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Shi X, Zhang Y, Zhou L, Zhou L, Qiao H. Influenza vaccination coverage among health-care workers during the COVID-19 epidemic in 2020/2021 influenza season: Evidence from a web-based survey in northwestern China. Hum Vaccin Immunother 2022; 18:2102354. [PMID: 35920744 DOI: 10.1080/21645515.2022.2102354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Vaccinating health-care workers against influenza during the COVID-19 pandemic can effectively prevent and control influenza and reduce COVID-19 strain on health systems. This study was conducted to explore influenza vaccination coverage and determinants among health-care workers during the COVID-19 pandemic in 2020/2021 influenza season in Ningxia. This cross-sectional survey included demographic characteristics of health-care workers, influenza vaccination status, reasons for not getting vaccinated, and whether influenza vaccination was recommended for others. We found that influenza vaccine rate of health-care workers was 39.6%. A binary logistic regression analysis showed that health-care workers' vaccination coverage was higher when the individuals were aware of the effect of the influenza vaccine (OR = 0.624, 95% CI: 0.486-0.802). Health-care workers who from internal medicine (OR = 1.494, 95% CI: 1.146-1.948), pediatrics (OR = 2.091, 95% CI: 1.476-2.962), and surgery departments (OR = 1.373, 95% CI: 1.014-1.859) had a lower coverage than those who worked in vaccination and infectious disease departments. The main reasons that some stated for not getting vaccinated were that they felt it was unnecessary (52.22%). Health-care workers who were vaccinated against influenza were more likely to recommend influenza vaccination to their patients than health-care workers who had not been vaccinated. The incidence of influenza among health-care workers was higher than that of the general population in Ningxia. Under the policy of voluntary and self-pay influenza vaccination in Ningxia, the coverage rate of influenza vaccine among health-care workers was far below the vaccination requirements of influenza vaccine in influenza season even during the COVID-19 epidemic.
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Affiliation(s)
- Xiaojuan Shi
- Department of Epidemiology and Health Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, China.,Department of Immunization Program, Ningxia Center for Disease Prevention and Control, Yinchuan, China
| | - Ying Zhang
- Department of Immunization Program, Ningxia Center for Disease Prevention and Control, Yinchuan, China
| | - Luping Zhou
- Department of Immunization Program, Ningxia Center for Disease Prevention and Control, Yinchuan, China
| | - Liwei Zhou
- Department of Immunization Program, Ningxia Center for Disease Prevention and Control, Yinchuan, China
| | - Hui Qiao
- Department of Epidemiology and Health Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, China
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The Vaccine Hesitancy Profiles and Determinants of Seasonal Influenza among Chinese Community Healthcare Workers: A Cross-Sectional Study. Vaccines (Basel) 2022; 10:vaccines10091547. [PMID: 36146625 PMCID: PMC9505772 DOI: 10.3390/vaccines10091547] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/04/2022] [Accepted: 09/13/2022] [Indexed: 11/18/2022] Open
Abstract
This paper is an evaluation of seasonal influenza vaccination hesitancy (IVH) and its determinants among community HCWs in Chongqing, a city in southwest China. Methods: A cross-sectional survey of 1030 community HCWs with direct or indirect patient contact was conducted from July to September 2021 using a self-administered electronic questionnaire. Possible factors for IVH among community HCWs were investigated by multivariable logistic regression to yield adjusted odds ratios (ORs) and 95% confidence intervals (CIs). Results: Overall, 46.2% of community HCWs were vaccinated in the 2020–2021 season, while 65.8% of community HCWs had IVH. “Don’t know the coverage in China” (OR: 1.46, 95% CI: 1.01–2.11; 40-year-old group OR: 3.02, 95% CI: 1.92–4.76), “complacency” (OR: 4.55, 95% CI: 3.14–6.60) were positively related with having IVH. The community HCWs that had a history of influenza vaccination (OR: 0.67 95% CI: 0.48–0.95) and groups with confidence and convenience (OR: 0.08, 95% CI: 0.06–0.12; OR: 0.34, 95% CI: 0.23–0.52, respectively) were more likely to completely accept vaccination. Conclusions: Measures such as improving the awareness and knowledge of influenza and vaccination and expanding the free vaccination policy, combined with improving the convenience of the vaccination service, will promote increased seasonal influenza vaccination-coverage in community HCWs in Chongqing.
