Increasing seasonal influenza vaccination among high risk groups in China: Do community healthcare workers have a role to play?

•Seasonal influenza vaccine uptake among high risk groups (HRG) in China is low.•Community (C) healthcare workers (HCWs) offer primary healthcare for HRG.•HRG surveyed were willing to follow HCWs’ recommendation for vaccination.•HCWs rarely recommend vaccine; C-HCWs recommend more often than hospita...

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Bibliographic Details
Published in:Vaccine 2017-07, Vol.35 (33), p.4060-4063
Main Authors: Song, Ying, Zhang, Tao, Chen, Liling, Yi, Bo, Hao, Xiaoning, Zhou, Suizan, Zhang, Ran, Greene, Carolyn
Format: Article
Language:English
Subjects:
Adults
Aged
Aged, 80 and over
Child, Preschool
Children
China - epidemiology
Communities
Community
Community Health Workers
Cross-Sectional Studies
Data processing
Female
Health care
Healthcare worker
Humans
Immunization
Immunization Programs
Infant
Influenza
Influenza Vaccines - administration & dosage
Influenza, Human - epidemiology
Influenza, Human - prevention & control
KAP
Male
Medical personnel
Middle Aged
Pregnancy
Public health
Risk
Risk groups
Seasonal influenza vaccine
Seasons
Studies
Vaccination
Vaccination Coverage
Vaccines
Womens health
Workers
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Summary:•Seasonal influenza vaccine uptake among high risk groups (HRG) in China is low.•Community (C) healthcare workers (HCWs) offer primary healthcare for HRG.•HRG surveyed were willing to follow HCWs’ recommendation for vaccination.•HCWs rarely recommend vaccine; C-HCWs recommend more often than hospital HCWs.•C-HCWs can recommend influenza vaccine in routine services to increase HRG uptake. Seasonal influenza vaccine uptake in China is low. This study aims to assess the role of community healthcare workers (HCWs) in increasing vaccination among high risk groups in China. We analyzed data from four knowledge, attitude and practice (KAP) studies on seasonal influenza vaccination in China targeting guardians of young children, pregnant women, adults aged ≥60years, and HCWs from 2012 to 2014. Thirty-one percent of pregnant women and 78% adults aged ≥60years reported willingness to follow HCWs’ recommendations for influenza vaccination. Guardians were more likely to vaccinate their children if they received HCWs’ recommendations (35% vs. 17%, p
ISSN:0264-410X
1873-2518
DOI:10.1016/j.vaccine.2017.06.054