Abstract

BackgroundInfluenza is a major public health issue, with the primary preventive measure being an annual influenza vaccination. Nevertheless, vaccination coverage among the at-risk population is low. Our understanding of the behaviour of the influenza virus during the SARS-CoV-2 coronavirus pandemic is limited, meaning influenza vaccination is still recommended for individuals at risk for severe complications due to influenza infection. The aim of the study is to determine the intention to vaccinate against seasonal influenza among the at-risk population in the 2020-21 campaign during the SARS-CoV-2 pandemic and to analyse the factors which influence such intention.MethodsCross-sectional telephone survey of adults (aged over 18) with risk factors in central Catalonia where the need for the Seasonal Influenza Vaccine (SIV) was recommended.ResultsA total of 434 participants responded to the survey, 43.3% of whom intended to be vaccinated against influenza for the 2020-2021 influenza season, 40.8% had no intention to be vaccinated and 15.9% were uncertain or did not express their opinion. The intention to get vaccinated against influenza is associated with having dependents, the individual’s perception of the risk of being infected with influenza and the perceived risk of transmission to dependents. It is also associated with age, whether the individual had received influenza vaccine the previous season or any other season before. The best predictors of the intention to vaccinate are the individual’s perception of the risk of catching influenza and whether the individual had been vaccinated in the previous season.ConclusionsIntention to vaccinate can be a good predictor of individual behaviour in relation to vaccination. During the current SARS-CoV-2 pandemic many individuals are hesitant to influenza vaccination. In order to improve influenza vaccination coverage in people included in risk groups, it is necessary to promote educational actions, especially among those who express doubts.

Highlights

  • Influenza is a major public health issue, with the primary preventive measure being an annual influ‐ enza vaccination

  • The duration of the study was from October 1 to 15, 2020,15 days before the start of the influenza vaccination campaign .The study population is made up of those individuals registered at the Primary Care Teams

  • During the current SARS-CoV-2 pandemic, the 202021 Seasonal Influenza Vaccine campaign was perceived to be influenced by a lack of knowledge as to the behaviour of the influenza virus and uncertainty as to the degree of acceptance of SIV by the at-risk population

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Summary

Introduction

Influenza is a major public health issue, with the primary preventive measure being an annual influ‐ enza vaccination. It is estimated that up to 25% of acute febrile respiratory conditions could be caused by the influenza virus in Catalonia. This symptomatology generates a significant number of medical consultations and workday loss as a result of the disease and its convalescence, which can last from a few days to a few weeks [1]. The disease can become more severe due to the influenza virus or a secondary, usually bacterial, infection which most commonly manifests itself as pneumonia, and may even prove fatal. Complications can occur in anyone, hospitalizations are more common in the elderly (≥ 65 years, 309/100,000 person-years) and in young children (

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