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Luo Q, Gan L, Xiong Y, Li Q, Chen T, Tang X. Knowledge, attitudes and practices related to influenza and influenza vaccine among healthcare workers in Chongqing, China-a cross-sectional study. Hum Vaccin Immunother 2021; 17:5500-5508. [PMID: 34965189 PMCID: PMC8903929 DOI: 10.1080/21645515.2021.2007013] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Influenza is associated with a substantial disease burden, and influenza vaccination is recommended to all healthcare workers. We aimed to assess healthcare workers' knowledge, attitudes, and practices about influenza and its vaccine in Chongqing, China. A cross-sectional study was conducted at selected hospitals from September to November 2019, in which healthcare workers filled in a self-administered questionnaire. Both sentinel (42.92%) and non-sentinel hospitals (57.08%) were included. The majority were nurses (52.48%) and physicians (32.37%). Half (50.42%) of the respondents had a good command of knowledge, and the proportion of healthcare workers having a positive attitude accounted for 62.68%. The primary information sources were colleagues (58.81%), followed by television, newspapers and media (30.18%). The number of healthcare workers reported having got vaccinated last year was only 237 (16.78%), and the main reason was protecting themselves from influenza (93.25%). While the most common reasons given for not getting vaccinated were having no time (65.70%), believing it is unnecessary to get vaccinated (29.62%), worrying about the quality of influenza vaccine (27.49%) or the adverse reactions (25.70%). Factors associated with self-reported high vaccination were sentinel hospital (aOR: 1.427; 95% CI: 1.057-1.925), high-risk department (aOR: 1.919; 95% CI: 1.423-2.589), positive attitude (aOR: 2.429; 95% CI: 1.697-3.477) and taking the initiative to learn influenza information (aOR: 3.000; 95% CI: 1.983-4.538). We concluded that healthcare workers in Chongqing had some misconceptions although many of them showed a positive attitude toward the influenza vaccine. Various strategies, including educational training and on-site vaccination, are necessary to improve the knowledge and overall vaccination coverage.
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Affiliation(s)
- Qinwen Luo
- School of Public Health and Management, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Lin Gan
- School of Public Health and Management, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Yu Xiong
- Infectious Disease Control and Prevention Institute, Chongqing Center for Disease Control and Prevention, Chongqing, China
| | - Qin Li
- Infectious Disease Control and Prevention Institute, Chongqing Center for Disease Control and Prevention, Chongqing, China
| | - Tao Chen
- National Influenza Center, Institute of Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, World Health Organization Influenza Reference and Research Cooperation Center, Beijing, China
| | - Xiaojun Tang
- School of Public Health and Management, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China,CONTACT Xiaojun Tang School of Public Health and Management, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing400016, China
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Yi H, Yang Y, Zhang L, Zhang M, Wang Q, Zhang T, Zhang Y, Qin Y, Peng Z, Leng Z, Yang W, Zheng J, Liang X, Feng L. Improved influenza vaccination coverage among health-care workers: evidence from a web-based survey in China, 2019/2020 season. Hum Vaccin Immunother 2021; 17:2185-2189. [PMID: 33497309 PMCID: PMC8189132 DOI: 10.1080/21645515.2020.1859317] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 11/10/2020] [Accepted: 11/25/2020] [Indexed: 12/17/2022] Open
Abstract
To understand influenza vaccination and its correlates among health-careworkers (HCWs) during the 2019/2020 season in China, we used a self-administeredelectronic questionnaire to collect information on demographics, occupational characteristics, influenza vaccination status and access to free vaccination on the "Breath Circles", a Chinese media platform for respiratory medical professionals. The reported influenza vaccine coverage among HCWs during this season was 67%, with more HCWs in a workplace with free vaccination than those with no free vaccination (79% vs.34%,p < .001). The influenza vaccine coverage among HCWs who were required or encouraged to get vaccinated by the workplace was significantly higher than that without any intervention measures (80% & 70 vs.39%,p < .001). The vaccine coverage in the workplaces with free and required vaccination simultaneously was highest compared to that with neither free vaccination nor any intervention measures (OR = 14.86, 95% CI: 10.93-20.20). The influenza vaccination coverage of HCWs in high-riskdepartments was significantly higher than that of other departments (70% vs.58%,p =.023). HCWs' vaccine coverage was related to personal opinions and attitudes toward influenza or influenza vaccines, as well as other constraints such as availability of influenza vaccines, workplace regulations, and access to free vaccines.
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Affiliation(s)
- Heya Yi
- Department of International Affairs,Chinese Preventive Medicine Association,Beijing,China
| | - Yuan Yang
- Division of Infectious Diseases,Chinese Center for Disease Control and Prevention,Beijing,China
| | - Li Zhang
- Editorial Department, BREATH-CIRCLES, Beijing, China
| | - Muli Zhang
- Division of Infectious Diseases,Chinese Center for Disease Control and Prevention,Beijing,China
| | - Qing Wang
- Division of Infectious Diseases,Chinese Center for Disease Control and Prevention,Beijing,China
| | - Ting Zhang
- School of Population Medicine and Public Health,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing, China
| | - Yuyuan Zhang
- Department of International Affairs,Chinese Preventive Medicine Association,Beijing,China
| | - Ying Qin
- Division of Infectious Diseases,Chinese Center for Disease Control and Prevention,Beijing,China
| | - Zhibin Peng
- Division of Infectious Diseases,Chinese Center for Disease Control and Prevention,Beijing,China
| | - Zhiwei Leng
- School of Population Medicine and Public Health,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing, China
| | - Weizhong Yang
- School of Population Medicine and Public Health,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing, China
| | - Jiandong Zheng
- Division of Infectious Diseases,Chinese Center for Disease Control and Prevention,Beijing,China
| | - Xiaofeng Liang
- Department of International Affairs,Chinese Preventive Medicine Association,Beijing,China
| | - Luzhao Feng
- School of Population Medicine and Public Health,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing, China
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