Journal of Health & Medical Informatics

The seasonal influenza vaccine hesitancy (IVH) of community health care workers in the southwest Chinese city of Chongqing and its causes are examined in this paper. Methods: A cross-sectional survey of 1030 community health care workers who had either direct or indirect patient contact was conducted from July to September 2021 using a self-administered computerized questionnaire. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for potential risk factors for IVH among community HCWs were generated using multivariable logistic regression. Results: In the 2020–2021 season, 658.8% of community health care workers had IVH, and 46.2% of community health care workers had been vaccinated. "Don't know the coverage in China" had a positive correlation with IVH (OR: 1.46, 95% CI: 1.01-2.11; Group of 40-year-olds OR: 3.02, 1.92-4.76) as well as "complacency" 4.55, 95% CI: 3.14-6.60). Local HCWs who had previously been immunized against influenza were more likely to fully accept vaccination (OR: 0.67, 95% CI: 0.48-0.95), as well as those who had more comfort and confidence (OR: 0.08, 95% CI: 0.06- 0.12; OR: 0.34, 95% CI: 0,23, and 0,52, respectively). Conclusions: Increasing public awareness of influenza and vaccination, expanding the free vaccination policy, and improving the convenience of the vaccination service will all make it possible to increase the seasonal influenza vaccine coverage among community health care workers in Chongqing.