The Attitude Toward Seasonal Influenza Vaccine Among Workers of Community Healthcare Centers in Zhejiang Province, China: Barriers and Facilitators
<b>Background:</b> This study was aimed at understanding the attitude on influenza and influenza vaccination among workers of community healthcare centers (CHCs) and investigating the barriers and facilitators for influenza vaccination. <b>Methods:</b> A cross-sectional study...
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MDPI AG
2025-05-01
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| author | Jianyong Shen Shangyan Han Chao Zhang Huakun Lv Yu Hu |
| author_facet | Jianyong Shen Shangyan Han Chao Zhang Huakun Lv Yu Hu |
| author_sort | Jianyong Shen |
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| description | <b>Background:</b> This study was aimed at understanding the attitude on influenza and influenza vaccination among workers of community healthcare centers (CHCs) and investigating the barriers and facilitators for influenza vaccination. <b>Methods:</b> A cross-sectional study was conducted through an anonymous questionnaire to all workers of CHCs in 22 CHCs. Socio-demographic characteristics, reasons for acceptance or refusal of influenza vaccination, influenza vaccination status, and attitude toward influenza vaccination were collected. Suggested strategies for improving influenza vaccine uptake were also surveyed. Descriptive analyses were conducted depending on the distributions of variables. A logistic regression analysis was implemented to examine the association between influenza vaccination status in the 2022/2023 season and the potential predictors. The adjusted odds ratio (AOR) with 95% confidence interval (CI) was calculated. <b>Results:</b> In total, 2205 workers of CHCs participated in this study. Influenza vaccination coverage in the 2022/2023 season was 1.36%. The reason “To avoid influenza” met with the highest level of agreement for acceptance of influenza vaccination (median = 4.36 for 1–5-point Likert scale), while the reason “Not a high-risk group of influenza and possible complications” met with the highest level of agreement for refusal of influenza vaccination (median = 3.72 for 1–5-point Likert scale). The influenza vaccination status was significantly related to professional categories, regular exercise habits, sources of information on influenza vaccination, and attitude on recommending influenza vaccination to patients. The free influenza vaccination and mandatory vaccination policies were the most frequent suggestions for improving influenza vaccination coverage. <b>Conclusions:</b> A lower influenza vaccination coverage was observed in workers of CHCs, and it might be attributed to several risk factors. It was urgent to take actions on improving their understanding of, awareness of, and confidence in influenza vaccination. Free influenza vaccination and vaccination requirement policies might be helpful for enhancing vaccine uptake, especially for physicians and other healthcare workers. |
| format | Article |
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| institution | OA Journals |
| issn | 2076-393X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
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| series | Vaccines |
| spelling | doaj-art-7b3f3c99519c425581b982f0c0edf4da2025-08-20T01:56:45ZengMDPI AGVaccines2076-393X2025-05-0113550710.3390/vaccines13050507The Attitude Toward Seasonal Influenza Vaccine Among Workers of Community Healthcare Centers in Zhejiang Province, China: Barriers and FacilitatorsJianyong Shen0Shangyan Han1Chao Zhang2Huakun Lv3Yu Hu4Institute of Immunization and Prevention, Huzhou Municipal Center for Disease Control and Prevention, Huzhou 313000, ChinaInstitute of Immunization and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, ChinaInstitute of Immunization and Prevention, Huzhou Municipal Center for Disease Control and Prevention, Huzhou 313000, ChinaInstitute of Immunization and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, ChinaInstitute of Immunization and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China<b>Background:</b> This study was aimed at understanding the attitude on influenza and influenza vaccination among workers of community healthcare centers (CHCs) and investigating the barriers and facilitators for influenza vaccination. <b>Methods:</b> A cross-sectional study was conducted through an anonymous questionnaire to all workers of CHCs in 22 CHCs. Socio-demographic characteristics, reasons for acceptance or refusal of influenza vaccination, influenza vaccination status, and attitude toward influenza vaccination were collected. Suggested strategies for improving influenza vaccine uptake were also surveyed. Descriptive analyses were conducted depending on the distributions of variables. A logistic regression analysis was implemented to examine the association between influenza vaccination status in the 2022/2023 season and the potential predictors. The adjusted odds ratio (AOR) with 95% confidence interval (CI) was calculated. <b>Results:</b> In total, 2205 workers of CHCs participated in this study. Influenza vaccination coverage in the 2022/2023 season was 1.36%. The reason “To avoid influenza” met with the highest level of agreement for acceptance of influenza vaccination (median = 4.36 for 1–5-point Likert scale), while the reason “Not a high-risk group of influenza and possible complications” met with the highest level of agreement for refusal of influenza vaccination (median = 3.72 for 1–5-point Likert scale). The influenza vaccination status was significantly related to professional categories, regular exercise habits, sources of information on influenza vaccination, and attitude on recommending influenza vaccination to patients. The free influenza vaccination and mandatory vaccination policies were the most frequent suggestions for improving influenza vaccination coverage. <b>Conclusions:</b> A lower influenza vaccination coverage was observed in workers of CHCs, and it might be attributed to several risk factors. It was urgent to take actions on improving their understanding of, awareness of, and confidence in influenza vaccination. Free influenza vaccination and vaccination requirement policies might be helpful for enhancing vaccine uptake, especially for physicians and other healthcare workers.https://www.mdpi.com/2076-393X/13/5/507influenza vaccinationcommunity healthcare centervaccination compliancevaccination coverageattitude |
| spellingShingle | Jianyong Shen Shangyan Han Chao Zhang Huakun Lv Yu Hu The Attitude Toward Seasonal Influenza Vaccine Among Workers of Community Healthcare Centers in Zhejiang Province, China: Barriers and Facilitators Vaccines influenza vaccination community healthcare center vaccination compliance vaccination coverage attitude |
| title | The Attitude Toward Seasonal Influenza Vaccine Among Workers of Community Healthcare Centers in Zhejiang Province, China: Barriers and Facilitators |
| title_full | The Attitude Toward Seasonal Influenza Vaccine Among Workers of Community Healthcare Centers in Zhejiang Province, China: Barriers and Facilitators |
| title_fullStr | The Attitude Toward Seasonal Influenza Vaccine Among Workers of Community Healthcare Centers in Zhejiang Province, China: Barriers and Facilitators |
| title_full_unstemmed | The Attitude Toward Seasonal Influenza Vaccine Among Workers of Community Healthcare Centers in Zhejiang Province, China: Barriers and Facilitators |
| title_short | The Attitude Toward Seasonal Influenza Vaccine Among Workers of Community Healthcare Centers in Zhejiang Province, China: Barriers and Facilitators |
| title_sort | attitude toward seasonal influenza vaccine among workers of community healthcare centers in zhejiang province china barriers and facilitators |
| topic | influenza vaccination community healthcare center vaccination compliance vaccination coverage attitude |
| url | https://www.mdpi.com/2076-393X/13/5/507 |
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