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Hum Vaccin Immunother . Impact of propensity to COVID-19 vaccination/vaccine on influenza vaccination from willingness to behavior among older adult

tetano

Editor, Senior Moderator
Hum Vaccin Immunother


. 2024 Dec 31;20(1):2428017.
doi: 10.1080/21645515.2024.2428017. Epub 2024 Nov 13. Impact of propensity to COVID-19 vaccination/vaccine on influenza vaccination from willingness to behavior among older adults in rural China

Shan-Shan Zhang[SUP] 1 [/SUP], Wanna Shi[SUP] 2 [/SUP], Juan Du[SUP] 1 3 [/SUP], Wan-Xue Zhang[SUP] 1 2 3 [/SUP], Mengjun Yuan[SUP] 4 [/SUP], Yiguo Zhou[SUP] 1 3 5 [/SUP], Lili Wang[SUP] 6 [/SUP], Tianshuo Zhao[SUP] 1 2 3 [/SUP], Qin-Yi Ma[SUP] 1 2 3 [/SUP], Sihui Zhang[SUP] 1 2 3 [/SUP], Han Yang[SUP] 1 2 3 [/SUP], Xiyu Zhang[SUP] 1 2 3 [/SUP], Mingting Wang[SUP] 1 2 3 [/SUP], Ninghua Huang[SUP] 1 3 7 [/SUP], Jing Zeng[SUP] 1 3 7 [/SUP], Yaqiong Liu[SUP] 1 [/SUP], Yuanshan Zhang[SUP] 8 [/SUP], Fuqiang Cui[SUP] 1 2 3 5 [/SUP], Qing-Bin Lu[SUP] 1 2 3 5 [/SUP]



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Free article Abstract

To explore impact of the propensity to coronavirus disease 2019 (COVID-19) vaccine/vaccination on influenza vaccination from willingness to behavior after COVID-19 pandemic among older adults in rural China. A combined study involving a cross-sectional survey for the willingness of influenza vaccination, a health education momentary intervention and a community intervention program were conducted from September 11[SUP]th[/SUP] to 16[SUP]th[/SUP], 2023 among rural older adults in China. Totally 3138 individuals were investigated in this study with 1923 (61.3%) willing to receive influenza vaccination. After the momentary intervention, 47.8% (582/1215) individuals changed to be willing to receive influenza vaccination. There were 1440 (78.8%) vaccinated. The influenza vaccination willingness rate was significantly higher in the participants willing to receive COVID-19 vaccine booster dose vaccination than the participants unwilling to (69.4% vs. 37.7%, adjusted OR [aOR] = 2.671, 95% CI 2.211-3.227, p < .001), as well as for the influenza vaccination willingness change rate (52.2% vs. 41.7%, aOR = 1.303, 95% CI 1.022-1.662, p < .05) and the influenza vaccination behavior rate (79.7% vs. 74.9%, aOR = 1.337, 95% CI 1.002-1.784, p < .05). The influenza vaccination behavior rate was significantly higher in those positive toward COVID-19 vaccine effectiveness or safety overall (80.0% vs. 74.9%, aOR = 1.394, 95% CI 1.065-1.823; 80.6% vs. 70.9%, aOR = 1.850, 95% CI 1.395-2.454; both p < .05). There was a positive impact of COVID-19 vaccine/vaccination on influenza vaccination from willingness to behavior among the older adults in rural China after COVID-19 pandemic, suggesting that integrating health education of related pathogens and vaccines might promote influenza vaccination.

Keywords: COVID-19; behavior; influenza; vaccination; willingness.

 
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