Seasonal influenza vaccine hesitancy profiles and determinants among Chinese children’s guardians and the elderly

Wei Zheng · Xiu Sun · Yingying Yang · Siyi Zhan · Chuanxi Fu

42 citations0/0 files storedExpert Review of Vaccines

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Vaccine Coverage and Hesitancy Cervical Cancer and HPV Research Intramuscular injections and effects

Abstract

Abstract Background Seasonal influenza imposes a significant clinical and economic burden, yet vaccine coverage remains low in China due to possible influenza vaccine hesitancy (IVH) and practical issues. We sought to investigate IVH and its determinants among children’s guardians and the elderly for better understanding of the situation and for future intervention. Methods IVH scales for the guardians and elderly were designed. We then performed two cross-sectional studies to identify the profiles and determinants of IVH using stratified cluster random sampling in an eastern China province in 2019. Results Of the 1,564 guardians and 522 elders, 43.2% (95% confidence interval: 40.4–46.0%) of guardians and 33.5% of elders (95% confidence interval: 29.5–37.6%) had IVH, whereas 31.3% of the guardians and 5.5% of the elderly had Influenza vaccine demand. The scales were well structured (KMO: 0.736 and 0.682; Cronbach’s α: 0.638 and 0.611). ‘From rural area’ (Odds ratio: 1.36), ‘don’t know government recommendation for flu vaccination’ (1.39), ‘don’t know flu vaccine is vaccinated annually’ (1.93), ‘family members (0.22), friends and neighbors had positive attitude toward flu vaccine’(0.58) were related factors of the guardians’ IVH. ‘Aged 70–79 years’ (0.46), ‘had flu before’ (0.35) and ‘once had been vaccinated’ (0.42) were related to the elderly’s IVH. Conclusion Poor awareness of influenza and vaccination, relatives’ negative/positive attitude, lack of government recommendations, anxiety about vaccine quality, and practical issues such as short supply are related to IVH in China. Precision education aiming hesitancy in wider groups are anticipated to increase vaccine confidence and coverage in influenza-vulnerable groups.

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References

2015Vaccine hesitancy: Definition, scope and determinants 2016The State of Vaccine Confidence 2016: Global Insights Through a 67-Country Survey 2017Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016 2017Increasing Vaccination: Putting Psychological Science Into Action 2020Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study 2018Measuring trust in vaccination: A systematic review 2018Vaccine hesitancy around the globe: Analysis of three years of WHO/UNICEF Joint Reporting Form data-2015–2017 2017Public Health and Economic Consequences of Vaccine Hesitancy for Measles in the United States

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2022Influenza Vaccination Hesitancy and Its Determinants Among Elderly in China: A National Cross-Sectional Study 2022Factors associated with caregivers’ hesitancy to vaccinate children against influenza: A cross-sectional survey in China 2022Association between risk perception and influenza vaccine hesitancy for children among reproductive women in China during the COVID-19 pandemic: a national online survey 2023Parental Acceptance, Parental Hesitancy, and Uptake of Seasonal Influenza Vaccination among Children Aged 6–59 Months: A Systematic Review and Meta-Analysis

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