Knowledge,attitudes and practices related to the influenza virus and vaccine among older adults in Eastern China |
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| Affiliation: | 1. Abt Associates, Inc., 2200 Century Parkway NE, Suite 950, Atlanta, GA, USA;2. Hong Kong University, Pokfulam Road, Hong Kong Special Administrative Region;3. United States Centers for Disease Control and Prevention; Atlanta, 1600 Clifton Rd, Atlanta, GA, USA;4. United States Centers for Disease Control and Prevention; Beijing, Suite 601, Dongwai Diplomatic Office, 23 Dongzhimenwai Dajie, Beijing, PR China;5. China Centers for Disease Control and Prevention, 155 Changbai Road, Changping District, Beijing, PR China;6. Suzhou Centers for Disease Control and Prevention, 72 San Xiang Road, Suzhou City, Jiangsu Province, PR China;7. Yancheng Centers for Disease Control and Prevention, 66 East Yu Long Road, Yancheng City, Jiangsu Province, PR China;8. Jiangsu Centers for Disease Control and Prevention. 172 Nan Jing Road, Nanjing City, Jiangsu Province, PR China;9. National Institute for Viral Disease Control and Prevention, China CDC, Key Laboratory for Medical Virology, National Health and Family Planning Commission, Beijing 102206, China;1. Chair of Microbiology, Jagiellonian University Medical College, Krakow, Poland;2. Division of Neonatology, Loma Linda University Children''s Hospital, Loma Linda, CA, USA;3. Clinic of Neonatology and Intensive Neonatal Care, Warsaw Medical University, Warsaw, Poland;4. Institute of Theoretical and Applied Informatics of Polish Academy of Sciences, Gliwice, Poland;5. Clinic of Neonatology, Polish Mother''s Memorial Hospital-Research Institute, Lodz, Poland;6. Clinic of Neonatology and Intensive Neonatal Care, Institute of Mother and Child, Warsaw, Poland;7. Department of Neonatal Diseases, Pomeranian Medical University, Szczecin, Poland;8. Clinic of Neonatology, Jagiellonian University Medical College, Krakow, Poland;9. Institute of Nature Conservation, Polish Academy of Sciences, Krakow, Poland;1. University of Michigan School of Public Health, Department of Epidemiology, 1415 Washington Heights, Ann Arbor, MI 48109, USA;2. Influenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA;1. Department of Pediatrics and Neonatology, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan;2. Department of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan;3. Faculty of Medicine, Jordan University of Science and Technology, Jordan;1. Beijing Center for Disease Prevention and Control, Beijing 100013, PR China;2. School of Public Health, Peking University, Beijing 100191, PR China;3. School of Public Health of Columbia University, NY 10032, USA;1. Department of Cardiology, University Hospital Besancon, and EA3920, University of Franche-Comté, Besancon, France;2. Unit of Geriatrics, Università Campus Bio-Medico di Roma, Rome, Italy;3. Fondazione IRCCS Ca'' Granda Ospedale Maggiore Policlinico, Milano, Italy;4. Geriatric Unit, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy;5. CNR, Institute of Neuroscience – Aging Branch, Padua, Italy;1. School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, Guangdong, China;2. Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, Guangdong, China;3. Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan |
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| Abstract: | BackgroundThis study aims to assess the association between socio-demographic and health characteristics of older adults in Eastern China and knowledge, attitudes, and practices (KAP) about the influenza virus and vaccine.MethodsA prospective cohort of 1506 older adults (aged ≥60 years) was enrolled from November to December 2015 in Jiangsu Province. We examined the association between demographics, health and functional status, and cognitive impairment at enrollment with awareness of influenza virus and vaccine and KAP items focused on five Health Belief Model domains. At a 12-month follow-up interview we assessed change in awareness and readiness to be vaccinated.ResultsOne in five older adults was aware of the influenza virus (21%) or vaccine (20%); even fewer reported having at least “a little” knowledge of the virus and vaccine (7% and 4%, respectively); less than 1% reported ever receiving an influenza vaccine. Retirement, higher education and income, and normal cognitive status were consistently associated with both awareness and knowledge of influenza virus. The odds of having at least “a little” knowledge of the vaccine was 2.9-fold (95% CI = 1.6–5.3) higher among older adults with at least some secondary schooling. Among the 108 with knowledge of the virus, 55% said they “worry about getting the flu this season.” Among the 73 with knowledge of the vaccine, 92% believed the vaccine was at least somewhat effective and less than half (43%) thought that influenza vaccination was safe. At a 12-month follow-up interview, 33% (442/1333) increased from no knowledge to at least “a little”.ConclusionsIf and when influenza vaccines become widely available to older adults in China, our results indicate that influenza vaccination campaigns with basic information on the virus and vaccine could be beneficial for all older adults, especially those with less education and/or more cognitive impairment. |
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| Keywords: | Older adults Influenza vaccination Knowledge Attitudes China |
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