Determinants of Willingness of Patients with Type 2 Diabetes Mellitus to Receive the Seasonal Influenza Vaccine in Southeast China

Wei Feng, Jun Cui and Hui Li
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Wei Feng: Department of Chronic Diseases and Community Health, Fenghua District Center for Disease Control and Prevention, Ningbo 315000, Zhejiang, China
Jun Cui: Department of Chronic Disease Prevention, Ningbo Municipal Center for Disease Control and Prevention, Ningbo 315000, Zhejiang, China
Hui Li: Department of Chronic Disease Prevention, Ningbo Municipal Center for Disease Control and Prevention, Ningbo 315000, Zhejiang, China

IJERPH, 2019, vol. 16, issue 12, 1-9

Abstract: Willingness of patients with Type 2 diabetes mellitus (T2DM) to receive the seasonal influenza vaccine is low in China. A cross-sectional study on a representative sample of T2DM patients was conducted in Ningbo, a city in southeast China, to assess T2DM patients’ willingness to be vaccinated against influenza and identify the influence factors of this willingness. Data regarding the participant’s history of influenza, the knowledge, willingness and uptake of the influenza vaccine, demographic characteristics, reasons for willingness or unwillingness to be vaccinated was collected. Only 19.55% of a total of 1749 participants reported a willingness to be vaccinated. Factors positively associated with willingness to be vaccinated were perceived susceptibility to influenza (OR = 1.9, 95% CI: 1.5–2.5), awareness of the vaccine (OR = 1.7, 95% CI: 1.3–2.3) and previous history of influenza vaccination (OR = 4.4, 95% CI: 3.0–6.4). Patients with T2DM who were farmers (OR = 0.6, 95% CI: 0.4–0.8) and those managed by contracted family doctors (OR = 0.8, 95% CI: 0.6–1.0) expressed less willingness to be vaccinated. Targeted interventions such as enhancing health education and strengthening medical staff training should be conducted to increase T2DM patients’ willingness to be vaccinated and enhance influenza vaccine uptake among this population.

Keywords: determinants; diabetic patients; seasonal influenza vaccine; willingness (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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