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Individual and Contextual Determinants of Flu Vaccination Adherence: A University Nudge Intervention

Author

Listed:
  • Nadia Pecoraro

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

  • Francesca Malatesta

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

  • Luna Carpinelli

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

  • Domenico Fornino

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

  • Claudio Giordano

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

  • Giuseppina Moccia

    (Hospital “San Giovanni di Dio e Ruggi d’Aragona”, 84081 Salerno, Italy)

  • Matilde Perillo

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

  • Mario Capunzo

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

  • Giulia Savarese

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

  • Francesco De Caro

    (Department of Medicine, Surgery and Dentistry—Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy)

Abstract

Introduction: The University of Salerno has implemented a nudge intervention with the aim of promoting vaccine adherence among employees of academia and identifying individual and contextual determinants that influence adherence. Method: A purpose-built questionnaire was used during the reference period of October–December 2022 in order to assess levels of state anxiety (STAI-Y1), perceived stress (PSS-10), and public sentiments, which influence vaccination behavior, with consequences for the whole population (VCI). Results: Analysis of the results revealed a difference in mean scores on the PSS: those who have always adhered to the vaccination campaign compared to those who have never been vaccinated perceived higher levels of stress (12.01 vs. 11.33; F = 4.744, p = 0.031); furthermore, there was a relationship between the presence/absence of pathologies and VCI (F = 3,93; df = 1; p = 0.04). Conclusions: The University of Salerno’s nudge intervention made its employees more responsible for protecting the health of the academic community and encouraged good adherence to the flu vaccination campaign. University employees, equipped with high cultural tools, sought information primarily from institutional sources indicated by the university during the free vaccination campaign at the university’s vaccine center.

Suggested Citation

  • Nadia Pecoraro & Francesca Malatesta & Luna Carpinelli & Domenico Fornino & Claudio Giordano & Giuseppina Moccia & Matilde Perillo & Mario Capunzo & Giulia Savarese & Francesco De Caro, 2023. "Individual and Contextual Determinants of Flu Vaccination Adherence: A University Nudge Intervention," IJERPH, MDPI, vol. 20(10), pages 1-10, May.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:10:p:5900-:d:1151996
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    References listed on IDEAS

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    1. Gidon Felsen & Noah Castelo & Peter B. Reiner, 2013. "Decisional enhancement and autonomy: public attitudes towards overt and covert nudges," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 8(3), pages 202-213, May.
    2. Antonella Arghittu & Marco Dettori & Antonio Azara & Davide Gentili & Antonello Serra & Bruno Contu & Paolo Castiglia, 2020. "Flu Vaccination Attitudes, Behaviours, and Knowledge among Health Workers," IJERPH, MDPI, vol. 17(9), pages 1-16, May.
    3. Milkman, Katherine L. & Beshears, John Leonard & Choi, James J. & Laibson, David I. & Madrian, Brigitte, 2011. "Using Implementation Intentions Prompts to Enhance Influenza Vaccination Rates," Scholarly Articles 8057976, Harvard Kennedy School of Government.
    4. repec:cup:judgdm:v:8:y:2013:i:3:p:202-213 is not listed on IDEAS
    5. Giuseppina Moccia & Luna Carpinelli & Giulia Savarese & Francesco De Caro, 2022. "Vaccine Hesitancy and the Green Digital Pass: A Study on Adherence to the Italian COVID-19 Vaccination Campaign," IJERPH, MDPI, vol. 19(5), pages 1-8, March.
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