Improved influenza vaccination coverage among health-care workers: evidence from a web-based survey in China, 2019/2020 season

YI, Heya; Yang, Yuan; Zhang, Li; Zhang, Muli; Wang, Qing; Zhang, Ting; Zhang, Yuyuan; Qin, Ying; Peng, Zhibin; Leng, Zhiwei; Yang, Weizhong; Zheng, Jiandong; Liang, Xiaofeng; Feng, Luzhao

doi:10.1080/21645515.2020.1859317

Cited by 17 publications

(29 citation statements)

References 15 publications

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“…At the same time, the vaccination rate among HCWs during the 2020/2021 and 2021/2022 influenza seasons in this study was lower than that in the 2019/2020 influenza season (67%) [ 14 ], but higher than that in the 2018/2019 influenza season (11.6%) [ 15 ]. The reason for the higher rate compared to that of the 2018/2019 influenza season may be due to the official statement by the Chinese Health Commission in 2018/2019 encouraging influenza vaccination.…”

Section: Discussionmentioning

confidence: 87%

Decreased influenza vaccination coverage among Chinese healthcare workers during the COVID-19 pandemic

Han

et al. 2022

Infect Dis Poverty

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Background Healthcare workers (HCWs) were the priority group for influenza vaccination, in China during the 2020/2021 and 2021/2022 influenza seasons. However, vaccination rates in HCWs have always been low. This study investigated influenza vaccination status among Chinese HCWs and analyzed the factors driving vaccination. Methods We provided electronic questionnaires to HCWs from January 27, 2022 to February 21, 2022, using the WeChat platform "Breath Circles". HCWs who received the link could also forward it to their colleagues. Binary logistic regression models were used to analyze vaccination-associated factors among HCWs. Results Among the 1697 HCWs surveyed, vaccination coverage was 43.7% (741/1697) during the 2020/2021 influenza season, and 35.4% (600/1697) during the 2021/2022 influenza season, as of February 21, 2022. Additionally, 22.7% (385/1697) and 22.1% (358/1697) of HCWs reported that their workplaces implemented a free vaccination policy for all employees during the 2020/2021 and 2021/2022 influenza seasons. HCWs who were required to be vaccinated according to hospital regulations, and whose hospitals implemented the free influenza vaccine policy were more likely to be vaccinated (2020/2021 and 2021/2022; P < 0.05). In addition, the economic level of the HCWs' province (2021/2022, P < 0.05) and the HCWs’ knowledge about vaccination and willingness to get vaccinated, such as active learning about vaccines (2020/2021, P < 0.05), supportive attitude toward vaccination for all HCWs (2020/2021 and 2021/2022; P < 0.05), also had an impact on vaccine coverage. Conclusions A free influenza vaccination policy and workplace required vaccination are effective in improving influenza vaccination coverage among HCWs. Influenza vaccination coverage of Chinese HCWs remained low and showed a downward trend after the COVID-19 outbreak. Further effective measures, such as advocacy campaigns, free vaccine policies, and on-site vaccination could be implemented to improve influenza vaccination coverage. Graphical abstract

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Section: Discussionmentioning

confidence: 87%

Decreased influenza vaccination coverage among Chinese healthcare workers during the COVID-19 pandemic

Han

et al. 2022

Infect Dis Poverty

Self Cite

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“…Globally, an extensive variability in influenza vaccine coverage was reported across different regions [73][74][75][76][77]. This could be related to different policies adopted regarding influenza vaccination, including those related to compulsory vaccination, in addition to challenges associated with the procurement, storage and distribution of vaccines, particularly in low-to middle-income countries [28,78].…”

Section: Discussionmentioning

confidence: 99%

The Role of Psychological Factors and Vaccine Conspiracy Beliefs in Influenza Vaccine Hesitancy and Uptake among Jordanian Healthcare Workers during the COVID-19 Pandemic

