Influenza vaccine hesitancy and influencing factors among university students in China: a multicenter cross-sectional survey

Zou, Haiyan; Huang, Yan; Chen, Ting; Zhang, Luying

doi:10.1080/07853890.2023.2195206

Cited by 10 publications

(3 citation statements)

References 36 publications

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“…Concordantly, a study conducted in China [22] among students from various fields found that their monthly living expenses did not influence their decision to vaccinate. In another prospective study involving medical students in China [20], both vaccine inaccessibility and inconvenience were identified as barriers before the pandemic in 2019 and during the pandemic in 2021 to a similar extent.…”

Section: Cost and Accessibilitymentioning

confidence: 93%

Influenza Vaccination of Romanian Medical Students and Resident Physicians—A Matter of Accessibility

Bălan,

Ruță

2023

Vaccines

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In Romania, influenza vaccination of healthcare professionals is recommended, but not mandatory. This study aims to investigate the attitudes and behaviors of medical students and resident physicians—the youngest healthcare professionals—towards influenza immunization, focusing on the barriers and facilitators, as well as on the impact of the COVID-19 pandemic. An anonymous online survey was conducted during the 2021/2022 influenza season, with responses from332 medical students and resident physicians. The majority (73.5%) were not vaccinated against influenza (68% of the students, 52.3% of the residents), although they were vaccinated against COVID-19 (94% students, 94.8% resident physicians) and believed that the pandemic positively influenced their attitude towards influenza vaccination. Vaccine accessibility (p < 0.001) and the necessity to pay for vaccination (p < 0.001) were identified as barriers in both groups, while lack of recommendation from a medical professional/teacher was significant only for students (p < 0.001). Forgetfulness and lack of prioritizations were the most cited reasons for not being vaccinated. These barriers could be diminished through proactive recommendation and simplification of the vaccination process, with accessible vaccination centers and implementation of vaccine reimbursement policies. Improved vaccination rates in young medical professionals are of the utmost importance both in their professional settings and as a model for the general population.

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Section: Cost and Accessibilitymentioning

confidence: 93%

Influenza Vaccination of Romanian Medical Students and Resident Physicians—A Matter of Accessibility

Bălan,

Ruță

2023

Vaccines

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“…Overall, 56% of the students in this study were reluctant to accept mpox vaccine, presenting high vaccine hesitancy rates compared with that of COVID-19 (41.2%) and influenza (44.7%). 40 , 41 Previous studies indicated that the primary factor contributing to vaccine hesitancy among university students in relation to COVID-19, influenza, and Human Papillomavirus (HPV) is concerns about vaccine safety. 42–44 This study got a similar result.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional investigation of factors influencing mpox vaccine hesitancy for students in Southwest China

Yang,

Jiang

et al. 2024

Human Vaccines & Immunotherapeutics

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From July to September 2023, China reported over 1, 400 confirmed cases of mpox transmitted mainly through sexual contact between males. Meanwhile, the percentage of men who have sex with men at universities in southwestern China is increasing every year, which is likely to lead to a potential spread of mpox on campuses. Vaccination is an effective preventive measure against infectious diseases, this study examined the willingness of university students in Southwest China to receive the mpox vaccine and analyzed the factors influencing their decision. A cross-sectional survey was conducted among 7311 university students from 10 universities in Southwest China between August 13 and September 1, 2023. The survey revealed a hesitancy rate of 56.13% toward the mpox vaccine, with the most common reason being concerns about vaccine safety (1407/4104, 34.29%). Univariate analysis identified 13 variables that significantly differed between the vaccine acceptance and vaccine hesitancy groups. Multivariate logistic regression analyses indicated protective factors for vaccine hesitancy, such as sexually transmitted diseases, previous knowledge about mpox, frequent information about mpox, people can get reinfection of mpox, and worries about mpox endemic in China. Additionally, the confidence and convenience dimensions in the 3Cs model were identified as risk factors for mpox vaccine hesitancy. This study found a high rate of vaccine hesitancy among university students in Southwest China regarding the mpox vaccine. Collaboration between university and healthcare departments is recommended to address mpox vaccine hesitancy among college students, thereby promoting their willingness to receive the mpox vaccine.

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“…Influenza infections result in approximately 3-5 million cases of severe illness and 290,000-650,000 respiratory-related deaths worldwide each year [3,4]. Influenza vaccination is one of the most efficient approaches to reducing the health, societal, and economic impacts of influenza [5,6]. The Israeli Ministry of Health recommends receiving an influenza vaccine for every individual above six months old, with an emphasis on the children and the elderly population.…”

Section: Introductionmentioning

confidence: 99%

The Association between Levels of Trust in the Healthcare System and Influenza Vaccine Hesitancy among College Students in Israel

Dopelt,

Abudin,

Yukther

et al. 2023

Vaccines

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Influenza is a contagious respiratory disease caused by the influenza virus. Vaccination proves an effective approach to preventing influenza and minimizing the risk of experiencing associated complications. However, the influenza vaccine coverage rate among Israeli college students is low due to a sense of complacency, lack of knowledge, and vaccine hesitancy. The current study examined the relationship between the level of trust in the healthcare system and influenza vaccine hesitancy among college students in Israel. This cross-sectional study was conducted via an online questionnaire in April–May 2023. In total, 610 students were surveyed, of whom 57% had been vaccinated against influenza in the past; however, only 12% were vaccinated this year. Negative, significant, and moderate relationships were found between the level of trust in the healthcare system and influenza vaccine hesitancy. Students who had been vaccinated in the past had a higher level of trust in the healthcare system and a lower level of vaccination hesitancy. The linear regression model revealed that the variables of being a woman, not Jewish, vaccinated, and trusting the Ministry of Health, family doctor, and health professionals were associated with a decrease in vaccine hesitancy. These findings are in line with previous research in the field. Based on the present results, it may be advisable to develop intervention programs aimed at increasing confidence in the healthcare system and vaccinations by providing knowledge and addressing students’ concerns regarding vaccination.

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Influenza vaccine hesitancy and influencing factors among university students in China: a multicenter cross-sectional survey

Cited by 10 publications

References 36 publications

Influenza Vaccination of Romanian Medical Students and Resident Physicians—A Matter of Accessibility

Influenza Vaccination of Romanian Medical Students and Resident Physicians—A Matter of Accessibility

A cross-sectional investigation of factors influencing mpox vaccine hesitancy for students in Southwest China

The Association between Levels of Trust in the Healthcare System and Influenza Vaccine Hesitancy among College Students in Israel

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