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Predictors of Influenza Vaccination Uptake and the Role of Health Literacy among Health and Social Care Volunteers in the Province of Prato (Italy)

Author

Listed:
  • Chiara Lorini

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Vieri Lastrucci

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy
    Epidemiology Unit, Meyer Children’s Hospital, 50139 Florence, Italy)

  • Beatrice Zanella

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Eleonora Gori

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Fabrizio Chiesi

    (Central Tuscany Local Health Unit, 50142 Florence, Italy)

  • Angela Bechini

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Sara Boccalini

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Marco Del Riccio

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Andrea Moscadelli

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Francesco Puggelli

    (Management Department, Meyer Children’s University Hospital, 50139 Florence, Italy)

  • Renzo Berti

    (Azienda Sanitaria Locale Toscana Centro, Department of Prevention, Via Lavarone 3/5, 59100 Prato, Italy)

  • Paolo Bonanni

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Guglielmo Bonaccorsi

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

Abstract

Annual influenza vaccination is recommended for volunteers involved in primary health and social services. Little is known about the volunteers’ adhesion to influenza vaccination recommendations. The aim of this study was to assess influenza vaccination determinants among a group of volunteers who provided essential activities during the first SARS-CoV-2 pandemic wave in the province of Prato, Tuscany (Italy) and to evaluate the role of health literacy in influencing vaccination determinants. Method: In this cross-sectional study, the predictors of influenza vaccination uptake were assessed through the administration of a questionnaire. Variables significantly associated with influenza vaccination uptake were included in five multivariate logistic regression models through a backward stepwise procedure. Results: Among the 502 enrolled volunteers, 24.3% reported being vaccinated in the 2019–2020 season. Vaccination uptake was 48.8% in participants aged 65 years or older and 15.7% in those aged 64 years or younger. Considering the whole sample in the final model of multivariate logistic regression analysis, the predictors of influenza vaccination uptake were age (OR = 1.05; 95% CI = 1.03–1.07), presence of heart diseases (OR = 2.98; 95% CI = 1.24–7.19), pulmonary diseases (OR = 6.18; 95% CI = 2.01–19.04) and having undergone surgery under general anesthesia in the prior year (OR = 3.14; 95% CI = 1.23–8.06). In the multivariate model considering only participants with a sufficient level of health literacy (HL), none of these predictors resulted in significant associations with vaccination uptake, except for age (OR= 1.04; 95% CI = 1.02–1.07). Conclusions: Our findings revealed a very low influenza vaccination uptake among volunteers, suggesting the need to increase awareness in this at-risk group by means of a better communication approach.

Suggested Citation

  • Chiara Lorini & Vieri Lastrucci & Beatrice Zanella & Eleonora Gori & Fabrizio Chiesi & Angela Bechini & Sara Boccalini & Marco Del Riccio & Andrea Moscadelli & Francesco Puggelli & Renzo Berti & Paolo, 2022. "Predictors of Influenza Vaccination Uptake and the Role of Health Literacy among Health and Social Care Volunteers in the Province of Prato (Italy)," IJERPH, MDPI, vol. 19(11), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6688-:d:828043
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    References listed on IDEAS

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    1. George N Okoli & Otto L T Lam & Florentin Racovitan & Viraj K Reddy & Christiaan H Righolt & Christine Neilson & Ayman Chit & Edward Thommes & Ahmed M Abou-Setta & Salaheddin M Mahmud, 2020. "Seasonal influenza vaccination in older people: A systematic review and meta-analysis of the determining factors," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-26, June.
    2. Vieri Lastrucci & Chiara Lorini & Marco Del Riccio & Eleonora Gori & Fabrizio Chiesi & Andrea Moscadelli & Beatrice Zanella & Sara Boccalini & Angela Bechini & Francesco Puggelli & Renzo Berti & Paolo, 2021. "The Role of Health Literacy in COVID-19 Preventive Behaviors and Infection Risk Perception: Evidence from a Population-Based Sample of Essential Frontline Workers during the Lockdown in the Province o," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
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    Cited by:

    1. Vieri Lastrucci & Chiara Lorini & Lorenzo Stacchini & Enrica Stancanelli & Andrea Guida & Alessio Radi & Chiara Morittu & Salvatore Zimmitti & Giorgia Alderotti & Marco Del Riccio & Angela Bechini & S, 2022. "Determinants of Actual COVID-19 Vaccine Uptake in a Cohort of Essential Workers: An Area-Based Longitudinal Study in the Province of Prato, Italy," IJERPH, MDPI, vol. 19(20), pages 1-12, October.

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