Prevalence of influenza vaccine hesitancy at a tertiary care hospital in Riyadh, Saudi Arabia

Abdullah Abdulrahman Alabbad · Abdulaziz Alsaad · Mohamed A. Al Shaalan · Sulaiman Al Alola · Esam A. Albanyan

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Abstract

BACKGROUND: Influenza vaccine hesitancy is a major problem worldwide, with significant public health consequences. We aimed to determine the prevalence of influenza vaccine hesitancy and the effect of vaccine awareness campaigns on vaccine acceptance among three groups (parents, adult patients, and healthcare workers [HCWs]) at King Abdulaziz Medical City, a tertiary care hospital in Riyadh, Saudi Arabia. METHODS: The study was conducted during the 2015-2016 winter season. Participants anonymously completed a validated questionnaire on influenza vaccine hesitancy. RESULTS: Of the 300 study participants, 17% (n=51) expressed vaccine hesitancy. The most common reasons given for vaccine refusal were: "It doesn't have any positive effect or benefit" (n=11 [21%]), "I don't need it because I'm healthy" (n=9 [17%]), and "I think it causes serious side effects" (n=7 [13%]). The most common sources of information about the vaccine were awareness campaigns (98/267 [36%]) and medical staff (98/267 [36%]). One hundred and sixty-three [54%] respondents knew that the effect of the influenza vaccine lasts up to 1year. There was no significant relationship between education level and receiving influenza vaccination. The study showed that confidence towards the Saudi Ministry of Health and medical doctors among three groups of participants was very high; 97% of adults, 95% of parents, and 93% of HCWs expressed trusted information provided to them by the Ministry of Health, and 97% of adults, 99% of parents, and 90% of HCWs trusted their physicians' information. CONCLUSION: Influenza vaccine hesitancy was low at KAMC. The most common reason for vaccine refusal was believing that it had no positive effect and that it is unnecessary. The most common sources of information for influenza vaccine were awareness campaigns and medical staff. Participants had high levels of trust in both the Saudi Ministry of Health and doctors.

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References

2015Strategies for addressing vaccine hesitancy – A systematic review 2015Measuring vaccine hesitancy: The development of a survey tool 2011Addressing the vaccine confidence gap 2013Measuring vaccine confidence: analysis of data obtained by a media surveillance system used to analyse public concerns about vaccines 2007Polio vaccines—“no thank you!” barriers to polio eradication in Northern Nigeria 2015Exposing concerns about vaccination in low- and middle-income countries: a systematic review

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2021Modification of a vaccine hesitancy scale for use in adult vaccinations in the United States and China 2019Healthcare professionals’ knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study 2023Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review 2021The Health Belief Model Predicts Intention to Receive the COVID-19 Vaccine in Saudi Arabia: Results from a Cross-Sectional Survey 2021Influence of social media on parents’ attitudes towards vaccine administration 2021Influenza vaccination and healthcare workers: barriers and predisposing factors.

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