The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers
Background: Health authorities recommend influenza vaccination to diabetic patients. Nevertheless, the vaccination coverage of adults was low in China. This study aimed to estimate influenza vaccination intentions and actual uptake among diabetic patients in China and identify the motivators and bar...
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| Materialtyp: | Artikel |
| Språk: | English |
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Taylor & Francis Group
2021-01-01
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| Serie: | Human Vaccines & Immunotherapeutics |
| Ämnen: | |
| Länkar: | http://dx.doi.org/10.1080/21645515.2020.1761201 |
| _version_ | 1827767385885507584 |
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| author | Lixia Ye Ting Fang Jun Cui Guanghui Zhu Rui Ma Yexiang Sun Pingping Li Hui Li Hongjun Dong Guozhang Xu |
| author_facet | Lixia Ye Ting Fang Jun Cui Guanghui Zhu Rui Ma Yexiang Sun Pingping Li Hui Li Hongjun Dong Guozhang Xu |
| author_sort | Lixia Ye |
| collection | DOAJ |
| description | Background: Health authorities recommend influenza vaccination to diabetic patients. Nevertheless, the vaccination coverage of adults was low in China. This study aimed to estimate influenza vaccination intentions and actual uptake among diabetic patients in China and identify the motivators and barriers associated with vaccination. Methods: During Nov 2016–Jan 2017, 1960 diabetic patients were invited to participate in the investigation about influenza vaccination based on health belief model (HBM). To link vaccination intention to behavior, a follow-up survey was conducted to collect vaccination records of the 2016–2017 season. Predictors of the motivation to obtain influenza vaccination were assessed using logistic regressions. Results: 1914 diabetic patients completed the survey. 46.13% participants reported intentions to be vaccinated against influenza and 7.84% actually received vaccination. In the multivariate models, while all the domains of HBM constructs were associated with intentions, age, increasing numbers of comorbidity, urban residents, perceived susceptibility, perceived benefits, free vaccination, and vaccination history displayed positive associations with vaccine uptake while increasing income and perceptions of barriers were negative predictors of vaccine uptake. Besides, interactions between perceived susceptibility and healthcare workers’ (HCW’s) recommendation, perceived severity and benefits, perceived severity and health-seeking behaviors, perceived benefits, and influence of family/friends had a significant positive effect modification on the vaccine uptake. Conclusion: To improve diabetic patients’ influenza vaccination and close the intention-behavior gap, multipronged strategies are required not only to increase vaccination intention by promoting HCW’s recommendation to improve perceptions about influenza vaccination but also facilitate a follow through on initial intentions by implementing free influenza vaccination program funded by the government. |
| first_indexed | 2024-03-11T11:57:59Z |
| format | Article |
| id | doaj.art-a38c4c63a89b4221a039b34ea16dba38 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T11:57:59Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-a38c4c63a89b4221a039b34ea16dba382023-11-08T12:09:23ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-01-0117110611810.1080/21645515.2020.17612011761201The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriersLixia Ye0Ting Fang1Jun Cui2Guanghui Zhu3Rui Ma4Yexiang Sun5Pingping Li6Hui Li7Hongjun Dong8Guozhang Xu9Ningbo Municipal Center for Disease Prevention and ControlNingbo Municipal Center for Disease Prevention and ControlNingbo Municipal Center for Disease Prevention and ControlQianhu HospitalNingbo Municipal Center for Disease Prevention and ControlYinzhou District Center for Disease Prevention and ControlJiangbei District Center for Disease Prevention and ControlNingbo Municipal Center for Disease Prevention and ControlNingbo Municipal Center for Disease Prevention and ControlNingbo Municipal Center for Disease Prevention and ControlBackground: Health authorities recommend influenza vaccination to diabetic patients. Nevertheless, the vaccination coverage of adults was low in China. This study aimed to estimate influenza vaccination intentions and actual uptake among diabetic patients in China and identify the motivators and barriers associated with vaccination. Methods: During Nov 2016–Jan 2017, 1960 diabetic patients were invited to participate in the investigation about influenza vaccination based on health belief model (HBM). To link vaccination intention to behavior, a follow-up survey was conducted to collect vaccination records of the 2016–2017 season. Predictors of the motivation to obtain influenza vaccination were assessed using logistic regressions. Results: 1914 diabetic patients completed the survey. 46.13% participants reported intentions to be vaccinated against influenza and 7.84% actually received vaccination. In the multivariate models, while all the domains of HBM constructs were associated with intentions, age, increasing numbers of comorbidity, urban residents, perceived susceptibility, perceived benefits, free vaccination, and vaccination history displayed positive associations with vaccine uptake while increasing income and perceptions of barriers were negative predictors of vaccine uptake. Besides, interactions between perceived susceptibility and healthcare workers’ (HCW’s) recommendation, perceived severity and benefits, perceived severity and health-seeking behaviors, perceived benefits, and influence of family/friends had a significant positive effect modification on the vaccine uptake. Conclusion: To improve diabetic patients’ influenza vaccination and close the intention-behavior gap, multipronged strategies are required not only to increase vaccination intention by promoting HCW’s recommendation to improve perceptions about influenza vaccination but also facilitate a follow through on initial intentions by implementing free influenza vaccination program funded by the government.http://dx.doi.org/10.1080/21645515.2020.1761201seasonal influenza vaccinediabetesvaccination intentionvaccine uptake |
| spellingShingle | Lixia Ye Ting Fang Jun Cui Guanghui Zhu Rui Ma Yexiang Sun Pingping Li Hui Li Hongjun Dong Guozhang Xu The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers Human Vaccines & Immunotherapeutics seasonal influenza vaccine diabetes vaccination intention vaccine uptake |
| title | The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers |
| title_full | The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers |
| title_fullStr | The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers |
| title_full_unstemmed | The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers |
| title_short | The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers |
| title_sort | intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in ningbo china identifying motivators and barriers |
| topic | seasonal influenza vaccine diabetes vaccination intention vaccine uptake |
| url | http://dx.doi.org/10.1080/21645515.2020.1761201 |
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