Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping Review
<b>Background/Objectives:</b> Influenza vaccination plays a crucial role in reducing morbidity and mortality among older adults; however, uptake remains suboptimal, particularly in the post-COVID-19 pandemic. In many settings, countries have not recovered their influenza vaccine coverage...
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| Format: | Article |
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MDPI AG
2025-06-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/13/6/624 |
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| author | Enming Zhang Shuhui Shang Yufei Xing Jiasong Cui Chen Pan Holly Seale Qiong Fang |
| author_facet | Enming Zhang Shuhui Shang Yufei Xing Jiasong Cui Chen Pan Holly Seale Qiong Fang |
| author_sort | Enming Zhang |
| collection | DOAJ |
| description | <b>Background/Objectives:</b> Influenza vaccination plays a crucial role in reducing morbidity and mortality among older adults; however, uptake remains suboptimal, particularly in the post-COVID-19 pandemic. In many settings, countries have not recovered their influenza vaccine coverage rates to the same level as pre-COVID. Therefore, this scoping review systematically identified the behavioral and social drivers (BeSD) influencing influenza vaccination among older adults using the BeSD framework. <b>Methods</b>: A systematic search across five databases included quantitative, qualitative, and mixed-methods studies involving individuals aged 60 years and older. Data were charted across four BeSD domains: thinking and feeling, social processes, motivation, and practical issues. <b>Results</b>: Thirty-nine studies from 24 countries were included. Key barriers encompassed safety concerns, misinformation, financial burdens, logistical challenges, and cultural and language barriers. While motivation was positively associated with vaccination intentions, the transition from intention to behavior remains underexplored, and practical issues have received comparatively limited research attention. <b>Conclusions</b>: These findings underscore the need for multifaceted, behaviorally informed interventions and greater inclusion of under-resourced settings to support equitable influenza vaccination strategies for healthy aging. |
| format | Article |
| id | doaj-art-77a0d90aaef24ca293c7dce245e0c2d1 |
| institution | Kabale University |
| issn | 2076-393X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj-art-77a0d90aaef24ca293c7dce245e0c2d12025-08-20T03:26:52ZengMDPI AGVaccines2076-393X2025-06-0113662410.3390/vaccines13060624Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping ReviewEnming Zhang0Shuhui Shang1Yufei Xing2Jiasong Cui3Chen Pan4Holly Seale5Qiong Fang6School of Nursing, Shanghai Jiao Tong University, 227 South Chongqing Rd., Huangpu District, Shanghai 200025, ChinaSchool of Nursing, Shanghai Jiao Tong University, 227 South Chongqing Rd., Huangpu District, Shanghai 200025, ChinaSchool of Nursing, Shanghai Jiao Tong University, 227 South Chongqing Rd., Huangpu District, Shanghai 200025, ChinaDepartment of Nursing, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, 197 Ruijin 2nd Rd., Huangpu District, Shanghai 200001, ChinaDepartment of Nursing, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 160 Pujian Rd., Pudong New District, Shanghai 200127, ChinaSchool of Population Health, University of New South Wales, F25, Samuels Building, Samuel Terry Ave., Kensington, NSW 2033, AustraliaSchool of Nursing, Shanghai Jiao Tong University, 227 South Chongqing Rd., Huangpu District, Shanghai 200025, China<b>Background/Objectives:</b> Influenza vaccination plays a crucial role in reducing morbidity and mortality among older adults; however, uptake remains suboptimal, particularly in the post-COVID-19 pandemic. In many settings, countries have not recovered their influenza vaccine coverage rates to the same level as pre-COVID. Therefore, this scoping review systematically identified the behavioral and social drivers (BeSD) influencing influenza vaccination among older adults using the BeSD framework. <b>Methods</b>: A systematic search across five databases included quantitative, qualitative, and mixed-methods studies involving individuals aged 60 years and older. Data were charted across four BeSD domains: thinking and feeling, social processes, motivation, and practical issues. <b>Results</b>: Thirty-nine studies from 24 countries were included. Key barriers encompassed safety concerns, misinformation, financial burdens, logistical challenges, and cultural and language barriers. While motivation was positively associated with vaccination intentions, the transition from intention to behavior remains underexplored, and practical issues have received comparatively limited research attention. <b>Conclusions</b>: These findings underscore the need for multifaceted, behaviorally informed interventions and greater inclusion of under-resourced settings to support equitable influenza vaccination strategies for healthy aging.https://www.mdpi.com/2076-393X/13/6/624influenza vaccinesvaccinationolder adultsbehavioral and social driversfacilitatorsbarriers |
| spellingShingle | Enming Zhang Shuhui Shang Yufei Xing Jiasong Cui Chen Pan Holly Seale Qiong Fang Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping Review Vaccines influenza vaccines vaccination older adults behavioral and social drivers facilitators barriers |
| title | Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping Review |
| title_full | Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping Review |
| title_fullStr | Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping Review |
| title_full_unstemmed | Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping Review |
| title_short | Mapping Behavioral and Social Drivers of Influenza Vaccine Uptake in Older Adults: A Scoping Review |
| title_sort | mapping behavioral and social drivers of influenza vaccine uptake in older adults a scoping review |
| topic | influenza vaccines vaccination older adults behavioral and social drivers facilitators barriers |
| url | https://www.mdpi.com/2076-393X/13/6/624 |
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