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J Sci Med Sport . Opinions and attitudes toward influenza vaccination among male Italian volleyball Serie A athletes in the 2024/25 season

tetano

Editor, Senior Moderator
J Sci Med Sport


. 2025 Nov 10:S1440-2440(25)00485-2.
doi: 10.1016/j.jsams.2025.11.002. Online ahead of print. Opinions and attitudes toward influenza vaccination among male Italian volleyball Serie A athletes in the 2024/25 season

Valeria Gabellone[SUP] 1 [/SUP], Fabiana Nuccetelli[SUP] 2 [/SUP], Francesca Fortunato[SUP] 3 [/SUP], Leonardo Ascatigno[SUP] 3 [/SUP], Rosa Prato[SUP] 3 [/SUP], Pier Luigi Lopalco[SUP] 4 [/SUP]



Affiliations
Abstract

Objectives: Influenza vaccination is a key preventive measure, especially for professional athletes exposed to increased infectious risk due to intense physical activity, frequent travel, and close-contact settings. However, data on vaccine uptake and attitudes in this group are limited. This study examined opinions, behaviors, and determinants of influenza vaccination adherence among male athletes in the Italian Serie A volleyball league during the 2024/25 season to inform targeted immunization strategies.
Design: Cross-sectional observational study.
Methods: A self-administered anonymous questionnaire was distributed to 157 athletes between December 2024 and March 2025. Collected variables included socio-demographic characteristics, vaccination history, perceived influenza risk, vaccination importance, and influencing factors such as medical advice and club policy.
Results: Of 138 respondents (response rate: 87.9 %), 44.9 % intended to vaccinate in the current season, and 63.8 % had been vaccinated previously. Overall, 76.1 % recognized the importance of vaccination. Key motivations were medical recommendations (61.6 %) and club policies (25.4 %). Significant associations were found between perceived influenza risk and vaccination intention (p < 0.001), and between medical recommendation and perceived importance (OR = 3.45, p < 0.01). Age showed no significant association.
Conclusions: Although vaccination is widely regarded as important among professional athletes, adherence is strongly influenced by organizational factors. Medical advice and club support are critical drivers of vaccine acceptance. Tailored communication strategies, integration of vaccination into routine sports medicine, and structured immunization programs are recommended to improve coverage in elite sports and support public health goals.

Keywords: Athletes; Influenza; Prevention; Professional sports; Vaccination; Vaccine hesitancy.

 
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