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Association between risk perception and influenza vaccine hesitancy for children among reproductive women in China during the COVID-19 pandemic: a national online survey.
BMC Public Health. 2022 02 23; 22(1):385.BP

Abstract

BACKGROUND

In China, the national prevalence of parental influenza vaccine hesitancy (IVH) during the pandemic of coronavirus disease 2019 (COVID-19), and the association between risk perception and parental IVH are still unclear. We aimed to explore the association between risk perception and IVH for children among reproductive women in China, a poorly studied area.

METHODS

From December 14, 2020, to January 31, 2021, we conducted a national anonymous online survey on IVH for children among reproductive women in China. We assessed risk perception including perceived susceptibility, severity, barriers, and benefits using the Health Belief Model and then classified each variable into three groups based on tertiles. Logistic regression models were used to calculate the adjusted odds ratio (aOR) of risk perception related to vaccine hesitancy after controlling for sociodemographic characteristics, health status, and knowledge of influenza, among other factors. Additionally, subgroup analysis was performed.

RESULTS

Among 3,011 reproductive women, 9.13% reported IVH. In multivariable models, vaccine hesitancy was associated with low perceived susceptibility (aOR = 2.55, 95% CI: 1.79-3.65), higher perceived barriers (moderate: aOR = 1.47, 95% CI: 1.04-2.08; high: aOR = 2.20, 95% CI: 1.47-3.30), and low perceived benefit (moderate: aOR = 1.40, 95% CI: 1.03-1.92; low: aOR = 2.10, 95% CI: 1.43-3.07). Subgroup analysis showed that vaccine hesitancy was more likely to occur among women with high perceived barriers aged < 30 years compared with those older than 30 years (P for difference = 0.041) and among women with moderate perceived benefit who had never conceived compared with those had a history of pregnancy (P for difference = 0.048).

CONCLUSIONS

Nearly one in 10 reproductive women was hesitant about influenza vaccination for their children during the COVID-19 pandemic. To mitigate vaccine hesitancy, our findings highlight a need for tailored public health measures to increase perceived disease susceptibility and vaccine benefit and decrease perceived barriers. Furthermore, the effect of high perceived barriers and moderate perceived benefit on vaccine hesitancy was higher among younger women and women who had never conceived.

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Authors+Show Affiliations

Du M
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing, 100191, China.
Tao L
Research Center of Clinical Epidemiology, Peking University Third Hospital, No.49 Huayuan North Road, Haidian District, Beijing, 100083, China.
Liu J
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing, 100191, China. jueliu@bjmu.edu.cn. Institute for Global Health and Development, Peking University, No.5 Yiheyuan Road, Haidian District, Beijing, 100871, China. jueliu@bjmu.edu.cn. National Health Commission Key Laboratory of Reproductive Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing, 100191, China. jueliu@bjmu.edu.cn.

MeSH

AdultCOVID-19COVID-19 VaccinesChildChinaCross-Sectional StudiesFemaleHumansInfluenza VaccinesInfluenza, HumanPandemicsPerceptionPregnancySARS-CoV-2VaccinationVaccination Hesitancy

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

35197035

Citation

Du, Min, et al. "Association Between Risk Perception and Influenza Vaccine Hesitancy for Children Among Reproductive Women in China During the COVID-19 Pandemic: a National Online Survey." BMC Public Health, vol. 22, no. 1, 2022, p. 385.
Du M, Tao L, Liu J. Association between risk perception and influenza vaccine hesitancy for children among reproductive women in China during the COVID-19 pandemic: a national online survey. BMC Public Health. 2022;22(1):385.
Du, M., Tao, L., & Liu, J. (2022). Association between risk perception and influenza vaccine hesitancy for children among reproductive women in China during the COVID-19 pandemic: a national online survey. BMC Public Health, 22(1), 385. https://doi.org/10.1186/s12889-022-12782-0
Du M, Tao L, Liu J. Association Between Risk Perception and Influenza Vaccine Hesitancy for Children Among Reproductive Women in China During the COVID-19 Pandemic: a National Online Survey. BMC Public Health. 2022 02 23;22(1):385. PubMed PMID: 35197035.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between risk perception and influenza vaccine hesitancy for children among reproductive women in China during the COVID-19 pandemic: a national online survey. AU - Du,Min, AU - Tao,Liyuan, AU - Liu,Jue, Y1 - 2022/02/23/ PY - 2021/10/26/received PY - 2022/02/16/accepted PY - 2022/2/24/entrez PY - 2022/2/25/pubmed PY - 2022/3/1/medline KW - COVID-19 KW - China KW - Influenza KW - Reproductive women KW - Vaccine hesitancy SP - 385 EP - 385 JF - BMC public health JO - BMC Public Health VL - 22 IS - 1 N2 - BACKGROUND: In China, the national prevalence of parental influenza vaccine hesitancy (IVH) during the pandemic of coronavirus disease 2019 (COVID-19), and the association between risk perception and parental IVH are still unclear. We aimed to explore the association between risk perception and IVH for children among reproductive women in China, a poorly studied area. METHODS: From December 14, 2020, to January 31, 2021, we conducted a national anonymous online survey on IVH for children among reproductive women in China. We assessed risk perception including perceived susceptibility, severity, barriers, and benefits using the Health Belief Model and then classified each variable into three groups based on tertiles. Logistic regression models were used to calculate the adjusted odds ratio (aOR) of risk perception related to vaccine hesitancy after controlling for sociodemographic characteristics, health status, and knowledge of influenza, among other factors. Additionally, subgroup analysis was performed. RESULTS: Among 3,011 reproductive women, 9.13% reported IVH. In multivariable models, vaccine hesitancy was associated with low perceived susceptibility (aOR = 2.55, 95% CI: 1.79-3.65), higher perceived barriers (moderate: aOR = 1.47, 95% CI: 1.04-2.08; high: aOR = 2.20, 95% CI: 1.47-3.30), and low perceived benefit (moderate: aOR = 1.40, 95% CI: 1.03-1.92; low: aOR = 2.10, 95% CI: 1.43-3.07). Subgroup analysis showed that vaccine hesitancy was more likely to occur among women with high perceived barriers aged < 30 years compared with those older than 30 years (P for difference = 0.041) and among women with moderate perceived benefit who had never conceived compared with those had a history of pregnancy (P for difference = 0.048). CONCLUSIONS: Nearly one in 10 reproductive women was hesitant about influenza vaccination for their children during the COVID-19 pandemic. To mitigate vaccine hesitancy, our findings highlight a need for tailored public health measures to increase perceived disease susceptibility and vaccine benefit and decrease perceived barriers. Furthermore, the effect of high perceived barriers and moderate perceived benefit on vaccine hesitancy was higher among younger women and women who had never conceived. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/35197035/Association_between_risk_perception_and_influenza_vaccine_hesitancy_for_children_among_reproductive_women_in_China_during_the_COVID_19_pandemic:_a_national_online_survey_ DB - PRIME DP - Unbound Medicine ER -