H1N1 influenza pandemic in Italy revisited: has the willingness to get vaccinated suffered in the long run?

  • Ramona Ludolph
    Institute of Communication and Health, University of Lugano, Switzerland.
  • Marta Nobile
    Institute of Communication and Health, University of Lugano, Lugano, Switzerland; Phd Program in Public Health, University of Milan, Italy.
  • Uwe Hartung
    Institute of Communication and Health, University of Lugano, Lugano, Switzerland.
  • Silvana Castaldi
    RCCS Foundation Ca’ Granda Major Hospital of Milan, Department of Biomedical Sciences for Health, University of Milan, Italy.
  • Peter J. Schulz
    Institute of Communication and Health, University of Lugano, Switzerland.

ABSTRACT

Background. The aim of the study is to assess the long-term secondary effects of personal experience with the H1N1 pandemic of 2009/2010 and the perception of the institutional reaction to it on Italians’ willingness to get vaccinated in case of a novel influenza pandemic.

Design and Methods. We conducted 140 face-to-face interviews in the Registry Office of the Municipality of Milan, Italy, from October to December 2012.
Results
. Willingness to get vaccinated during a novel influenza pandemic was best predicted by having been vaccinated against the seasonal flu in the past (OR=5.18; 95%CI: 1.40 to 19.13) and fear of losing one’s life in case of an infection with H1N1 (OR=4.09; 95%CI: 1.68 to 9.97). It was unaffected by the assessment of institutional performance.

Conclusions. The findings of this study do not point to long-term secondary effects of the institutional handling of the H1N1 pandemic. The results highlight the fact that behavioural intention is not the same as behaviour, and that the former cannot simply be taken as an indicator of the latter.