Table 1.
Summary of seasonal influenza vaccination coverage and factors influencing seasonal influenza vaccination among four target populations: guardians of young children, pregnant women, adults aged 60 years and older and healthcare workers – China 2011–2014.
| Seasonal influenza vaccination factor | Guardians of children aged 6 months to 3 years n = 360 |
Pregnant women n = 1673 |
Adults ≥60 years of age n = 379 |
Healthcare workers n = 1301 |
|---|---|---|---|---|
|
| ||||
| Received seasonal influenza vaccine in past year | 22% (children vaccinated) (95% CI: 18–27%) | 0 (95% CI: < 0.2%) | 0.8% (95% CI: 0.3–2.3%) | 5% (95% CI: 4–6%) |
| Received HCWa recommendation for seasonal influenza vaccination in past year | 27% (95% CI: 23–32%) | 4% (95% CI: 2.8–4.6%) | Not asked | Not asked |
| Reported willingness to get vaccinated if HCW recommended vaccine | Not asked | 31% (95% CI: 29–33%) | 78% (95% CI: 74–82%) | N/A |
| Main barriers to vaccination reportedb | (1) Vaccine safety (62%) (2) No HCW recommendation (37%) (3) Vaccination not necessary (25%) (4) Limited vaccine effectiveness (23%) |
(1) Harm to fetus (83%) (2) Vaccine safety for pregnant women (28%) (3) Vaccination not necessary (22%) |
(1) Vaccination not necessary (33%) (2) Medical insurance does not cover influenza vaccine (24%) (3) No HCW recommendation (23%) (4) Vaccine safety (22%) |
(1) Vaccine safety (43%) (2) Vaccination not necessary (27%) (3) No time for vaccination (24%) (4) Limited vaccine effectiveness (20%) |
| Preferred resources for receiving vaccine information | (1) TV (64%) (2) Internet (57%) (3) Educational leaflets (51%) |
(1) TV (56%) (2) Internet (39%) (3) HCWs (34%) |
(1) HCWs (74%) (2) Community health lecture (41%) (3) TV/Radio (24%) (4) Friends/Family member (24%) |
(1) Internet (76%) (2) TV/Radio (75%) (3) Newspapers/books (55%) (4) Colleagues (50%) |
a
HCW – Healthcare worker.
b
Cost and poor access were listed as options for main barriers to vaccination in the surveys to guardians, adults aged 60 years and older and HCWs, however only adults 60 years and older listed cost as one of the main barriers to vaccination. In 2014, the average cost of the seasonal influenza vaccine in China was 10–15 USD. Cost and access were not included as options in the vaccine barrier question to pregnant women.