{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:08:48Z","timestamp":1753888128586,"version":"3.41.2"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT:  Objective: To investigate sociodemographic factors associated with the willingness to take the pandemic influenza vaccine.  Methods: This is a cross-sectional study of Brazilian civil servants participating in the fourth wave (2012\u20132013) of the longitudinal Pr\u00f3-Sa\u00fade Study. Associations were expressed as odds ratios (OR) and 95% confidence intervals (95%CI), estimated by multivariate logistic regression models.  Results: Among 2,828 participants, 15.9% would not be willing to vaccinate in the future if the Brazilian Ministry of Health promoted a new vaccination campaign against pandemic influenza. Not willing to vaccinate in the future was strongly associated with not taking the pandemic influenza vaccine in 2010 (OR = 9.0, 95%CI 6.9 \u2013 11.6). Among the unvaccinated, females, those aged &gt; 60 years, and non-health care workers were less willing to vaccinate in the future. Again, in the vaccinated group, females were less willing to vaccinate.  Conclusion: Multidisciplinary efforts should be encouraged in order to identify reasons for refusing vaccination, focusing on the individual and group perceptions of susceptibility, severity, benefits, and barriers to vaccination. Such information is needed to identify target groups for the delivery of customized interventions towards preventing emerging pandemics, such as avian influenza and COVID-19.<\/jats:p>","DOI":"10.1590\/1980-549720210014","type":"journal-article","created":{"date-parts":[[2021,4,2]],"date-time":"2021-04-02T12:11:36Z","timestamp":1617365496000},"source":"Crossref","is-referenced-by-count":1,"title":["Willingness to vaccinate against influenza A (H1N1)pdm09 among Brazilian civil servants: Pr\u00f3-Sa\u00fade cohort study"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1169-1436","authenticated-orcid":false,"given":"Guilherme Loureiro","family":"Werneck","sequence":"first","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil; Universidade Federal do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4027-4896","authenticated-orcid":false,"given":"Eduardo","family":"Faerstein","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"52","key":"ref1","doi-asserted-by":"crossref","first-page":"6707","DOI":"10.1016\/j.vaccine.2016.10.025","article-title":"Vaccine impact: Benefits for human health","volume":"34","author":"Doherty M","year":"2016","journal-title":"Vaccine"},{"issue":"7","key":"ref2","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1093\/cid\/cir007","article-title":"\u201cHerd immunity\u201d: a rough guide","volume":"52","author":"Fine P","year":"2011","journal-title":"Clin Infect Dis"},{"issue":"19","key":"ref3","doi-asserted-by":"crossref","first-page":"2150","DOI":"10.1016\/j.vaccine.2014.01.081","article-title":"Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012","volume":"32","author":"Larson HJ","year":"2014","journal-title":"Vaccine"},{"issue":"28","key":"ref4","doi-asserted-by":"crossref","first-page":"3235","DOI":"10.1016\/j.vaccine.2016.04.071","article-title":"Using behavior change frameworks to improve healthcare worker influenza vaccination rates: A systematic review","volume":"34","author":"Corace KM","year":"2016","journal-title":"Vaccine"},{"year":"2019","series-title":"Ten threats to global health in 2019 [Internet]","key":"ref5"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1177\/1532673X17745342","article-title":"The determinants and consequences of accurate beliefs about childhood 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Estrat\u00e9gia nacional de vacina\u00e7\u00e3o contra o v\u00edrus influenza pand\u00eamico (H1N1) 2009 [Internet]","key":"ref22"},{"year":"2010","series-title":"Sistema de Informa\u00e7\u00e3o do Programa Nacional de Imuniza\u00e7\u00f5es. 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