Ying Song1, Tao Zhang2, Liling Chen3, Bo Yi4, Xiaoning Hao5, Suizan Zhou6, Ran Zhang6, Carolyn Greene6. 1. Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: kei2@cdc.gov. 2. School of Public Health, Fudan University, Shanghai, China. 3. Suzhou Center for Disease Prevention and Control, Suzhou, Jiangsu Province, China. 4. Ningbo Center for Disease Prevention and Control, Ningbo, Zhejiang Province, China. 5. Health Development Research Center of the National Health and Family Planning Commission, Beijing, China. 6. Centers for Disease Control and Prevention, Atlanta, GA, USA.
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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<0.001). Community HCWs were more likely to recommend seasonal influenza vaccination than hospital HCWs (58% vs. 28%, p<0.001). CONCLUSION: Study results suggest the value of incorporating community HCWs' recommendation for seasonal influenza vaccination into existing primary public health programs to increase vaccination coverage among high risk groups in China. Published by Elsevier Ltd.
BACKGROUND: 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. METHODS: 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. RESULTS: 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<0.001). Community HCWs were more likely to recommend seasonal influenza vaccination than hospital HCWs (58% vs. 28%, p<0.001). CONCLUSION: Study results suggest the value of incorporating community HCWs' recommendation for seasonal influenza vaccination into existing primary public health programs to increase vaccination coverage among high risk groups in China. Published by Elsevier Ltd.
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Authors: Liling Chen; Suizan Zhou; Zhongwei Zhang; Yan Wang; Lin Bao; Yayun Tan; Falin Sheng; Ying Song; Ran Zhang; A Danielle Iuliano; Mark G Thompson; Carolyn M Greene; Jun Zhang Journal: BMJ Open Date: 2018-04-28 Impact factor: 2.692