PDF(Pubmed)
Abstract：
University students, who face an elevated risk of influenza due to close living quarters and frequent social interactions, often exhibit low vaccine uptake rates. This issue is particularly pronounced among Chinese students, who encounter unique barriers related to awareness and access, emphasizing the need for heightened attention to this problem within this demographic. This cross-sectional study conducted in May-June 2022 involved 1,006 participants (404 in the UK, 602 in Mainland China) and aimed to explore and compare the factors influencing influenza vaccine acceptance and intentions between Chinese university students residing in the UK (C-UK) and Mainland China (C-M). The study employed a self-administered questionnaire based on the Theoretical Domains Framework and Capability Opportunity Motivation-Behavior model. Results revealed that approximately 46.8% of C-UK students received the influenza vaccine in the past year, compared to 32.9% of C-M students. More than half in both groups (C-UK: 54.5%, C-M: 58.1%) had no plans for vaccination in the upcoming year. Knowledge, belief about consequences, and reinforcement significantly influenced previous vaccine acceptance and intention in both student groups. Barriers to vaccination behavior included insufficient knowledge about the influenza vaccine and its accessibility and the distance to the vaccine center. Enablers included the vaccination behavior of individuals within their social circles, motivation to protect others, and concerns regarding difficulties in accessing medical resources during the COVID-19 pandemic. The findings of this study offer valuable insights for evidence-based intervention design, providing evidence for healthcare professionals, policymakers, and educators working to enhance vaccination rates within this specific demographic.
摘要：
大学生,由于居住场所紧密和频繁的社交互动，他们面临流感的风险增加，通常表现出低疫苗吸收率。这个问题在中国学生中尤为突出,他们遇到了与意识和获取相关的独特障碍，强调需要在这个人口中加强对这个问题的关注。这项在2022年5月至6月进行的横断面研究涉及1,006名参与者(404名在英国，602在中国大陆），旨在探索和比较居住在英国（C-UK）和中国大陆（C-M）的中国大学生对流感疫苗的接受度和意向的影响因素。该研究采用了基于理论领域框架和能力机会动机-行为模型的自我管理问卷。结果显示，大约46.8％的C-UK学生在过去一年中接种了流感疫苗，与32.9％的C-M学生相比。两组中的一半以上（C-UK：54.5％，C-M：58.1％）在来年没有疫苗接种计划。知识,对后果的信念，和强化显着影响了两个学生组以前的疫苗接受度和意向。疫苗接种行为的障碍包括对流感疫苗的了解不足，以及与疫苗中心的距离。促进者包括个人在其社交圈中的疫苗接种行为，保护他人的动机，以及对COVID-19大流行期间难以获得医疗资源的担忧。这项研究的结果为循证干预设计提供了有价值的见解，为医疗保健专业人员提供证据，政策制定者，和教育工作者致力于提高这一特定人群的疫苗接种率。
