Increasing seasonal influenza vaccination among high risk groups in China: Do community healthcare workers have a role to play?

Song, Ying; Zhang, Tao; Chen, Liling; Yi, Bo; Hao, Xiaoning; Zhou, Suizan; Zhang, Ran; Greene, Carolyn M.

doi:10.1016/j.vaccine.2017.06.054

Cited by 65 publications

(76 citation statements)

References 12 publications

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“…Participants also expressed how the absence of advice from healthcare workers was interpreted as supporting their personal views that vaccination is not important, this illustrates the power of the unsaid. The importance of healthcare workers positively and directly encouraging vaccine uptake is evidenced in other studies [24,25], but the impact of an absence of advice discouraging participants from vaccine uptake has not been commented on previously.…”

Section: Comparing With Other Studiesmentioning

confidence: 98%

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Teo

Smith

Lwin

et al. 2019

Vaccine

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a b s t r a c tBackground: Despite recommendations for influenza vaccination of people aged 65 and above, uptake rate of influenza vaccines remains low.This study aims to understand barriers and motivators behind older adult's decision on influenza vaccination. Methods: Face to face interviews with participants aged 65 and above were conducted and audio recorded in Geylang polyclinic in Singapore. Thematic content analysis was used to organise the data. Results: 15 older adults were interviewed, aged between 66 and 85 years old. 6 were vaccine refusers, 3 defaulters and 6 acceptors.A perceived lack of vulnerability, fear of side effects, and trivialisation of influenza were common reasons for not taking the vaccine. Encouragement from family and friends, travel and previous positive vaccination experiences were motivators for getting vaccinated. Healthcare workers played a role in influencing many of the participants' decision-making. Common misconceptions included vaccines considered as necessary only before travel and as a cure rather than prevention. Most participants exhibited ambivalence, giving reasons both for and against vaccine uptake. Discussion: Most older adults do not perceive influenza as a potentially serious disease nor trust in influenza vaccines' efficacy. Misconceptions played a significant role in vaccine decline. Novel findings include the importance of the family unit in decision making, prioritization of chronic health problems over vaccination and misconception that vaccines are only needed when travelling out of country. Healthcare workers and family members appear to be important influencers in the decision making of older adults and should be actively engaged in future health promotion initiatives.

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Section: Comparing With Other Studiesmentioning

confidence: 98%

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Teo

Smith

Lwin

et al. 2019

Vaccine

View full text Add to dashboard Cite

show abstract

“…Cross-sectional survey data suggests the principal reason for accepting pertussis vaccination was encouragement or recommendation from a health professional. A meaningful conversation with a health professional has been identified as a facilitator to influenza and pertussis vaccination [49,51,[53][54][55][56] with 73 -96 per cent [51,55] of women accepting vaccination if a health professional (especially an NHS health professional [51]) recommends it. This previous research supports the findings of this paper that education and training for staff and reminders on health records could increase vaccine uptake.…”

Section: Staff Education and Trainingmentioning

confidence: 99%

Strategies for increasing uptake of vaccination in pregnancy in high-income countries: A systematic review

Bisset

Paterson

2018

Vaccine

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Twenty-two articles were included in the review. The majority of the papers included were conducted in the USA and looked at strategies to increase influenza vaccination in pregnancy. There is limited high quality evidence for strategies in high-income countries to increase coverage of pertussis and influenza vaccination in pregnancy. A number of strategies have been found to be effective; reminders about vaccination on antenatal healthcare records, midwives providing vaccination, and education and information provision for healthcare staff and patients. Future interventions to increase vaccination in pregnancy should be evaluated to ensure efficacy and to contribute to the evidence base.

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“…Healthcare workers (HCWs) are one of the recommended groups for influenza vaccination because of their risk of getting infected and vaccination of HCWs significantly reduced influenza-like illness and all-cause mortality among patients, as well as number of working days saved [4,5]. Regional estimates of influenza vaccination coverage among Chinese HCWs have ranged from 5-18% [6,7], but data describe national coverage estimates was lacked.…”

Section: Introductionmentioning

confidence: 99%

An Internet-Based Survey of Influenza Vaccination Coverage in Healthcare Workers in China, 2018/2019 Season

et al. 2019

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Influenza vaccination coverage was low among healthcare workers (HCWs) in China. In October 2018, the National Health Commission of China began to require all hospitals to provide free influenza vaccination for HCWs to increase vaccine uptake, and no study on vaccine coverage among HCWs at the national level after the announcement of new policy. This evaluation aims to investigate self-reported influenza vaccination coverage among HCWs and factors that may affect vaccine receipt during the 2018/2019 influenza season. We delivered an opt-in internet panel survey among registered HCWs of DXY forum (the biggest online forum for HCWs in China). The survey was self-administered using a standard questionnaire to collect information on demographics, occupational characteristics, policy implementation, influenza vaccination and influence factors. We conducted multivariate logistic regression analysis to assess factors associated with receipt of influenza vaccine. The response rate of this online survey was 3.6%. The seasonal influenza vaccine coverage reported among HCWs surveyed during the 2018/2019 season was 11.6% (472/4078). Only 19.0% (774/4078) of HCWs surveyed reported free policy in their workplace. Combing free policy and workplace requirement proved to be effective to improve influenza vaccination coverage in HCWs (PR = 6.90, 95% CI: 6.03–7.65). The influenza vaccination coverage among surveyed HCWs in China was low during the 2018/2019 season. To increase future vaccination uptake, we recommend a multi-faceted strategy that include free policy, workplace requirement and promotion, on-site vaccination, and monitoring.

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Increasing seasonal influenza vaccination among high risk groups in China: Do community healthcare workers have a role to play?

Abstract: Study results suggest the value of incorporating community HCWs' recommendation for seasonal influenza vaccination into existing primary public health programs to increase vaccination coverage among high risk groups in China.

Cited by 65 publications

References 12 publications

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Strategies for increasing uptake of vaccination in pregnancy in high-income countries: A systematic review

An Internet-Based Survey of Influenza Vaccination Coverage in Healthcare Workers in China, 2018/2019 Season

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