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CN 34-1304/RISSN 1674-3679

Volume 28 Issue 5
May  2024
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Article Contents
ZHOU Sijia, CHEN Ziying, JIANG Xin, LIU Wen, MA Yuhang, WANG Kai, HU Jianli, PENG Zhihang. Investigation on the level of knowledge-attitude-practice and driving factors of vaccination of influenza among young and middle-aged population[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(5): 540-546. doi: 10.16462/j.cnki.zhjbkz.2024.05.008
Citation: ZHOU Sijia, CHEN Ziying, JIANG Xin, LIU Wen, MA Yuhang, WANG Kai, HU Jianli, PENG Zhihang. Investigation on the level of knowledge-attitude-practice and driving factors of vaccination of influenza among young and middle-aged population[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(5): 540-546. doi: 10.16462/j.cnki.zhjbkz.2024.05.008

Investigation on the level of knowledge-attitude-practice and driving factors of vaccination of influenza among young and middle-aged population

doi: 10.16462/j.cnki.zhjbkz.2024.05.008
Funds:

National Natural Science Foundation of China 82320108018

National Key Research and Development Program of China 2023YFC2306004

Chinese Academy of Medical Sciences (CAMS) Innovation Fund for Medical Sciences 2021-I2M-1-044

More Information
  • Corresponding author: PENG Zhihang, E-mail: zhihangpeng@njmu.edu.cn
  • Received Date: 2024-01-16
  • Rev Recd Date: 2024-03-15
  • Available Online: 2024-06-05
  • Publish Date: 2024-05-10
  •   Objective  To understand the knowledge, attitude and practice level of influenza vaccine among young and middle-aged groups, as well as their vaccination status and intention, and to explore related influencing factors to help promote vaccination.  Methods  From May to August 2023, 4 895 permanent residents in Nanchang, Changsha, and Kunming were selected by multi-stage random sampling to complete a questionnaire survey. Multivariate logistic regression was used to analyze the influencing and driving factors of KAP level of influenza vaccine.  Results  The knowledge and attitude towards influenza vaccine among young and middle-aged people were average, and the level of vaccination was relatively low. In addition, there were statistically significant differences (P < 0.05) in the KAP level among gender, education level, occupation, annual income, whether suffering from underlying diseases, smoking, and alcohol consumption. The results of multivariate analysis showed that partial occupation (all P < 0.05), having underlying diseases (OR=1.309, 95% CI: 1.073-1.597, P=0.008), good cognition (OR=1.574, 95% CI: 1.322-1.874, P < 0.001), and good attitudes (OR=2.379, 95% CI: 1.616-3.502, P < 0.001) were promoting factors of vaccination. Severe influenza season conditions, fear of infection affecting family and colleagues, free or discounted vaccines, and vaccination recommendation from government and health authorities were the main factors contributing to the change in vaccination intentions among the young and middle-aged population.  Conclusions  The KAP level of influenza vaccine in young and middle-aged people is low, so the popularization of influenza vaccine related knowledge should be strengthened. Vaccine uptake can be promoted through various measures, including the implementing preferential vaccination policies at different levels and phases, improving incentives for grassroots vaccination service personnel, and encouraging clinical doctors to prescribe vaccines.
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  • [1]
    Iuliano AD, Roguski KM, Chang HH, et al. Estimates of global seasonal influenza-associated respiratory mortality: a modelling study[J]. Lancet, 2018, 391(10127): 1285-1300. DOI: 10.1016/S0140-6736(17)33293-2.
    [2]
    Wang Q, Yang LQ, Liu C, et al. Estimated incidence of seasonal influenza in China from 2010 to 2020 using a multiplier model[J]. JAMA Netw Open, 2022, 5(4): e227423. DOI: 10.1001/jamanetworkopen.2022.7423.
    [3]
    Li L, Liu YN, Wu P, et al. Influenza-associated excess respiratory mortality in China, 2010-15: a population-based study[J]. Lancet Public Health, 2019, 4(9): e473-e481. DOI: 10.1016/S2468-2667(19)30163-X.
    [4]
    中国疾病预防控制中心. 中国流感疫苗预防接种技术指南(2022—2023)[J]. 中国病毒病杂志, 2023, 13(1): 1-19. DOI: 10.16505/j.2095-0136.2023.0020.

