Pneumococcal vaccination rate and influencing factors among residents aged≥50 in Zhejiang Province
10.3760/cma.j.cn115624-20250320-00252
- VernacularTitle:浙江省≥50岁居民肺炎球菌疫苗接种率及其影响因素分析
- Author:
Xiaotong YAN
1
;
Yue XU
1
;
Xuehai ZHANG
1
;
Yusui ZHAO
1
;
Dingming YAO
1
;
Qiaohong LÜ
1
;
Heni CHEN
1
;
Jinhang XU
1
Author Information
1. 浙江省疾病预防控制中心，杭州310051
- Publication Type:Journal Article
- Keywords:
Pneumococcal vaccines;
Vaccination;
Vaccination rate;
Influencing factors;
Doctor′s recommendations;
Free vaccination policy;
Zhejiang Province
- From:
Chinese Journal of Health Management
2025;19(7):543-549
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the pneumococcal vaccination rate and the influencing factors among residents aged≥50 in Zhejiang Province.Methods:This cross-sectional study was conducted between March and May 2024. A multi-stage intercept survey was used to intercept and survey 10 500 residents who visited or underwent physical examinations at 175 community health service centers/clinics in 35 counties (cities, districts) of Zhejiang Province. The questionnaire included basic demographic characteristics, history of pneumonia, chronic disease conditions, pneumococcal vaccination status, doctor recommendation, reasons for vaccination/non-vaccination, and channels for obtaining pneumococcal vaccine information. Participants were grouped based on demographic characteristics, chronic diseases conditions, history of pneumonia and doctor recommendations. The chi-square test was used to assess differences in vaccination rates among demographic groups while binary logistic regression models were used to identify factors affecting the vaccination rate.Results:Among the 10 500 surveyed participants, 1 724 (16.42%) had received pneumococcal vaccination. Binary logistic regression analysis revealed significantly higher vaccination rates among those who received a doctor recommendation compared to those without (26.25% vs 7.59%; OR=4.414, 95% CI: 3.851-5.059). Participants benefiting from the free vaccination policy showed higher vaccination rates than those who didn′t (47.59% vs 5.18%; OR=12.527, 95% CI: 10.723-14.634). The top three reasons for getting vaccinated against pneumonia were the free vaccination policy (65.43%), community promotion (52.15%), and family recommendations (42.34%). The top three sources through which respondents learned about the pneumococcal vaccine were television (64.64%), doctors (59.81%) and family members (50.92%). Conclusion:The pneumococcal vaccination rate among residents aged≥50 years in Zhejiang Province is relatively high but still needs further improvement, with vaccination rates closely associated with factors such as free vaccination policy and doctor recommendation.
