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Article

Combating the Co-Circulation of SARS-CoV-2 and Seasonal Influenza: Identifying Multi-Dimensional Factors Associated with the Uptake of Seasonal Influenza Vaccine among a Chinese National Sample

1
College of Public Health, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China
2
School of Public Health, Fudan University, Shanghai 200032, China
3
School of Community Health Sciences, Counseling & Counseling Psychology, Oklahoma State University, Stillwater, OK 74078, USA
*
Authors to whom correspondence should be addressed.
Vaccines 2024, 12(9), 1005; https://doi.org/10.3390/vaccines12091005 (registering DOI)
Submission received: 2 July 2024 / Revised: 23 August 2024 / Accepted: 26 August 2024 / Published: 1 September 2024
(This article belongs to the Special Issue Understanding and Addressing Vaccine Hesitancy)

Abstract

Introduction: 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. Methods: 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. Results: 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. Conclusions: 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.
Keywords: seasonal influenza vaccination; multi-dimensional factors; knowledge; Health Belief Model; cues to action; patient–provider relationship seasonal influenza vaccination; multi-dimensional factors; knowledge; Health Belief Model; cues to action; patient–provider relationship

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MDPI and ACS Style

Zhang, X.; Zheng, P.; Chen, X.; Li, A.; Na, L. Combating the Co-Circulation of SARS-CoV-2 and Seasonal Influenza: Identifying Multi-Dimensional Factors Associated with the Uptake of Seasonal Influenza Vaccine among a Chinese National Sample. Vaccines 2024, 12, 1005. https://doi.org/10.3390/vaccines12091005

AMA Style

Zhang X, Zheng P, Chen X, Li A, Na L. Combating the Co-Circulation of SARS-CoV-2 and Seasonal Influenza: Identifying Multi-Dimensional Factors Associated with the Uptake of Seasonal Influenza Vaccine among a Chinese National Sample. Vaccines. 2024; 12(9):1005. https://doi.org/10.3390/vaccines12091005

Chicago/Turabian Style

Zhang, Xiaoying, Pinpin Zheng, Xuewei Chen, Ang Li, and Lixin Na. 2024. "Combating the Co-Circulation of SARS-CoV-2 and Seasonal Influenza: Identifying Multi-Dimensional Factors Associated with the Uptake of Seasonal Influenza Vaccine among a Chinese National Sample" Vaccines 12, no. 9: 1005. https://doi.org/10.3390/vaccines12091005

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