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Factors Influencing Childhood Influenza Vaccination: A Systematic Review
Kaiyi Han1,2, Zhiyuan Hou1,3, Shiyi Tu1,3
1School of Public Health, Fudan University, Shanghai 200437, China.
Vaccines
|March 28, 2024
Summary
Low childhood influenza vaccination in lower/middle-income countries is influenced by caregiver knowledge, attitudes, and healthcare provider recommendations. Addressing vaccine safety concerns through education is crucial for improving uptake.
Area of Science:
- Public Health
- Epidemiology
- Vaccinology
Background:
- Childhood influenza vaccination coverage is notably low in lower and middle-income countries.
- Understanding the factors influencing vaccination decisions is critical for public health interventions.
Purpose of the Study:
- To systematically review and identify factors influencing childhood influenza vaccination in diverse global settings.
- To provide evidence-based recommendations for enhancing influenza vaccine uptake in children.
Main Methods:
- A comprehensive systematic literature review was performed across multiple international databases.
- Included empirical studies with original data published before December 2019, focusing on childhood influenza vaccination.
Main Results:
- Positive associations with vaccination included caregiver knowledge, positive attitudes, self-efficacy, perceived influenza risk, belief in vaccine efficacy, and healthcare worker recommendations.
- Key barriers identified were concerns regarding vaccine safety, side effects, and limited access to vaccination services.
Conclusions:
- Improving childhood influenza vaccine uptake requires targeted health education to build caregiver confidence in vaccine safety.
- Further research should explore healthcare worker recommendation behaviors and the influence of contextual factors on vaccination decisions.
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