The role of health determinants in the influenza vaccination uptake among older adults (65+): a scope review

Abstract

Background: Although the burden of influenza infection is the highest in older adults, vaccination coverage remains low, despite this age group being more vulnerable than others. Aims: Given the current pandemic of SARS-CoV-2, it was the aim of this scope review to update knowledge on factors affecting seasonal influenza vaccine uptake among older adults in order to strengthen prevention approaches in the context of an overall burden of infectious diseases.Methods: We searched bibliographic databases from 2012 to 2019. All studies reviewed one or more social determinant of health listed by WHO, or factors affecting the decision-making process whether to accept influenza vaccine or not.Results: Overall, 44 studies were included, 41 determinants were extracted and summarized into six categories. Older age and constitutional factors including multiple chronic diseases as well as preventive lifestyle and frequent routine healthcare utilization positively affected vaccination uptake (VU). Living and working conditions are also researched determinants of influenza vaccine uptake. A small number of studies explored the role of social inclusion and system-based interventions. Discussion and Conclusions: This scope review provides a comprehensive overview on factors affecting seasonal influenza vaccination uptake among older citizens. The review also clearly shows gaps for evidence on system-based level or political strategies to improve vaccination uptake.

Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: A multicenter survey

“…Determinants of acceptance of other vaccines (for example, the influenza vaccine) among HCWs may thus not be directly applicable to the new COVID-19 vaccines. 13 …”

“…Determinants of acceptance of other vaccines (for example, the influenza vaccine) among HCWs may thus not be directly applicable to the new COVID-19 vaccines. 13 Given the paucity of data regarding vaccine acceptance among HCWs, we conducted a survey across multiple healthcare institutions to measure their willingness to accept and schedule receiving the first dose of a COVID-19 vaccine, as well as to understand the reasons underlying vaccine hesitancy or refusal.…”

Predictors of Willingness to Receive COVID-19 Vaccine: Cross-Sectional Study of Palestinian Dental Students

“…Additionally, vaccine hesitancy level differs across the different vaccines; the factors related to acceptance of the influenza vaccine, for example, may not apply to the new COVID-19 vaccines [ 18 ]. Therefore, investigating the factors related to the COVID-19 vaccine in specific contexts and cultures is necessary to identify factors influencing the decision to become vaccinated or not.…”