Zhang Xiaoying, Zheng Pinpin, Chen Xuewei, Li Ang, Na Lixin
College of Public Health, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
School of Public Health, Fudan University, Shanghai 200032, China.
Vaccines (Basel). 2024 Sep 1;12(9):1005. doi: 10.3390/vaccines12091005.
The co-circulation of COVID-19 and seasonal influenza highlighted the importance of promoting influenza vaccination. However, the influenza vaccination rate among the Chinese population is low and requires further promotion. This study examined multi-dimensional factors, such as knowledge of seasonal influenza, health perceptions, cues to action, patient-provider relationships, and COVID-19 pandemic-related factors, in relation to the uptake of the seasonal influenza vaccine (SIV) among the Chinese population.
A cross-sectional, self-administered online survey using a quota sampling method was conducted among Chinese adults 18 years and older between June and August 2022. Multivariate logistic regression was performed to explore factors associated with the 2021 SIV behavior.
A total of 3161 individuals from different regions of China were included in this study. The multivariate logistic regression demonstrated that perceived severity of influenza, perceived barriers to taking SIV, cues to action, a stable relationship with providers, worry about contracting COVID-19 in immunization settings, non-pharmaceutical interventions (NPIs), and awareness of the influenza vaccine in protecting against COVID-19 were significantly associated with the SIV uptake.
This study examined multi-dimensional factors that may influence SIV uptake. Health promotion programs should incorporate multi-dimensional factors, including personal and environmental factors, related to SIV promotion during the co-circulation period.
新冠病毒与季节性流感的共同流行凸显了推广流感疫苗接种的重要性。然而，中国人群的流感疫苗接种率较低，仍需进一步推广。本研究调查了与中国人群季节性流感疫苗（SIV）接种相关的多维度因素，如季节性流感知识、健康认知、行动提示、医患关系以及与新冠疫情相关的因素。
于2022年6月至8月期间，采用配额抽样方法对18岁及以上的中国成年人进行了一项横断面自填式在线调查。采用多因素logistic回归分析探讨与2021年SIV接种行为相关的因素。
本研究共纳入了来自中国不同地区的3161名个体。多因素logistic回归分析表明，流感的感知严重程度、接种SIV的感知障碍、行动提示、与医护人员的稳定关系、在免疫接种场所感染新冠病毒的担忧、非药物干预措施（NPIs）以及流感疫苗预防新冠病毒的认知与SIV接种显著相关。
本研究调查了可能影响SIV接种的多维度因素。健康促进项目应纳入多维度因素，包括个人和环境因素，以在共同流行期间促进SIV接种。
