The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers

Ye, Lixia; Fang, Ting; Cui, Jun; Zhu, Guanghui; Ma, Rui; Sun, Yexiang; Li, Pingping; Li, Hui; Dong, Hongjun; Xu, Guozhang

doi:10.1080/21645515.2020.1761201

Cited by 34 publications

(34 citation statements)

References 44 publications

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“…Our study is consistent with previous findings that demonstrated that willingness to be vaccinated was strongly associated with former vaccination status [ 23 , 26 , 28 , 31 , 33 – 36 ]. Indeed, positive experience with the vaccine may lead to perception of higher benefits and fewer barriers to vaccination [ 36 ], making those who received the vaccine more likely to be regularly compliant [ 33 , 34 ].…”

Section: Discussionsupporting

confidence: 93%

“…These findings highlighted the important role that physicians could play in improving influenza vaccination uptake among elderly people with chronic disease(s). They are consistent with previous studies showing that recommendations from health care professionals are one of the strongest facilitators for influenza vaccination [ 1 , 16 , 23 , 34 ]. Physicians in particular have a crucial role in educating their patients to adopt relevant attitudes and practices toward influenza vaccination [ 1 ].…”

Section: Discussionsupporting

confidence: 93%

“…In a study conducted among patients with chronic diseases visiting an Italian out-patient clinic, Napolitano et al found that nearly half of participants were vaccinated against influenza in 2018–2019 [ 22 ]. However, Ye et al and Mohr et al, [ 23 , 24 ] reported that only 7.8% of diabetic patients in china and less than 30% of patients with chronic pulmonary diseases in Germany received influenza vaccine respectively.…”

Section: Discussionmentioning

confidence: 99%

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Influenza vaccination knowledge, attitudes, and practices among Tunisian elderly with chronic diseases

et al. 2021

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Background Generally, seasonal influenza does not cause severe infection in healthy adults, but for the elderly, an infection can pose a serious health concern. Although several measures can help prevent influenza, vaccination is considered the most effective. This study aimed to assess influenza vaccine uptake among elderly with chronic diseases in Tunisia during the 2018–2019 influenza season, and to identify knowledge, attitudes and barriers associated with influenza vaccine uptake. Methods During influenza season of 2018–2019, we conducted a national cross-sectional study among elderly with chronic disease who were attending primary and secondary health care facilities in Tunisia. We collected data regarding practices, general knowledge and attitudes related to influenza and influenza vaccine, using a standardized questionnaire. A multivariate analysis by logistic regression was performed to assess the factors influencing willingness to receive influenza vaccine. Results Among the 1191 surveyed elderly, 19.4% (95%CI 14.1–21.9) were vaccinated during the 2018–2019 influenza season and 64.7% (61.9–67.3) expressed willingness to be vaccinated in the next season regardless of vaccination status in the 2018–2019 season. Previous vaccination in the 2018–2019 influenza season was the most significantly associated factor with willingness to receive influenza vaccine (adjusted OR = 16.5 [3.7–72.4]). Significant associations were also observed between knowledge of influenza severity for the elderly as well as for those with chronic diseases and willingness to be vaccinated (p < 0.01). Likewise, participants who were convinced by flu vaccine effectiveness and those who were not concerned about vaccine side effects were more likely to be vaccinated (p < 0.001). The main reason that may lead to vaccine acceptance was a doctor’s recommendation (41.1%), while the two main reasons that may lead to vaccine refusal were concerns about side effects (71.5%) and a belief that vaccine was ineffective in averting influenza illness (33.9%). Doctors were the most trusted source for information about influenza vaccine (91.5%). Conclusion Our study revealed low influenza vaccination coverage among Tunisian elderly with chronic diseases believed to be at higher risk for severe acute respiratory infections and death if infected with influenza. Treating physicians’ role in promoting influenza vaccination in this high-risk group seems to be crucial.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Influenza vaccination knowledge, attitudes, and practices among Tunisian elderly with chronic diseases

et al. 2021

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“…Data from the current study (collected in November 2020) indicated that most college students intend to get a COVID vaccine when available (i.e., 91.64%), which was much higher than the percentage who reported getting or planning to get an influenza vaccine (i.e., 76.04%). This is encouraging preliminary evidence, given a strong theoretical link between intentions and behavior [34] , but there is also evidence that vaccine intentions do not perfectly predict uptake [35] . Participants, on average, also felt that it was more important for young adults to get a COVID vaccine, relative to an influenza vaccine.…”

