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Table 1 Respondent characteristics and influenza vaccination status, n (%)

From: Decreased influenza vaccination coverage among Chinese healthcare workers during the COVID-19 pandemic

Characteristics

Total

Influenza vaccination during the 2020/2021 influenza season

Influenza vaccination during the 2021/2022 influenza season

Yes

No

Yes

No

Total

1697

741(43.7)

956(56.3)

600(35.4)

1097(64.6)

Demographics of HCWs

     

Age, years

 

P = 0.005

 

P = 0.04

 

 < 25

105

45 (42.9)

60 (57.1)

42 (40.0)

63 (60.0)

 25–34

553

206 (37.3)

347 (62.7)

167 (30.2)

386 (69.8)

 35–44

683

311 (45.5)

372 (54.5)

248 (36.3)

435 (63.7)

 45–54

287

145 (50.5)

142 (49.5)

117 (40.8)

170 (59.2)

 55–59

52

26 (50.0)

26 (50.0)

20 (38.5)

32 (61.5)

 ≥ 60

17

8 (47.1)

9 (52.9)

6 (35.3)

11 (64.7)

Degree

 

P = 0.69

 

P = 0.64

 

 ≤ Technical secondary school

30

15 (50.0)

15 (50.0)

13 (43.3)

17 (56.7)

 Bachelor & Junior college student

1267

556 (43.9)

711 (56.1)

448 (35.4)

819 (64.6)

 Postgraduate

400

170 (42.5)

230 (57.5)

139 (34.8)

261 (65.3)

PLAD by GDP per capitaa

 

P < 0.0001

 

P < 0.0001

 

 Low GDP

1146

468 (40.8)

678 (59.2)

369 (32.2)

777 (67.8)

 Middle GDP

318

140 (44.0)

178 (56.0)

111 (34.9)

207 (65.1)

 High GDP

233

133 (57.1)

100 (42.9)

120 (51.5)

113 (48.5)

Occupation

 

P < 0.0001

 

P < 0.0001

 

 Clinician

1023

428 (41.8)

595 (58.2)

335 (32.7)

688 (67.3)

 Nurse

438

202 (46.1)

236 (53.9)

175 (40.0)

263 (60.0)

 Medical technicianb

104

56 (53.8)

48 (46.2)

48 (46.2)

56 (53.8)

 Vaccination staff

21

17 (81.0)

4 (19.0)

13 (61.9)

8 (38.1)

 Others

111

38 (34.2)

73 (65.8)

29 (26.1)

82 (73.9)

Years of working

 

P = 0.01

 

P = 0.09

 

 ≤ 5

300

115 (38.3)

185 (61.7)

101 (33.7)

199 (66.3)

 5–9

325

126 (38.8)

199 (61.2)

99 (30.5)

226 (69.5)

 10–19

618

277 (44.8)

341 (55.2)

219 (35.4)

399 (64.6)

 20–29

319

155 (48.6)

164 (51.4)

125 (39.2)

194 (60.8)

 ≥ 30

135

68 (50.4)

67 (49.6)

56 (41.5)

79 (58.5)

Hospital categoryc

 

P = 0.054

 

P = 0.26

 

 Primary hospitals

187

79 (42.2)

108 (57.8)

57 (30.5)

130 (69.5)

 Secondary hospitals

392

192 (49.0)

200 (51.0)

147 (37.5)

245 (62.5)

 Tertiary hospitals

1118

470 (42.0)

648 (58.0)

396 (35.4)

722 (64.6)

Department

 

P = 0.93

 

P = 0.99

 

 High risk departments

1095

479 (43.7)

616 (56.3)

387 (35.3)

708 (64.7)

 Other departments

602

262 (43.5)

340 (56.5)

213 (35.4)

389 (64.6)

Professional title

 

P = 0.03

 

P = 0.18

 

 Above intermediate

450

186 (41.3)

264 (58.7)

155 (34.4)

295 (65.6)

 Intermediate

612

270 (44.1)

342 (55.9)

218 (35.6)

394 (64.4)

 Below intermediate

536

253 (47.2)

283 (52.8)

201 (37.5)

335 (62.5)

 Unclassified/unknown

99

32 (32.3)

67 (67.7)

26 (26.3)

73 (73.7)

Whether the Hospital has set up a routine vaccination clinic

 

P < 0.0001

 

P < 0.0001

 

 Yes

1279

611 (47.8)

668 (52.2)

496 (38.8)

783 (61.2)

 No

418

130 (31.1)

288 (68.9)

104 (24.9)

314 (75.1)

Whether daily work involve in vaccination work

 

P < 0.0001

 

P < 0.0001

 

 Yes

637

331 (52.0)

306 (48.0)

285 (44.7)

352 (55.3)

 No

1060

410 (38.7)

650 (61.3)

315 (29.7)

