This study aimed to investigate the intention-action discrepancy in influenza vaccination and identify factors associated with vaccination behavior among healthcare professionals.
This was a cross-sectional study. An anonymous questionnaire survey was conducted with healthcare professionals at a hospital in Chengdu, China from May to June 2025. Stratified convenience sampling was used. Data concerning respondents’ sociodemographic characteristics, knowledge of influenza and vaccines, and perceptions of and attitudes toward vaccination were collected. The chi-square test was performed for comparisons between intentions and actions. Multivariate logistic regression analysis was performed to analyze the factors associated with healthcare professionals’ vaccination behavior.
A total of 570 questionnaires were distributed, and 547 (95.95%) valid responses were collected. Among the 547 healthcare professionals, 316 (57.77%) intended to be vaccinated, and 251 (45.89%) were vaccinated during the previous influenza season. Having the intention to be vaccinated but not being vaccinated during the previous influenza season was considered an intention-action discrepancy. Among the 316 healthcare professionals who intended to be vaccinated, 96 were not vaccinated, indicating an intention-action discrepancy rate of 30.38%. Healthcare professionals who intended to be vaccinated but were not vaccinated accounted for 17.55% (96/547) of the participants finally included in the study. Professional title (odds ratio (OR) = 1.421, 95% confidence interval (CI): 1.079–1.872), hospital department type (OR = 0.467, 95% CI: 0.312–0.698), mastery of knowledge about influenza and vaccines (OR = 1.874, 95% CI: 1.256–2.807), concerns about severe adverse reactions following vaccination (OR = 2.479, 95% CI: 1.646–3.733), opinion on the statement that receiving an influenza vaccine is an effective way to reduce the incidence of severe influenza (OR = 0.427, 95% CI: 0.214–0.852), and awareness of the hospital’s free or convenient vaccination services (OR = 0.217, 95% CI: 0.126–0.374) were major factors associated with healthcare professionals’ vaccination behavior (all
p
< 0.05).
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trong intention to be vaccinated and a low vaccination rate were observed among healthcare professionals, indicating an intention-action discrepancy. It is advisable to strengthen targeted health education and optimize vaccination services to promote the transformation of intention into action in influenza vaccination among healthcare professionals.
Qinghua Tang, Ruixue Hu, Mei Cha et al.· Frontiers in Public Health· 0 citations
Background Chikungunya (CHIK) is an emerging mosquito-borne disease with increasing importation risk in China. In non-endemic settings, delayed detection may facilitate local transmission, making healthcare workers’ knowledge and attitudes critical for rapid response. Objective To assess CHIK-related knowledge and attitudes among medical personnel in Chengdu, Sichuan Province, and identify factors associated with positive prevention attitudes. Methods A cross-sectional, self-administered online survey was executed from July 30 to August 6, 2025, targeting medical workers across 20 healthcare institutions in Chengdu using the Wenjuanxing platform. The questionnaire gathered demographic information, CHIK-related training exposure (yes/no), and assessments of knowledge and attitudes. Knowledge was assessed using 15 items (range 0–15; 1 point awarded for each right response). Attitudes were evaluated using Likert-type items; a cumulative attitude score of ≥20 signified a favorable attitude. Group disparities were analyzed with Chi-square tests alongside suitable parametric and nonparametric assessments. Hierarchical logistic regression (Block 1: demographics/occupational characteristics; Block 2: training; Block 3: knowledge score) was employed to ascertain factors correlated with positive attitudes. Results 1,092 questionnaires were included, yielding an effective response rate of 90.10%; 83.70% indicated they had received training relevant. The average knowledge score was 11.66 ± 2.15. Despite high performance in primary prevention and clinical management, significant deficiencies were noted in early detection and surveillance-related operational knowledge: merely 42.58% accurately interpreted the RT-PCR Ct criterion, 54.85% recognized suspected cases, 56.14% comprehended diagnostic criteria, and 59.80% were aware of the 24 h online reporting requirement. Knowledge scores were elevated among individuals with advanced education, physicians, tertiary hospital personnel, and those who had training (p < 0.05). Attitude scores varied according to age, job type, hospital type, practice category, years of experience, and professional title (p < 0.05). In hierarchical logistic regression, training (OR = 3.971, p < 0.001) and elevated knowledge scores (OR per point = 1.130, p < 0.001) were independently linked to a favorable prevention-and-control attitude. Conclusion Chengdu medical personnel demonstrated general CHIK knowledge and positive attitudes, yet significant operational gaps persist in early detection and reporting protocols. Training and knowledge are key determinants of favorable attitudes, highlighting the need for standardized, process-oriented training emphasizing diagnostic and reporting procedures.
Qin Zhang, Yiting Du, Mei Cha et al.· Frontiers in Public Health· 0 citations