Section: Discussionmentioning

confidence: 63%

Social norms and vaccine uptake: College students’ COVID vaccination intentions, attitudes, and estimated peer norms and comparisons with influenza vaccine

Graupensperger

Abdallah

Lee

2021

Vaccine

160

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Background Vaccination may be critical to curtailing the spread of the SARS-CoV-2 virus responsible for the COVID-19 pandemic, but herd immunity can only be realized with high vaccination coverage. There is a need to identify empirically supported strategies to increase uptake, especially among young adults as this subpopulation has shown relatively poor adherence to physical distancing guidelines. Social norms – estimates of peers’ behavior and attitudes – are robust predictors of health behaviors and norms-based intervention strategies may increase COVID vaccine uptake, once available. This study examined the extent that vaccination intentions and attitudes were associated with estimated social norms as an initial proof-of-concept test. Method In November of 2020, 647 undergraduate students (46.21% response rate) completed online surveys in which they reported intentions to get COVID and influenza vaccines, perceived importance of these vaccines for young adults, and estimated social norms regarding peers’ vaccination behaviors and attitudes. Results Students reported significantly greater intentions to get a COVID vaccine (91.64%) than an influenza vaccine (76.04%), and perceived COVID vaccination as significantly more important than influenza vaccination. The sample generally held strong intentions to receive a COVID vaccine and thought that doing so was of high importance, but participants, on average, perceived that other young adults would be less likely to be vaccinated and would not think vaccination was as important. Multiple regression models indicated that estimated social norms were positively associated with participants’ own intentions and perceived importance of getting a COVID vaccine. Conclusions These significant associations highlight the potential value in developing and testing norms-based intervention strategies, such as personalized normative feedback, to improve uptake of forthcoming COVID vaccines among young adults .

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“…Factors influencing vaccine uptake in patients with diabetes are related to the availability of effective and efficient immunization programs, to the demand for immunization, and the willingness to be vaccinated [ 25 ]. In particular, factors influencing demand for influenza immunization might differ among patients with diabetes, as compared to individuals in the general population.…”

Section: Introductionmentioning

confidence: 99%

Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization

et al. 2021

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Diabetic patients are at higher risk of developing infectious diseases and severe complications, compared to the general population. Almost no data is available in the literature on influenza immunization in people with type 1 diabetes mellitus (T1DM). As part of a broader project on immunization in diabetic patients, we conducted a cross-sectional study to: (i) report on seasonal influenza coverage rates in T1DM patients, (ii) explore knowledge, attitudes, and practices (KAPs) towards seasonal influenza in this population, and (iii) identify factors associated with vaccine uptake, including the role of family doctors and diabetologists. A survey was administered to 251 T1DM patients attending the Diabetes Clinic at San Raffaele Research Hospital in Milan, Italy and individual-level coverage data were retrieved from immunization registries. Self-reported seasonal influenza immunization coverage was 36%, which decreased to 21.7% when considering regional immunization registries, far below coverage target of 75%. More than a third (36.2%) of T1DM patients were classified as pro-vaccine, 30.7% as hesitant, 17.9% as uninformed, and 15.1% as anti-vaccine. Diabetologists resulted to be the most trusted source of information on vaccines’ benefits and risks (85.3%) and should be more actively involved in preventive interventions. Our study highlights the importance of developing tailored vaccination campaigns for people with diabetes, including hospital-based programs involving diabetes specialists.

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The intentions to get vaccinated against influenza and actual vaccine uptake among diabetic patients in Ningbo, China: identifying motivators and barriers

Cited by 34 publications

References 44 publications

Influenza vaccination knowledge, attitudes, and practices among Tunisian elderly with chronic diseases

Influenza vaccination knowledge, attitudes, and practices among Tunisian elderly with chronic diseases

Social norms and vaccine uptake: College students’ COVID vaccination intentions, attitudes, and estimated peer norms and comparisons with influenza vaccine

Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization

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