A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, Beijing
BackgroundVaccination is an effective measure to prevent herpes zoster and its related complications. The coverage of herpes zoster vaccination is extremely low in China, and there is a notable lack of research investigating the barriers to promoting the herpes zoster vaccine in China.ObjectivesThis...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1486603/full |
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| author | Jiao Zhang Shuo Zhang Bin Jia Yunhua Bai Zhen Li Fang Liu Yingxue Hu Xiaojing Guo Jianxin Ma Shuming Li Qian Shi |
| author_facet | Jiao Zhang Shuo Zhang Bin Jia Yunhua Bai Zhen Li Fang Liu Yingxue Hu Xiaojing Guo Jianxin Ma Shuming Li Qian Shi |
| author_sort | Jiao Zhang |
| collection | DOAJ |
| description | BackgroundVaccination is an effective measure to prevent herpes zoster and its related complications. The coverage of herpes zoster vaccination is extremely low in China, and there is a notable lack of research investigating the barriers to promoting the herpes zoster vaccine in China.ObjectivesThis study aims to survey the status of herpes zoster (HZ) vaccination and its associated factors among individuals aged 50 years and older, it also seeks to identify the barriers to vaccination and dissemination, thereby providing a scientific foundation for enhancing the vaccination rate of herpes zoster.MethodsFrom March to August 2023, a questionnaire survey was conducted using a multi-stage sampling method on permanent residents aged 50 years and older in Chaoyang district of Beijing. Logistic regression analysis and decision tree models were employed to explore the predictors herpes zoster vaccination behavior.ResultsThe herpes zoster vaccination coverage was 13.26% (403/3040), with 52.4% of respondents expressing willingness but not yet receiving the vaccine, while 34.31% (1,043/3040) were unwilling to be vaccinated. Among those willing but not vaccinated, 48.06% cited high cost as the reason for abstaining from vaccination. Multivariate logistic regression analysis revealed that certain factors were associated with lower vaccination coverage, including being female, having a low frequency of influenza episodes (less than twice per year), and having chronic diseases. On the other hand, higher vaccination coverage was observed among individuals whose spouses had a master’s degree or higher, those awarded that a history of chickenpox may lead to potential herpes zoster infection, those who were knowledgeable about the herpes zoster vaccine, and those received recommendations from medical staff. Additionally, the decision tree model confirmed that recommendations from medical staff had the most significant impact on vaccination.ConclusionThe survey reveals a generally low vaccination coverage of the herpes zoster vaccine among residents aged over 50 in this area. It is recommended to enhance the role of medical staff in advocating for vaccination, conduct community-based educational initiatives that focus on varicella, herpes zoster, and related knowledge, and alleviate the financial burden to improve the herpes zoster vaccination coverage. |
| format | Article |
| id | doaj-art-259cb18015c74f15ac2ef4d1d5f0d797 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-259cb18015c74f15ac2ef4d1d5f0d7972025-01-23T06:56:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14866031486603A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, BeijingJiao Zhang0Shuo Zhang1Bin Jia2Yunhua Bai3Zhen Li4Fang Liu5Yingxue Hu6Xiaojing Guo7Jianxin Ma8Shuming Li9Qian Shi10Beijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, Fujian, ChinaBeijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaBeijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaBeijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaBeijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaBeijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaInstitute of Basic Medical School, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, ChinaBeijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaBeijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaBeijing Chaoyang District Center for Disease Control and Prevention, Beijing, ChinaBackgroundVaccination is an effective measure to prevent herpes zoster and its related complications. The coverage of herpes zoster vaccination is extremely low in China, and there is a notable lack of research investigating the barriers to promoting the herpes zoster vaccine in China.ObjectivesThis study aims to survey the status of herpes zoster (HZ) vaccination and its associated factors among individuals aged 50 years and older, it also seeks to identify the barriers to vaccination and dissemination, thereby providing a scientific foundation for enhancing the vaccination rate of herpes zoster.MethodsFrom March to August 2023, a questionnaire survey was conducted using a multi-stage sampling method on permanent residents aged 50 years and older in Chaoyang district of Beijing. Logistic regression analysis and decision tree models were employed to explore the predictors herpes zoster vaccination behavior.ResultsThe herpes zoster vaccination coverage was 13.26% (403/3040), with 52.4% of respondents expressing willingness but not yet receiving the vaccine, while 34.31% (1,043/3040) were unwilling to be vaccinated. Among those willing but not vaccinated, 48.06% cited high cost as the reason for abstaining from vaccination. Multivariate logistic regression analysis revealed that certain factors were associated with lower vaccination coverage, including being female, having a low frequency of influenza episodes (less than twice per year), and having chronic diseases. On the other hand, higher vaccination coverage was observed among individuals whose spouses had a master’s degree or higher, those awarded that a history of chickenpox may lead to potential herpes zoster infection, those who were knowledgeable about the herpes zoster vaccine, and those received recommendations from medical staff. Additionally, the decision tree model confirmed that recommendations from medical staff had the most significant impact on vaccination.ConclusionThe survey reveals a generally low vaccination coverage of the herpes zoster vaccine among residents aged over 50 in this area. It is recommended to enhance the role of medical staff in advocating for vaccination, conduct community-based educational initiatives that focus on varicella, herpes zoster, and related knowledge, and alleviate the financial burden to improve the herpes zoster vaccination coverage.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1486603/fullherpes zosterthe herpes zoster vaccinevaccination coveragepredictorquestionnaire survey |
| spellingShingle | Jiao Zhang Shuo Zhang Bin Jia Yunhua Bai Zhen Li Fang Liu Yingxue Hu Xiaojing Guo Jianxin Ma Shuming Li Qian Shi A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, Beijing Frontiers in Public Health herpes zoster the herpes zoster vaccine vaccination coverage predictor questionnaire survey |
| title | A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, Beijing |
| title_full | A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, Beijing |
| title_fullStr | A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, Beijing |
| title_full_unstemmed | A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, Beijing |
| title_short | A cross-sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in Chaoyang district, Beijing |
| title_sort | cross sectional study exploring the predictors of herpes zoster vaccination for people aged over 50 years old in chaoyang district beijing |
| topic | herpes zoster the herpes zoster vaccine vaccination coverage predictor questionnaire survey |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1486603/full |
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