    Technical guidelines for seasonal influenza vaccination in China, 2022-2023[J]. Chin J Viral Dis, 2023, 13(1): 1-19. DOI: 10.16505/j.2095-0136.2023.0020.
    [5]
    彭质斌, 王大燕, 杨娟, 等. 中国流感疫苗应用现状及促进预防接种的政策探讨[J]. 中华流行病学杂志, 2018, 39(8): 1045-1050. DOI: 10.3760/cma.j.issn.0254-6450.2018.08.007.

    Peng ZB, Wang DY, Yang J, et al. Current situation and related policies on the implementation and promotion of influenza vaccination, in China[J]. Chin J Epidemiol, 2018, 39(8): 1045-1050. DOI: 10.3760/cma.j.issn.0254-6450.2018.08.007.
    [6]
    陈晨, 刘国恩, 曾光. 中国流感疾病负担现状、问题与挑战及应对策略[J]. 中国公共卫生, 2022, 38(11): 1494-1498. DOI: 10.11847/zgggws1140026.

    Chen C, Liu GE, Zeng G. Influenza-related burden in China: current situation, challenges and response strategies[J]. Chin J Public Health, 2022, 38(11): 1494-1498. DOI: 10.11847/zgggws1140026.
    [7]
    Zeng YB, Yuan ZP, Yin JH, et al. Factors affecting parental intention to vaccinate kindergarten children against influenza: a cross-sectional survey in China[J]. Vaccine, 2019, 37(11): 1449-1456. DOI: 10.1016/j.vaccine.2019.01.071.
    [8]
    丁睿尧, 阿克忠, 马艳梅, 等. 2019—2021年青海省≥60岁老年人流感疫苗接种率和影响因素调查[J]. 中国疫苗和免疫, 2023, 29(4): 432-435. DOI: 10.19914/j.CJVI.2023075.

    Ding RY, A KZ, Ma YM, et al. Influenza vaccine coverage and factors influencing coverage among elderly people of Qinghai Province during 2019-2021[J]. Chinese Journal of Vaccines and Immunization, 2023, 29(4): 432-435. DOI: 10.19914/j.CJVI.2023075.
    [9]
    马月. 青岛不同层级医疗机构医务人员对流感和流感疫苗知信行的比较研究[D]. 青岛: 青岛大学, 2018.

    Ma Y. A comparative study on the knowledge, attitude and practice about seasonal influenza and seasonal influenza vaccine among healthcare workers in different level of medical institutions in Qingdao[D]. Qingdao: Qingdao University, 2018.
    [10]
    甘霖. 重庆市医务人员流感和流感疫苗知信行及接种意愿调查研究[D]. 重庆: 重庆医科大学, 2022. DOI: 10.27674/d.cnki.gcyku.2021.000629.

    Gan L. Investigation on knowledge, attitude, practice and vaccination willingness of influenza and influenza vaccine among medical staff in Chongqing[D]. Chongqing: Chongqing Medical University, 2022. DOI: 10.27674/d.cnki.gcyku.2021.000629.
    [11]
    王元明. 安徽省蚌埠市中小学生流行性感冒防控知信行调查[D]. 合肥: 安徽医科大学, 2020. DOI: 10.26921/d.cnki.ganyu.2019.000119.

    Wang YM. Investigation on knowledge, attitude, practice of influenza prevention and control among primary and middle school students in Bengbu City, Anhui Province[D]. Hefei: Anhui Medical University, 2022. DOI: 10.26921/d.cnki.ganyu.2019.000119.
    [12]
    Jiang BS, Wang ZZ, Jia MM, et al. Awareness, knowledge and attitude toward influenza vaccination in several population groups in China: a cross-sectional survey[J]. Front Public Health, 2022, 10: 950532. DOI: 10.3389/fpubh.2022.950532.
    [13]
    卢昊旻. 宜兴市儿童家长免疫规划认知调查及干预评价[D]. 南京: 东南大学, 2018.

