This article surveys the attitudes and perceptions of a random sample of th
e elderly population in three regions of Italy on the use and efficacy of i
nfluenza vaccine. The data were collected by direct interviews using a stan
dard questionnaire. The results show that vaccination coverage against infl
uenza is inadequate (26-48.6%). The major reasons for nonvaccination were l
ack of faith in the vaccine and disbelief that influenza is a dangerous ill
ness. These data emphasize the need for a systematic education programme ta
rgeted at the elderly and the provision of influenza vaccination, with the
increased cooperation of general practitioners.