Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in China
<b>Background:</b> Influenza and pneumococcal vaccinations play a crucial role in disease prevention among older adults and are recommended to older adults aged 60 years and over in China, but the vaccination rates are suboptimal. Behavioral spillover indicates that a change in one behav...
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2024-12-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/13/1/20 |
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| author | Siwen Huang Chi Ruan Yan Jiang Yudan Song Yuhang Zhang Zeying Qin Xinyu Shi Mengyue Zhang Jingtao Zhou Dingwan Chen Yongkang Xiao Liang Wang Lili Tian Rui Peng Zongchao Peng Sitong Luo |
| author_facet | Siwen Huang Chi Ruan Yan Jiang Yudan Song Yuhang Zhang Zeying Qin Xinyu Shi Mengyue Zhang Jingtao Zhou Dingwan Chen Yongkang Xiao Liang Wang Lili Tian Rui Peng Zongchao Peng Sitong Luo |
| author_sort | Siwen Huang |
| collection | DOAJ |
| description | <b>Background:</b> Influenza and pneumococcal vaccinations play a crucial role in disease prevention among older adults and are recommended to older adults aged 60 years and over in China, but the vaccination rates are suboptimal. Behavioral spillover indicates that a change in one behavior may lead to changes in other related behaviors. <b>Objective:</b> Based on the Behavioral Spillover Theory, this study aimed to investigate the association between influenza vaccination history and pneumococcal vaccination intention, as well as the mediating role of negative attitudes toward general vaccination among older adults in China. <b>Method:</b> A multi-center cross-sectional survey was conducted among 1031 older adults, and 658 participants (median age: 65.0 ± 9.0 years) who had not received pneumococcal vaccination were included in the analysis. Correlation analysis and path analysis were performed. <b>Results:</b> A significant positive association was observed between influenza vaccination history and pneumococcal vaccination intention (r = 0.167, <i>p</i> < 0.001). In contrast, negative attitudes toward general vaccination, including mistrust of vaccine benefits (r = −0.253, <i>p</i> < 0.001), worries about unforeseen future effects (r = −0.180, <i>p</i> < 0.001), concerns about commercial profiteering (r = −0.360, <i>p</i> < 0.001), and a preference for natural immunity (r = −0.212, <i>p</i> < 0.001) were negatively associated with pneumococcal vaccination intention. Negative attitudes toward general vaccination mediated the association between influenza vaccination history and pneumococcal vaccination intention (total indirect effect = 0.119, <i>p</i> < 0.001, effect size = 50.0%). <b>Conclusion:</b> These findings demonstrated that influenza vaccination history may reduce negative attitudes toward general vaccination, which may further increase pneumococcal vaccination intention, indicating spillover effects of influenza vaccination history. To promote vaccination behavior among older adults, addressing negative attitudes toward general vaccination is crucial. |
| format | Article |
| id | doaj-art-b5f0efd588574237abec35b0b41bd4a8 |
| institution | Kabale University |
| issn | 2076-393X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj-art-b5f0efd588574237abec35b0b41bd4a82025-01-24T13:51:41ZengMDPI AGVaccines2076-393X2024-12-011312010.3390/vaccines13010020Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in ChinaSiwen Huang0Chi Ruan1Yan Jiang2Yudan Song3Yuhang Zhang4Zeying Qin5Xinyu Shi6Mengyue Zhang7Jingtao Zhou8Dingwan Chen9Yongkang Xiao10Liang Wang11Lili Tian12Rui Peng13Zongchao Peng14Sitong Luo15Vanke School of Public Health, Tsinghua University, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, Beijing 100084, ChinaSchool of Public Health, Xiangnan University, Chenzhou 423043, ChinaNational Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, ChinaVanke School of Public Health, Tsinghua University, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, Beijing 100084, ChinaSchool of Public Health, Hangzhou Medical College, Hangzhou 310053, ChinaDepartment of Acute Infectious Diseases Control and Prevention, Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, ChinaDepartment of Infectious Diseases Control and Prevention, Chengdu Center for Disease Control and Prevention, Chengdu 610041, ChinaBeijing Miyun District Center for Disease Control and Prevention, Beijing 101520, ChinaSchool of Government and Public Affairs, Communication University of China, Beijing 100024, ChinaSchool of Public Policy and Management, Tsinghua University, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, Beijing 100084, China<b>Background:</b> Influenza and pneumococcal vaccinations play a crucial role in disease prevention among older adults and are recommended to older adults aged 60 years and over in China, but the vaccination rates are suboptimal. Behavioral spillover indicates that a change in one behavior may lead to changes in other related behaviors. <b>Objective:</b> Based on the Behavioral Spillover Theory, this study aimed to investigate the association between influenza vaccination history and pneumococcal vaccination intention, as well as the mediating role of negative attitudes toward general vaccination among older adults in China. <b>Method:</b> A multi-center cross-sectional survey was conducted among 1031 older adults, and 658 participants (median age: 65.0 ± 9.0 years) who had not received pneumococcal vaccination were included in the analysis. Correlation analysis and path analysis were performed. <b>Results:</b> A significant positive association was observed between influenza vaccination history and pneumococcal vaccination intention (r = 0.167, <i>p</i> < 0.001). In contrast, negative attitudes toward general vaccination, including mistrust of vaccine benefits (r = −0.253, <i>p</i> < 0.001), worries about unforeseen future effects (r = −0.180, <i>p</i> < 0.001), concerns about commercial profiteering (r = −0.360, <i>p</i> < 0.001), and a preference for natural immunity (r = −0.212, <i>p</i> < 0.001) were negatively associated with pneumococcal vaccination intention. Negative attitudes toward general vaccination mediated the association between influenza vaccination history and pneumococcal vaccination intention (total indirect effect = 0.119, <i>p</i> < 0.001, effect size = 50.0%). <b>Conclusion:</b> These findings demonstrated that influenza vaccination history may reduce negative attitudes toward general vaccination, which may further increase pneumococcal vaccination intention, indicating spillover effects of influenza vaccination history. To promote vaccination behavior among older adults, addressing negative attitudes toward general vaccination is crucial.https://www.mdpi.com/2076-393X/13/1/20vaccinationbehavioral spilloveranti-vaccine attitudesolder adults |
| spellingShingle | Siwen Huang Chi Ruan Yan Jiang Yudan Song Yuhang Zhang Zeying Qin Xinyu Shi Mengyue Zhang Jingtao Zhou Dingwan Chen Yongkang Xiao Liang Wang Lili Tian Rui Peng Zongchao Peng Sitong Luo Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in China Vaccines vaccination behavioral spillover anti-vaccine attitudes older adults |
| title | Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in China |
| title_full | Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in China |
| title_fullStr | Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in China |
| title_full_unstemmed | Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in China |
| title_short | Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in China |
| title_sort | attitudes toward general vaccination mediate the association between influenza vaccination history and pneumococcal vaccination intention among older adults in china |
| topic | vaccination behavioral spillover anti-vaccine attitudes older adults |
| url | https://www.mdpi.com/2076-393X/13/1/20 |
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