Journal of Infectious Diseases and Medicine

In this paper, community HCWs in the southwest Chinese city of Chongqing are evaluated with regard to their seasonal influenza vaccine hesitancy (IVH) and its causes. Methods: Using a self-administered computerised questionnaire, a cross-sectional survey of 1030 community HCWs with direct or indirect patient contact was carried out from July to September 2021. Multivariable logistic regression was used to examine potential risk variables for IVH in community HCWs and produce adjusted odds ratios (ORs) and 95% confidence intervals (CIs). Results: In the 2020–2021 season, 65.8% of community HCWs had IVH, whereas 46.2% of community HCWs received vaccinations. IVH was positively correlated with "don't know the coverage in China" (OR: 1.46, 95% CI: 1.01-2.11; 40-year-old group OR: 3.02, 1.92-4.76), and "complacency" (OR: 4.55, 95% CI: 3.14- 6.60). the locality HCWs with a history of influenza vaccination had a higher likelihood of fully accepting vaccination (OR: 0.67, 95% CI: 0.48-0.95), as did those with greater confidence and convenience (OR: 0.08, 95% CI: 0.06-0.12; OR: 0.34, 95% CI: 0.23-0.52, respectively). Conclusions: Increasing the seasonal influenza vaccine-coverage among community HCWs in Chongqing will be made possible by actions such raising public awareness of influenza and vaccination, extending the free vaccination policy, and enhancing the convenience of the vaccination service.

In this paper, community HCWs in the southwest Chinese city of Chongqing are evaluated with regard to their seasonal influenza vaccine hesitancy (IVH) and its causes. Methods: Using a self-administered computerised questionnaire, a cross-sectional survey of 1030 community HCWs with direct or indirect patient contact was carried out from July to September 2021. Multivariable logistic regression was used to examine potential risk variables for IVH in community HCWs and produce adjusted odds ratios (ORs) and 95% confidence intervals (CIs). Results: In the 2020–2021 season, 65.8% of community HCWs had IVH, whereas 46.2% of community HCWs received vaccinations. IVH was positively correlated with "don't know the coverage in China" (OR: 1.46, 95% CI: 1.01-2.11; 40-year-old group OR: 3.02, 1.92-4.76), and "complacency" (OR: 4.55, 95% CI: 3.14- 6.60). the locality HCWs with a history of influenza vaccination had a higher likelihood of fully accepting vaccination (OR: 0.67, 95% CI: 0.48-0.95), as did those with greater confidence and convenience (OR: 0.08, 95% CI: 0.06-0.12; OR: 0.34, 95% CI: 0.23-0.52, respectively). Conclusions: Increasing the seasonal influenza vaccine-coverage among community HCWs in Chongqing will be made possible by actions such raising public awareness of influenza and vaccination, extending the free vaccination policy, and enhancing the convenience of the vaccination service.