Willingness to receive influenza vaccines and its influencingfactors among residents in Ezhou City
FU Xiaoqiang1, YAN Na1, XU Xiaoling1, WANG Liming1, YU Xiao2, FANG Bin2
1. Department of Infectious Disease Control and Prevention, Ezhou Centre for Disease Control and Prevention, Ezhou, Hubei 436000, China; 2. Hubei Center for Disease Control and Prevention, Wuhan, Hubei 436079, China
Abstract：Objective To investigate the willingness to receive influenza vaccines and its influencing factors among residents in Ezhou City, Hubei Province, so as to provide the evidence for improving the coverage of influenza vaccination. Methods Residents at ages of 15 years and older were sampled from 12 communities in Ezhou City using a multi-stage random sampling method in May 2022. Participants' demographic features, influenza vaccination, awareness of influenza vaccine knowledge, attitudes towards influenza vaccination and willingness to receive influenza vaccine were collected using questionnaire surveys. Factors affecting the willingness to receive influenza vaccine were identified using a multivariable logistic regression model. Results Totally 840 questionnaires were allocated, and 820 valid questionnaires were recovered, with an effective recovery rate of 97.62%. The participants included 385 men (46.95%) and 435 women (53.05%) and had a mean age of (42.04±14.82) years. Among all participants, 47.93% were willing to receive influenza vaccine. Multivariable logistic regression analysis identified age (15-24 years, OR=6.010, 95%CI: 3.342-10.809; 25-39 years, OR=4.555, 95%CI: 2.815-7.369; 40-59 years, OR=1.697, 95%CI: 1.057-2.724), living in Echeng District (OR=4.246, 95%CI: 2.968-6.075), urban household registration (OR=4.424, 95%CI: 3.210-6.096), educational level (junior high school, OR=1.712, 95%CI: 1.149-2.551; high school/technical secondary school, OR=3.883, 95%CI: 2.645-5.702; diploma and above, OR=6.830, 95%CI: 4.033-11.568), occupation (self-employed person, OR=3.195, 95%CI: 1.747-5.843; retiree, OR=6.600, 95%CI: 3.240-13.446; worker, OR=8.250, 95%CI: 4.163-16.349; student, OR=9.562, 95%CI: 4.560-20.051; civil servant/public institution personnel, OR=11.756, 95%CI: 5.571-24.809), monthly income (≥1 500 Yuan, OR=2.177, 95%CI: 1.427-3.321; >4 500 Yuan, OR=6.359, 95%CI: 3.391-10.289), times of influenza vaccination in the past two years (once, OR=6.552, 95%CI: 4.086-10.504; twice, OR=9.601, 95%CI: 3.995-23.073), awareness of influenza vaccine knowledge (OR=14.641, 95%CI: 10.426-20.558), and positive attitudes towards influenza vaccines (OR=28.706, 95%CI: 19.660-41.915) as factors affecting the willingness to receive influenza vaccines. Conclusions The willingness to receive influenza vaccine was 47.93% among residents in Ezhou City, and age, residence, household registration, educational level, occupation, income level, history of influenza vaccination, awareness of influenza vaccine-related knowledge and attitudes towards influenza vaccines correlate with the willingness to receive influenza vaccine.
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