Attitudes Toward General Vaccination Mediate the Association Between Influenza Vaccination History and Pneumococcal Vaccination Intention Among Older Adults in China
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
Affiliations
Siwen Huang
Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Chi Ruan
Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Yan Jiang
School of Public Health, Xiangnan University, Chenzhou 423043, China
Yudan Song
National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Yuhang Zhang
Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Zeying Qin
Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Xinyu Shi
Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Mengyue Zhang
Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Jingtao Zhou
Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Dingwan Chen
School of Public Health, Hangzhou Medical College, Hangzhou 310053, China
Yongkang Xiao
Department of Acute Infectious Diseases Control and Prevention, Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, China
Liang Wang
Department of Infectious Diseases Control and Prevention, Chengdu Center for Disease Control and Prevention, Chengdu 610041, China
Lili Tian
Beijing Miyun District Center for Disease Control and Prevention, Beijing 101520, China
Rui Peng
School of Government and Public Affairs, Communication University of China, Beijing 100024, China
Zongchao Peng
School of Public Policy and Management, Tsinghua University, Beijing 100084, China
Sitong Luo
Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Background: 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. Objective: 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. Method: 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. Results: A significant positive association was observed between influenza vaccination history and pneumococcal vaccination intention (r = 0.167, p p p p p p Conclusion: 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.
