Abu-Helalah Munir, Gharibeh Tarek, Al-Hanaktah Mohammad, Khatatbeh Islam, Batarseh Fadi, Asfour Amro, Okkeh Omar, Dalal Abdallah, Alhendi Ahmad, Ababneh Huthaifa
Department of Family and Community Medicine, Faculty of Medicine, University of Jordan, Amman, Jordan.
Public Health Institute, University of Jordan, Amman, Jordan.
Front Public Health. 2025 Jun 17;13:1603482. doi: 10.3389/fpubh.2025.1603482. eCollection 2025.
Seasonal Influenza is a major cause of morbidity and mortality worldwide. Despite the well-established preventive role of the influenza vaccine particularly for patients at high risk, influenza vaccine uptake remains suboptimal. In Jordan, data on the influenza vaccine uptake among adults with chronic diseases at high risk of influenza complications is still lacking.
A cross-sectional study was conducted to assess influenza vaccine knowledge, attitudes, uptake, and barriers among adults with selected chronic disease in Jordan. Data was collected via a structured questionnaire based on the health belief model (HBM). The face-to-face interviews were conducted between February and June 2023 at multiple healthcare centers and hospitals are representative sites of Jordan.
A total of 786 participants completed the study questionnaire with a mean age of 50.04 ± 15.9 years. There was a low uptake rate of influenza vaccine (10.4%) during the 2022/2023 season, while around one third of participants (32.7%) reported history of been ever vaccinated against influenza. This study identified different predictors of influenza vaccine uptake such as advice from the healthcare professional, history of complications from influenza, availability of free influenza vaccine and awareness about the vaccine availability. Worry about the vaccine safety was one of the important detected barriers.
Similar to the global trend, particularly in developing countries, the influenza vaccine uptake rate is low among adults with different high-risk illnesses in Jordan. Results of the study provided baseline data for future interventions to improve the uptake rates of influenza vaccines in Jordan.
季节性流感是全球发病和死亡的主要原因。尽管流感疫苗具有公认的预防作用，特别是对高危患者，但流感疫苗的接种率仍不理想。在约旦，仍缺乏关于流感并发症高危慢性病成年人流感疫苗接种情况的数据。
进行了一项横断面研究，以评估约旦患有特定慢性病的成年人对流感疫苗的知识、态度、接种情况和障碍。数据通过基于健康信念模型（HBM）的结构化问卷收集。2023年2月至6月在多个医疗中心和医院（约旦的代表性地点）进行了面对面访谈。
共有786名参与者完成了研究问卷，平均年龄为50.04±15.9岁。2022/2023季节流感疫苗接种率较低（10.4%），而约三分之一的参与者（32.7%）报告有流感疫苗接种史。本研究确定了流感疫苗接种的不同预测因素，如医疗保健专业人员的建议、流感并发症史、免费流感疫苗的可获得性以及对疫苗可获得性的认识。对疫苗安全性的担忧是检测到的重要障碍之一。
与全球趋势类似，特别是在发展中国家，约旦患有不同高危疾病的成年人中流感疫苗接种率较低。该研究结果为未来提高约旦流感疫苗接种率的干预措施提供了基线数据。
