BACKGROUND: The @entity683 vaccine is recommended in older population. However the immunization coverage varies globally. It has been reported as low as 10-20  % in some countries. This study explored the acceptance of and willingness to pay for @entity683 vaccination, comparing acceptance and willingness to pay before and after health education. METHODS: The study was conducted with 2693 older @entity1 in Bangkok, Thailand. @entity1 were divided into an education group (n   =   1402) and a control group (n   =   1291). A validated questionnaire measuring acceptance of and willingness to pay for vaccination was administered during semi-structured interviews before and after education. Data on factors influencing acceptance were analyzed. RESULTS: @entity1 ' mean age was 69.5  years, 80  % were @entity1 and 82.1  % had at least one co-morbidity. Of the @entity1 , 43.5  % had previously received vaccination more than once, although 92.8  % expressed acceptance of vaccination. Acceptance was associated with a positive attitude toward vaccination ( @entity3122 , 95  % CI 1.5-2.9) and a history of receiving vaccination (OR 4.1, 95  % CI 2.8-6.1). At baseline, there were no differences between the education and control groups in terms of work status (p   =   0.457), co-morbidities (p   =   0.07), medical status (p   =   0.243), and previous vaccination (p   =   0.62), except for educational background (p   =   0.004). Acceptance of vaccination increased to 95.8  % (p   <   0.001) after education and willingness to pay increased to 82.1  % (p   <   0.001). Education significantly affected those with primary school-level education and no previous vaccination history, with acceptance increasing from 83.3 to 92.6  % (p   <   0.001); more than twice as high as the control group ( @entity16545 , 95  % CI 1.2-4.7). Viewing an educational video increased the proportion of @entity1 with a high level of knowledge from 29.2 to 49.2  % (p   <   0.001), and increased the proportion of @entity1 with a positive attitude from 52.4 to 70.7  % (p <0.001). No significant difference was found in any parameter between the first and second assessment in the control group. CONCLUSIONS: The strategies to increase positive attitudes may enhance the acceptance of vaccination. Health education using an educational video demonstrated a significant impact on acceptance, willingness to pay, knowledge and attitude in older @entity1 . This may lead to increased sustainability of the immunization program in older @entity1 .

Health education and factors influencing acceptance of and willingness to pay for XXXX vaccination among older adults.

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'Participants', 'people'] @entity683 :: ('MESH:D007251', 'Disease') :: ['influenza'] @entity16545 :: ('26479', 'Gene') :: ['OR 2.4'] @entity3122 :: ('389090', 'Gene') :: ['OR 2.1']
@entity683 :: (MESH:D007251,Disease) :: ['influenza']
