Healthcare Workers' Attitudes toward Influenza Vaccination: A Behaviour and Social Drivers Survey.

Binshan Jiang, Yanlin Cao, Jie Qian, Mingyue Jiang, Qiangru Huang, Yanxia Sun, Peixi Dai, Heya Yi, Run Zhang, Lili Xu, Jiandong Zheng, Weizhong Yang, Luzhao Feng
Author Information
  1. Binshan Jiang: School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. ORCID
  2. Yanlin Cao: School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. ORCID
  3. Jie Qian: School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
  4. Mingyue Jiang: School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
  5. Qiangru Huang: School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
  6. Yanxia Sun: School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
  7. Peixi Dai: Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
  8. Heya Yi: Department of International Affairs, Chinese Preventive Medicine Association, Beijing 100062, China.
  9. Run Zhang: "Breath Circles" Network Platform, Beijing 100026, China.
  10. Lili Xu: Institute for Non-Communicable Disease Control and Prevention, Qinghai Provincial Center for Disease Control and Prevention, Xining 810007, China. ORCID
  11. Jiandong Zheng: Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
  12. Weizhong Yang: School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
  13. Luzhao Feng: School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.

Abstract

This study aimed to understand the intention and correlation of receiving and recommending influenza vaccine (IV) among healthcare workers (HCWs) in China during the 2022/2023 season using the behavior and social drivers (BeSD) tools. A self-administered electronic survey collected 17,832 participants on a media platform. We investigated the willingness of IV and used multivariate logistic regression analysis to explore its associated factors. The average scores of the 3Cs��� model were compared by multiple comparisons. We also explored the factors that potentially correlated with recommendation willingness by partial regression. The willingness of IV was 74.89% among HCWs, and 82.58% of the participants were likely to recommend it to others during this season. Thinking and feeling was the strongest domain independently associated with willingness. All domains in BeSD were significantly different between the hesitancy and acceptance groups. Central factors in the 3Cs model were significantly different among groups (p < 0.01). HCWs��� willingness to IV recommendation was influenced by their ability to answer related questions (r��� = ���0.187, p��� < ���0.001) after controlling for their IV willingness and perceived risk. HCWs��� attitudes towards IV affect their vaccination and recommendation. The BeSD framework revealed the drivers during the decision-making process. Further study should classify the causes in detail to refine HCWs��� education.

Keywords

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