Table 1.

Social Ecological Framework for H1N1 Vaccine Uptake

Category	Examples
Intrapersonal: attitudes and beliefs	Perceived risk from illness; perceived safety of H1N1 vaccine; trust in government’s handling of the pandemic; perceived presence in a priority group; history of seasonal flu vaccine acceptance; attitude toward H1N1 vaccine
Interpersonal: social influence and social network norms	Influence from friends, family, social networks; number of friends and family who received the H1N1 vaccine; belief that friends and family want them to be vaccinated
Institutional: healthcare organizations and providers	Regular healthcare provider; Amount of information from healthcare provider about H1N1 and vaccine
Community: collective social dynamics	Presence of disease; perceived risk in the community; concern about infecting others
Policy: federal, state, local	Health insurance; priority group status for vaccination

Social Ecological Model as described by Kumar et al.¹¹