中国大部分地区的季节性流感疫苗接种率仍然很低。了解与COVID-19大流行后不同人群流感疫苗接种率低相关的因素至关重要。对浦东新区居民进行了横断面调查,上海,中国。调查了受访者在2021-2022年流感季节期间的疫苗接种情况以及接种或不接种流感疫苗的原因。进行二元logistic回归分析以探讨影响疫苗接种的潜在因素。14,001名受访者中有2,476人接种了流感疫苗,总覆盖率为17.68%(95%CI:17.05%,18.32%)。儿童的疫苗接种覆盖率最高(35.68%;95%CI:34.02,37.33),其次是成年人(12.75%;95%CI:11.91%,13.58%)和老年人(11.70%,95%CI:10.78%,12.62%)。对于孩子们来说,较低的家庭收入是一个显著的促进因素。对于成年人来说,与疫苗接种显著相关的因素是家庭收入,性别,和教育水平。对于老年人,与疫苗接种显著相关的因素是家庭收入,教育水平,生存状态,有潜在的疾病。(P<0.05)儿童疫苗犹豫的主要原因是担心副作用(21.49%),对于成年人和老年人,自我评价健康状况良好(成年人:37.14%,老年人:30.66%)。上海市流感疫苗总体接种率,尤其是老年人,低于许多发达国家。需要针对不同人群实施适当的策略和计划,以提高流感疫苗的覆盖率。
中国大部分地区的季节性流感接种率仍然很低。然而,COVID-19大流行导致公众对传染病预防和控制意识的提高和人们健康行为的改变,因此可能导致流感疫苗接种率和疫苗接种意愿的变化。对上海市社区居民的医疗服务利用行为进行了调查,中国东部最大的城市。在14,001名当地居民中,调查了2021-2022年流感季节受访者的疫苗接种状况以及接种或未接种疫苗的原因。2021-2022年季节流感疫苗接种率(17.68%)高于同地区2018-2019年季节(11.8%)。这种趋势在不同年龄段的人群中都有发现。然而,上海的流感疫苗接种总体覆盖率仍然很低,尤其是老年人,它仍然不足以建立免疫屏障,并且落后于其他发达地区。对于孩子们来说,家庭收入下降是一个独立的促进因素。对于成年人来说,与疫苗接种显著相关的因素是家庭收入,性别,和教育水平。对于老年人,与疫苗接种显著相关的因素是家庭收入,教育水平,生存状态,有潜在的疾病。(P<0.05)儿童疫苗犹豫的主要原因是担心副作用(21.49%),对于成年人和老年人,自我评价健康状况良好(成年人:37.14%,老年人:30.66%)。应根据不同人群的特点,努力提高对流感疫苗的认识。
The vaccination rate for seasonal influenza remains low in most regions of
China. It is essential to understand the factors that associated with the low influenza vaccination rate in various populations after the COVID-19 pandemic. A cross-sectional survey was conducted with residents in Pudong New Area, Shanghai,
China. Respondents\' vaccination condition during the 2021-2022 flu season and the reasons for receiving or not receiving influenza vaccine were investigated. Binary logistic regression was conducted to explore potential factors influencing vaccination uptake. 2,476 of 14,001 respondents received an influenza vaccine, with a total coverage of 17.68% (95% CI: 17.05%, 18.32%). Children had the highest vaccination coverage (35.68%; 95% CI: 34.02, 37.33), followed by adults (12.75%; 95% CI: 11.91%, 13.58%) and elderly individuals (11.70%, 95% CI: 10.78%, 12.62%). For children, lower household income was an significant promoting factor. For adults, factors significantly associated with vaccination were household income, sex, and education level. For elderly, factors significantly associated with vaccination were household income, education level, living state, and having underlying diseases. (P < .05)The main reason for vaccine hesitancy among children was worried about side effects (21.49%), for adults and elderly was self-rated good health (adults: 37.14%, elderly people: 30.66%). The overall influenza vaccination coverage rate in Shanghai, especially among elderly individuals, is lower than many developed countries. Appropriate strategies and programs targeting different populations need to be implemented to enhance influenza vaccine coverage.
The vaccination rate for seasonal influenza remains low in most regions of
China. However, the COVID-19 pandemic has resulted in an increase in public awareness regarding the prevention and control of infectious diseases and changes in people\'s health behaviors thus may leading to changes in influenza vaccination rates and vaccination willingness. We conducted a survey on the medical service utilization behavior of community residents in Shanghai, the biggest city in eastern
China. The vaccination status of respondents during the 2021–2022 flu season and the reasons for receiving or not receiving the vaccine were investigated among 14,001 local residents. The influenza vaccination rate in 2021–2022 season (17.68%) was higher than that in 2018–2019 season (11.8%) in the same area. And this trend was found in population of different age groups. However, the overall influenza vaccination coverage rate in Shanghai is still low, especially among elderly, it remains inadequate to establish an immune barrier and lags behind other developed regions. For children, lower household income was an independent promoting factor. For adults, factors significantly associated with vaccination were household income, sex, and education level. For elderly, factors significantly associated with vaccination were household income, education level, living state, and having underlying diseases. (P < .05) The main reason for vaccine hesitancy among children was worried about side effects (21.49%), for adults and elderly was self-rated good health (adults: 37.14%,elderly people: 30.66%).Efforts should be made to increase awareness of influenza vaccines according to the characteristics of different population.