745 (70.3)

Workplace vaccination policies

     

 Workplace’s policy

 

P < 0.0001

 

P < 0.0001

 

  Requirementd

188

139 (73.9)

49 (26.1)

124 (66.0)

64 (34.0)

  Promotion

955

515 (53.9)

440 (46.1)

433 (45.3)

522 (54.7)

  None

428

80 (18.7)

348 (81.3)

42 (9.8)

386 (90.2)

  Not clear

126

7 (5.6)

119 (94.4)

1 (0.8)

125 (99.2)

 Free vaccination

 

P < 0.0001

 

P < 0.0001

 

  For all staff

518

385 (74.3)

133 (25.7)

358 (69.1)

160 (30.9)

  For high-risk department

258

158 (61.2)

100 (38.8)

124 (48.1)

134 (51.9)

  Have not free vaccination policy

740

161 (21.8)

579 (78.2)

100 (13.5)

640 (86.5)

  Not clear

181

37 (20.4)

144 (79.6)

18 (9.9)

163 (90.1)

HCWs’ knowledge about vaccination and willingness to get vaccinated

     

 Whether taken the initiative to learn about vaccines and health related knowledge

 

P < 0.0001

 

P < 0.0001

 

  Yes

1421

658 (46.3)

763 (53.7)

541 (38.1)

880 (61.9)

  No

276

83 (30.1)

193 (69.9)

59 (21.4)

217 (78.6)

 Frequency of learning vaccines and health-related knowledge

 

P < 0.0001

 

P < 0.0001

 

  Once a day

84

65 (77.4)

19 (22.6)

54 (64.3)

30 (35.7)

  Once a week

398

207 (52.0)

191 (48.0)

177 (44.5)

221 (55.5)

  Once a month

526

226 (43.0)

300 (57.0)

184 (35.0)

342 (65.0)

  Once half of a year

285

114 (40.0)

171 (60.0)

91 (31.9)

194 (68.1)

  Once a year

128

46 (35.9)

82 (64.1)

35 (27.3)

93 (72.7)

  None

276

83 (30.1)

193 (69.9)

59 (21.4)

217 (78.6)

 Frequency of recommending respiratory infectious diseases’ vaccine to suitable populations

 

P < 0.0001

 

P < 0.0001

 

  Frequently

899

491 (54.6)

408 (45.4)

402 (44.7)

497 (55.3)

  Occasionally

685

234 (34.2)

451 (65.8)

188 (27.4)

497 (72.6)

Never

113

16 (14.2)

97 (85.8)

10 (8.8)

103 (91.2)

 Whether support all HCWs to uptake influenza vaccine

 

P < 0.0001

 

P < 0.0001

 

  Yes

1510

719 (47.6)

791 (52.4)

585 (38.7)

925 (61.3)

  No

187

22 (11.8)

165 (88.2)

15 (8.0)

172 (92.0)

 Whether uptake influenza vaccine if the vaccination is free

 

P < 0.0001

 

P < 0.0001

 

  Yes

1479

712 (48.1)

767 (51.9)

585 (39.6)

894 (60.4)

  No

77

8 (10.4)

69 (89.6)

7 (9.1)

70 (90.9)

  Not clear

141

21 (14.9)

120 (85.1)

8 (5.7)

133 (94.3)

  1. aIn terms of GDP per capita, PLADs are divided into three levels: low, middle and high. Low for Anhui, Qinghai, Jiangxi, Shanxi, Tibet, Heilongjiang, Guangxi, Guizhou, Yunnan, Gansu; Middle for Chongqing, Shaanxi, Liaoning, Jilin, Ningxia, Hunan, Hainan, Henan, Xinjiang, Sichuan, Hebei; High for Beijing, Shanghai, Tianjin, Jiangsu, Zhejiang, Fujian, Guangdong, Shandong, Inner Mongolia, Hubei
  2. bMedical technicians include inspection, imaging, ultrasound, electrocardiogram, pharmacy, etc. Others include administration, logistics personnel, medical school staff, scientific research institute staff, medical students, etc.
  3. cPrimary hospitals: mainly refer to rural township hospitals and community health service centers that provide prevention, treatment, healthcare, and rehabilitation services directly to communities of a certain population in China. Secondary hospitals: mainly refer to county-level hospitals that provide comprehensive medical and health-care services to multiple communities and undertake certain teaching and scientific research tasks. Tertiary hospitals: hospitals above the regional level that provides high-level specialized medical and health-care services and carries out higher education and scientific research tasks to multiple regions
  4. dRequirement means hospitals issued official document or regulation to ask employees to get compulsory vaccination, but HCWs who have not received influenza vaccination will not be punished
  5. GDP Gross domestic product; HCWs healthcare workers; PLADs Provincial-level administrative divisions
  6. P value from Chi-square test