Barriers to influenza vaccination among different populations in Shanghai

Background: Seasonal influenza vaccination coverage remains low in most areas of China. Its influencing factors and barriers in various populations receiving influenza vaccinations need to be well understood to promote vaccination. Methods: A cross-sectional survey was conducted with residents in 48...

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Main Authors: Sijin Yan, Yuanping Wang, Weiping Zhu, Li Zhang, Huozheng Gu, Dan Liu, Aiqin Zhu, Hongmei Xu, Lipeng Hao, Chuchu Ye
Format: Article
Language:English
Published: Taylor & Francis Group 2021-05-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2020.1826250
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author Sijin Yan
Yuanping Wang
Weiping Zhu
Li Zhang
Huozheng Gu
Dan Liu
Aiqin Zhu
Hongmei Xu
Lipeng Hao
Chuchu Ye
author_facet Sijin Yan
Yuanping Wang
Weiping Zhu
Li Zhang
Huozheng Gu
Dan Liu
Aiqin Zhu
Hongmei Xu
Lipeng Hao
Chuchu Ye
author_sort Sijin Yan
collection DOAJ
description Background: Seasonal influenza vaccination coverage remains low in most areas of China. Its influencing factors and barriers in various populations receiving influenza vaccinations need to be well understood to promote vaccination. Methods: A cross-sectional survey was conducted with residents in 48 communities. Vaccination status in the 2018–2019 influenza season and reasons for or against vaccination were surveyed. The potential factors influencing vaccination uptake were determined using bivariate logistic regression. Results: In total, 1301 of the 11053 respondents received an influenza vaccine during the 2018–2019 season with a coverage rate of 11.8% (95% CI, 11.2–12.4). The vaccine coverage was highest among children (26.6%, 95%CI: 24.8–28.5), followed by adults (8.2%, 95%CI: 7.4–9.0) and elderly people (7.3%, 95%CI: 6.5–8.1) (p < .001). Those with chronic underlying conditions all had higher vaccine coverage than did those without for different groups (p < .001). Among the three groups, the most common reason for being unvaccinated was worrying about the side effects (45.0%), believing they were healthy and did not need to get vaccinated (42.2%), and lack of influenza vaccine awareness (48.3%). Low education level and lack of awareness were identified as predictors of low coverage rate. Conclusion: Influenza vaccination coverage is low among different populations in Shanghai. Our study highlights the need for appropriate influenza vaccination strategies and programmes targeting different populations.
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spelling doaj.art-b350f5b3be1d4c188eff2b87fc4717da2023-09-22T08:51:51ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-05-011751403141110.1080/21645515.2020.18262501826250Barriers to influenza vaccination among different populations in ShanghaiSijin Yan0Yuanping Wang1Weiping Zhu2Li Zhang3Huozheng Gu4Dan Liu5Aiqin Zhu6Hongmei Xu7Lipeng Hao8Chuchu Ye9Shanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and PreventionBackground: Seasonal influenza vaccination coverage remains low in most areas of China. Its influencing factors and barriers in various populations receiving influenza vaccinations need to be well understood to promote vaccination. Methods: A cross-sectional survey was conducted with residents in 48 communities. Vaccination status in the 2018–2019 influenza season and reasons for or against vaccination were surveyed. The potential factors influencing vaccination uptake were determined using bivariate logistic regression. Results: In total, 1301 of the 11053 respondents received an influenza vaccine during the 2018–2019 season with a coverage rate of 11.8% (95% CI, 11.2–12.4). The vaccine coverage was highest among children (26.6%, 95%CI: 24.8–28.5), followed by adults (8.2%, 95%CI: 7.4–9.0) and elderly people (7.3%, 95%CI: 6.5–8.1) (p < .001). Those with chronic underlying conditions all had higher vaccine coverage than did those without for different groups (p < .001). Among the three groups, the most common reason for being unvaccinated was worrying about the side effects (45.0%), believing they were healthy and did not need to get vaccinated (42.2%), and lack of influenza vaccine awareness (48.3%). Low education level and lack of awareness were identified as predictors of low coverage rate. Conclusion: Influenza vaccination coverage is low among different populations in Shanghai. Our study highlights the need for appropriate influenza vaccination strategies and programmes targeting different populations.http://dx.doi.org/10.1080/21645515.2020.1826250influenzavaccinationcoveragechildrenadultsolder people
spellingShingle Sijin Yan
Yuanping Wang
Weiping Zhu
Li Zhang
Huozheng Gu
Dan Liu
Aiqin Zhu
Hongmei Xu
Lipeng Hao
Chuchu Ye
Barriers to influenza vaccination among different populations in Shanghai
Human Vaccines & Immunotherapeutics
influenza
vaccination
coverage
children
adults
older people
title Barriers to influenza vaccination among different populations in Shanghai
title_full Barriers to influenza vaccination among different populations in Shanghai
title_fullStr Barriers to influenza vaccination among different populations in Shanghai
title_full_unstemmed Barriers to influenza vaccination among different populations in Shanghai
title_short Barriers to influenza vaccination among different populations in Shanghai
title_sort barriers to influenza vaccination among different populations in shanghai
topic influenza
vaccination
coverage
children
adults
older people
url http://dx.doi.org/10.1080/21645515.2020.1826250
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