a randomized controlled trial of adult vaccine-related intervention activities in faith-based organizations. Based on the findings of these focus groups, we believe that outreach programs and interventions such as on-site vaccinations in community faith-based organizations and vaccine educational programs are likely to be successful. Although interventions may be tailored for each faith-based organization, the core components of the intervention can be implemented in all sites. Educational programs that emphasize the importance and potential health benefits of adult vaccinations are likely to increase the utilization of adult vaccinations in unvaccinated church populations and reduce racial and ethnic disparities. canadian pharmacy viagra