Table 4.

Self-reported reasons for accepting or refusing influenza vaccination in healthcare workers.

Reasons for refusing	Reference(n)	Reasons for accepting	Reference(n)
1. The vaccine is considered to have poor or limited preventive effect	43	1. Protect myself	30
2. Concerns about adverse reactions or vaccine quality	38	2. Protect my family, patients, and people around me	26
3. I’m too busy at work to have time	33	3. Worried about spreading it to the people around me	19
4. They are considered to be in good physical condition or have strong immunity and do not need vaccination	23	4. Vaccines are free or cheap	17
5. Think the flu is mild and will not cause serious illness	21	5. The vaccine is considered effective in preventing influenza and its complications	16
6. Vaccines are out-of-pocket or too expensive	20	6. Consider myself at high risk for the flu and its complications	13
7. Vaccinations are inconvenient or lacking	19	7. A work organization or employer requires or performs professional obligations	13
8. There are contraindications to vaccination	16	8. Recommended or influenced by leaders, colleagues, relatives and friends	12
9. Do not know about influenza vaccination and related information	14	9. Vaccination sites are available or readily available in the workplace	11
10. Not considered to be at high risk of catching the flu	14	10. That flu is a serious illness with serious effects	10
11. Adverse reactions after vaccination (e.g., flu-like symptoms, pain at injection site)	12	11. Avoid infection affecting my work	8
12. Not knowing when and where to get flu shots	11	12. It is recommended by government health authorities or the technical guidelines for influenza vaccines	7
13. Forget to vaccinate	11	13. Old age, underlying disease or chronic disease, fear of complications after infection	7
14. Fear of injection	8	14. Believe in the safety of flu vaccines	4
15. It is considered easy to treat with drugs or prevent with hygiene measures or other drugs	8	15. Doctor’s recommendation	3
16. Concerned about the safety of vaccines	7	16. I had the flu last season	3
17. Being pregnant or lactating	7	17. Participate in multidisciplinary campaigns or influenza vaccination campaigns	2
18. Requires annual vaccinations or immunization procedures	5	18. Have a history of influenza vaccination	2
19. Vaccination is not mandatory or recommended by the workplace	5	19. Familiarize with flu vaccination	1
20. Does not believe in or oppose vaccination	5	20. Flu infections take an economic toll	1
21. Personal choice, reduce drug use	4
22. There is no awareness of getting the flu vaccine	1
23. Had the flu this year and do not need to get vaccinated	1