Factors Related to, and Effective Interventions for, Vaccination Uptake Among Older Adults in Two Asia-Pacific Countries: A Rapid Review

Author:

Tong Wen Ting12ORCID,Seth Ananta13,Ng Mary Pei Ern1,Tong Shao Chuen1,Lau Amanda4,Chen Tina Yen-Ting1,Ong Suan Ee4,Yoong Joanne Su-Yin14

Affiliation:

1. Centre for Behavioural and Implementation Science Interventions, NUS Yong Loo Lin School of Medicine, Singapore

2. Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

3. Asia-Pacific Immunization Coalition, Singapore

4. Research for Impact, Singapore

Abstract

This rapid review aims to present a comprehensive overview of barriers, facilitators, and effective interventions that promote vaccination uptake by older adults in the Asia-Pacific region. Rapid review methodology was applied, using two databases (PubMed, Embase). Articles were included if studies were conducted in Australia, Singapore, Indonesia, and the Philippines; included human population ≥50 years of age, and was published from 2016 to August 2022. Related articles were not found from Indonesia and Philippines. A total of 23 articles met the inclusion criteria, with 19 reporting on barriers and facilitators, whereas, four articles reported effective interventions to promote vaccination uptake. Among the 19 studies that identified barriers and facilitators to vaccination uptake, the more common factors were social influences (n = 8/19), perceived benefits of vaccine (n = 7/19), and perceived vaccine safety (n = 6/19). Interventions that focused on supporting clinicians were found to be effective in leading them to recommend vaccinations among older adults, such as creating awareness on the low baseline vaccination rates among older adults, provision of structured health assessment, and nurse reminders. More studies are needed to ascertain the barriers and facilitators to uptake, as well as to identify effective interventions influencing vaccine uptake among older adults in the Asia-Pacific region.

Publisher

SAGE Publications

Reference61 articles.

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3. United Nations ESCAP. Addressing the challenges of population ageing in Asia and the Pacific: implementation of the Madrid international plan of action of ageing. Accessed April 7, 2024. https://www.unescap.org/publications/addressing-challenges-population-ageing-asia-and-pacific-implementation-madrid

4. Seth A, Pangestu T. Promoting older adults immunisation. A pathway to healthy ageing in Asia Pacific. Accessed April 7, 2024. https://medicine.nus.edu.sg/apic/wp-content/uploads/sites/28/2022/06/APIC_Policy_Brief_Life_Course_Immunisation_Final_June-2022-1.pdf

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