    Lu HM. Cognition survey of immunization programme and health education evaluation among the parents in Yixing City[D]. Nanjing: Southeast University, 2018.
    [14]
    Yi B, Zhou SZ, Song Y, et al. Innovations in adult influenza vaccination in China, 2014-2015: leveraging a chronic disease management system in a community-based intervention[J]. Hum Vaccin Immunother, 2018, 14(4): 947-951. DOI: 10.1080/21645515.2017.1403704.
    [15]
    Jiang XW, Shang XP, Lin JF, et al. Impacts of free vaccination policy and associated factors on influenza vaccination behavior of the elderly in China: a quasi-experimental study[J]. Vaccine, 2021, 39(5): 846-852. DOI: 10.1016/j.vaccine.2020.12.040.
    [16]
    Xu LL, Zhao JH, Peng ZB, et al. An exploratory study of influenza vaccination coverage in healthcare workers in a western Chinese city, 2018—2019: improving target population coverage based on policy interventions[J]. Vaccines (Basel), 2020, 8(1). DOI: 10.3390/vaccines8010092.
    [17]
    Wei Z, Sun X, Yang YY, et al. Seasonal influenza vaccine hesitancy profiles and determinants among Chinese children's guardians and the elderly[J]. Expert Rev Vaccines, 2021, 20(5): 601-610. DOI: 10.1080/14760584.2021.1908134.
    [18]
    Abbas KM, Kang GJ, Chen D, et al. Demographics, perceptions, and socioeconomic factors affecting influenza vaccination among adults in the United States[J]. PeerJ, 2018, 6: e5171. DOI: 10.7717/peerj.5171.
    [19]
    朱红良, 陈中文, 顾伟玲, 等. "妈妈课堂"对儿童接种第二类疫苗的影响[J]. 预防医学, 2017, 29(10): 1058-1061. DOI: 10.19485/j.cnki.issn1007-0931.2017.10.024.

    Zhu HL, Chen ZW, Gu WL, et al. Influence of "mom classroom" on children's vaccination of the second kind of vaccine[J]. Prev Med, 2017, 29(10): 1058-1061. DOI: 10.19485/j.cnki.issn1007-0931.2017.10.024.
    [20]
    Lutz CS, Fink RV, Cloud AJ, et al. Factors associated with perceptions of influenza vaccine safety and effectiveness among adults, United States, 2017-2018[J]. Vaccine, 2020, 38(6): 1393-1401. DOI: 10.1016/j.vaccine.2019.12.004.
    [21]
    杨弦弦, 丁贤彬, 唐文革, 等. 重庆市65岁以上老年人流感疫苗接种意愿及其影响因素分析[J]. 重庆医学, 2021, 50(8): 1389-1393. DOI: 10.3969/j.issn.1671-8348.2021.08.028.

    Yang XX, Ding XB, Tang WG, et al. Willingness of influenza vaccination among elderly residents over 65 years old in Chongqing Municipality and its influence factors analysis[J]. Chongqing Med J, 2021, 50(8): 1389-1393. DOI: 10.3969/j.issn.1671-8348.2021.08.028.
    [22]
    Benjamin-Chung J, Arnold BF, Kennedy CJ, et al. Evaluation of a city-wide school-located influenza vaccination program in Oakland, California, with respect to vaccination coverage, school absences, and laboratory-confirmed influenza: a matched cohort study[J]. PLoS Med, 2020, 17(8): e1003238. DOI: 10.1371/journal.pmed.1003238.
    [23]
    Bianchi FP, Tafuri S, Spinelli G, et al. Two years of on-site influenza vaccination strategy in an Italian university hospital: main results and lessons learned[J]. Hum Vaccin Immunother, 2022, 18(1): 1993039. DOI: 10.1080/21645515.2021.1993039.
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