et al. 2022

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Vaccination to prevent influenza virus infection and to lessen its severity is recommended among healthcare workers (HCWs). Health professionals have a higher risk of exposure to viruses and could transmit the influenza virus to vulnerable patients who are prone to severe disease and mortality. The aim of the current study was to evaluate the levels of influenza vaccine acceptance and uptake as well as its determinants, among Jordanian HCWs over the last influenza season of 2021/2022. This study was based on a self-administered electronic survey that was distributed in March 2022. Psychological determinants of influenza vaccine acceptance and vaccine conspiracy beliefs were assessed using the previously validated 5C scale questionnaire (confidence, complacency, constraints, calculation and collective responsibility) and the vaccine conspiracy beliefs scale. The study sample comprised a total of 1218 HCWs: nurses (n = 412, 33.8%), physicians (n = 367, 30.1%), medical technicians (n = 182, 14.9%), pharmacists (n = 161, 13.2%) and dentists (n = 87, 7.1%), among others. About two-thirds of the study sample expressed willingness to receive influenza vaccination if provided free of charge (n = 807, 66.3%), whereas less than one-third were willing to pay for the vaccine (n = 388, 31.9%). The self-reported uptake of the influenza vaccine in the last influenza season was 62.8%. The following factors were significantly associated with higher acceptance of influenza vaccination if provided freely, as opposed to vaccine hesitancy/rejection: male sex; physicians and dentists among HCW categories; higher confidence and collective responsibility; and lower complacency, constraints and calculation. Higher influenza vaccine uptake was significantly correlated with nurses and physicians among HCW categories, older age, a higher monthly income, higher confidence and collective responsibility, lower complacency and constraints and lower embrace of general vaccine conspiracy beliefs. The results of the current study can provide helpful clues to improve influenza vaccine coverage among HCWs in Jordan. Consequently, this can help to protect vulnerable patient groups and reserve valuable resources in healthcare settings. Psychological determinants appeared to be the most significant factors for vaccine acceptance and uptake, whereas the embrace of general vaccine conspiracy beliefs was associated with lower rates of influenza vaccine uptake, which should be considered in educational and interventional measures aiming to promote influenza vaccination.

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“…Besides, according to the evidence in the scientific literature, in Far East countries nurses have a lower vaccine hesitancy compared with physicians. The reason underlying this difference is still debated even though a few scholars have argued that medical doctors do not have enough time to secure vaccination due to their busy schedules [10,58,59].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, healthcare professionals employed in high-risk departments are more willing to be vaccinated, a phenomenon probably attributable to a greater perception of risk [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Flu and COVID-19 Vaccination: What Happens to the Flu Shot When the Campaigns Overlap? Experience from a Large Italian Research Hospital

et al. 2022

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Influenza represents a threat to global health and health care workers (HCWs) have an increased risk of contracting the influenza virus in the workplace. The COVID-19 pandemic has brought back the importance of influenza vaccination, as the influenza virus can circulate together with SARS-CoV-2. The aim of this report is to describe the actual flu vaccination coverage among healthcare workers of a research hospital and the trend changes, with respect to the past flu vaccination campaigns, in light of the present pandemic and COVID-19 vaccination. A Pearson’s χ2 test was used to test the correlation of flu vaccination coverage, across all professional categories, between the last two years. A linear regression model was adopted to predict the total vaccination coverage of this year. A statistically significant decrease (p < 0.01) was observed in vaccination coverage among all the professional categories with a 50% reduction in vaccination trends between the last two years. Analyzing the data from the previous six flu vaccination campaigns, the expected value, according to the linear regression model, was estimated to be 38.5% while the observed value was 24%. The decrease in vaccination coverage may be due to the fear of the pandemic situation and especially to the uncertainty related to the consequences of a concurrent administration which may overload the immune system or may be more reactogenic. The COVID-19 pandemic represents an opportunity to promote and support large-scale influenza vaccination among HCWs through structured programs, adequate funding, and tailored communication strategies.

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Improved influenza vaccination coverage among health-care workers: evidence from a web-based survey in China, 2019/2020 season

Cited by 17 publications

References 15 publications

Decreased influenza vaccination coverage among Chinese healthcare workers during the COVID-19 pandemic

Decreased influenza vaccination coverage among Chinese healthcare workers during the COVID-19 pandemic

The Role of Psychological Factors and Vaccine Conspiracy Beliefs in Influenza Vaccine Hesitancy and Uptake among Jordanian Healthcare Workers during the COVID-19 Pandemic

Flu and COVID-19 Vaccination: What Happens to the Flu Shot When the Campaigns Overlap? Experience from a Large Italian Research Hospital

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