Influenza vaccination and related factors among urban and rural adult community residents – a cross-sectional survey in Anhui province

  Objective  To examine the prevalence and associates of influenza vaccination among adult community residents in urban and rural Anhui province.

  Methods  With stratified multistage sampling and a self-designed question-naire, we conducted an on-site self-administered survey with interviewer assistance among 978 residents aged 16 years and older in 8 urban and rural communities of Anhui province during July – December 2021. The participants′ information on demographics, influenza vaccination in past one year, cognition about coronavirus disease 2019 (COVID-19) epidemic, and history of COVID-19 vaccination were collected and analyzed using χ² test; multivariate analysis was adopted to explore influencing factors of influenza vaccination.

  Results   Among the 833 participants with valid responses, 232 (27.85%, 95% confidence interval 95%CI: 24.73 – 31.14%) reported receiving influenza vaccination in past one year. Of the participants not receiving influenza vaccination, 57.57% reported being unaware of influenza vaccination. The results of multivariate logistic regression analysis showed that the participants with following characteristics were more likely to receive influenza vaccination: male gender (odds ratio OR = 1.43, 95%CI: 1.01 – 2.04), with the education of junior high school and above (OR = 1.81, 95%CI: 1.03 – 3.17), with a higher self-rated risk of COVID-19 infection (OR = 1.50, 95%CI: 1.02 – 2.20), ever receiving COVID-19 vaccination (OR = 9.20, 95%CI: 3.28 – 25.80), and being satisfied with community-based measures for prevention and control of COVID-19 epidemic (OR = 1.61, 95%CI: 1.06 – 2.47).

  Conclusion  The acceptance of influenza vaccination is mainly influenced by gender, education, knowledge about COVID-19 epidemic, and history of COVID-19 vaccination among urban and rural adult community residents in Anhui province.