Investigation on the level of knowledge-attitude-practice and driving factors of vaccination of influ-enza among young and middle-aged population
Objective To understand the knowledge,attitude and practice level of influenza vaccine among young and middle-aged groups,as well as their vaccination status and intention,and to ex-plore related influencing factors to help promote vaccination.Methods From May to August 2023,4 895 permanent residents in Nanchang,Changsha,and Kunming were selected by multi-stage random sampling to complete a questionnaire survey.Multivariate logistic regression was used to analyze the influencing and driving factors of KAP level of influenza vaccine.Results The knowledge and attitude towards influenza vaccine among young and middle-aged people were average,and the level of vaccination was relatively low.In addition,there were statistically significant differences(P＜0.05)in the KAP level among gen-der,education level,occupation,annual income,whether suffering from underlying diseases,smoking,and alcohol consumption.The results of multivariate analysis showed that partial occupation(all P＜0.05),having underlying diseases(OR=1.309,95％CI:1.073-1.597,P=0.008),good cognition(OR=1.574,95％CI:1.322-1.874,P＜0.001),and good attitudes(OR=2.379,95％CI:1.616-3.502,P＜0.001)were promoting factors of vaccination.Severe influenza season conditions,fear of in-fection affecting family and colleagues,free or discounted vaccines,and vaccination recommendation from government and health authorities were the main factors contributing to the change in vaccination inten-tions among the young and middle-aged population.Conclusions The KAP level of influenza vaccine in young and middle-aged people is low,so the popularization of influenza vaccine related knowledge should be strengthened.Vaccine uptake can be promoted through various measures,including the implementing preferential vaccination policies at different levels and phases,improving incentives for grassroots vaccina-tion service personnel,and encouraging clinical doctors to prescribe vaccines.
Influenza vaccineYoung and middle-aged groupsKnowledge-attitude-practiceInfluencing factorDriving factors
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