Abstract
Background and Aims: The seasonal influenza vaccinations play a crucial role in preventing the spread of influenza virus and reducing the risk of severe illness. Understanding the prevalence of seasonal influenza vaccinations and the factors associated with it is essential for public health interventions and vaccine promotion. In this study, we examine the prevalence and factors associated with vaccination behavior among Saudi adults after the COVID-19 pandemic. Methods: A cross-sectional study was conducted. The data was collected through structured self-reported questionnaires administered online. The study involved 848 participants ranging in age from 18 to 50 years old. Results: The prevalence of seasonal influenza vaccinations was 42.3%. Sex was significantly associated with seasonal influenza vaccinations with males being more likely to take the seasonal influenza vaccinations. There was also a decrease in reporting seasonal influenza vaccinations in families with six members or more. COVID-19 doses were associated with seasonal influenza vaccinations Conclusions: A considerable proportion of the Riyadh population did not prioritize the flu vaccine. Females and members of large families need to be the focus of healthcare education programs to raise awareness of seasonal influenza vaccinations. Health professionals, policymakers, and public health organizations could use this information to promote healthy behaviors and increase influenza vaccination rates.
Keywords: Seasonal influenza vaccinations · Prevalence · COVID-19 pandemic · Public health interventions · Vaccine promotion
References
- 1.World Health Organization. Influenza (seasonal): World Health Organization; 2023 [Available from: https://www.who.int/news-room/fact-sheets/detail/influenza-(seasonal)
- 2.Treanor JJ. Influenza viruses. Viral Infec tions of Humans: Epidemiology and Con trol: Springer; 2023. p. 1-57.
- 3.Trombetta CM, Kistner O, Montomoli E, Viviani S, Marchi S. Influenza Viruses and Vaccines: The Role of Vaccine Effectiveness Studies for Evaluation of the Benefits of In fluenza Vaccines. Vaccines. 2022;10(5):714.
- 4.Campbell DS, Rumley MH. Cost-effec tiveness of the influenza vaccine in a healthy, working-age population. Journal of Occupa tional and Environmental Medicine. 1997:408-414.
- 5.Bridges CB,Thompson WW, Meltzer MI, Reeve GR, Talamonti WJ, Cox NJ, et al. Ef fectiveness and cost-benefit of influenza vac cination of healthy working adults: a ran domized controlled trial. Seasonal Influenza Vaccination Prevalence and Factors Associated with Vaccination Behaviors among Saudi Adults after the COVID 19- Pandemic Majmaah Journal of Health Sciences , Volume 12 Issue 4 October 2024, Rabi Al-Awwal 1446 Jama. 2000;284(13):1655-1663.
- 6.Nypaver C, Dehlinger C, Carter C. Influ enza and influenza vaccine: a review. Journal of midwifery & women's health. 2021;66(l):45-53.
- 7.Grohskopf LA. Prevention and control of seasonal influenza with vaccines: recom mendations of the Advisory Committee on Immunization Practices—United States, 2019-20 influenza season. MMWR Rec ommendations and Reports. 2019;68.
- 8.Control CfD, Prevention. Prevention and control of seasonal influenza with vaccines. Recommendations of the Advisory Committee on Immunization Practic es—United States, 2013-2014. MMWR Recommendations and reports: Morbidity and mortality weekly report Recommenda tions and reports. 2013;62(RR-07):l-43.
- 9.Ministry of health. Influenza Surveillance in Saudi Arabia 2017 [Available from: https://www. moh .gov. sa/CCC/healthp/regulations/Documents/ISSA%20Protocol.pdf
- 10.Alhatim N, Al-Bashaireh AM, Alqudah O. Knowledge, attitude, and practice of sea sonal influenza and influenza vaccine immu nization among people visiting primary healthcare centers in Riyadh, Saudi Arabia. PloS one. 2022;17(4):e0266440.
- 11.Aljamili AA. Knowledge and practice toward seasonal influenza vaccine and its barriers at the community level in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care. 2020;9(3):1331.
- 12.Alqahtani AS, Althobaity HM, Al Aboud D, Abdel-Moneim AS. Knowledge and attitudes of Saudi populations regarding seasonal influenza vaccination. Journal of infection and public health. 2017;10(6):897-900.
- 13.Alshahrani SM, Zahrani Y. Prevalence and predictors of seasonal influenza vaccine uptake in Saudi Arabia post COVID-19: A web-based online cross-sectional study. Vac cines. 2023;ll(2):353.
- 14.Alwazzeh MJ, Telmesani LM, AlEnazi AS, Buohliqah LA, Halawani RT, Jatoi N-A, et al. Seasonal influenza vaccination coverage and its association with COVID-19 in Saudi Arabia. Informatics in Medicine Unlocked. 2021;27:100809.
- 15.Alzahrani AM, Felix HC, Al-Etesh NS. Low uptake of seasonal influenza vaccina tion in Al-Jouf region of Saudi Arabia. Saudi Pharmaceutical Journal. 2023;31(5):687-691.
- 16.Domnich A, Cambiaggi M, Vasco A, Maraniello L, Ansaldi F, Baldo V, et al. Atti tudes and beliefs on influenza vaccination during the COVID-19 pandemic: Results from a representative Italian survey. Vac cines. 2020;8(4):711.
- 17.Kong G, Lim N-A, Chin YH, Ng YPM, Amin Z. Effect of COVID-19 pandemic on influenza vaccination intention: a meta-analysis and systematic review. Vaccines. 2022;10(4):606.
- 18.Kwok KO, Li K-K, Wei WI, Tang A, Wong SYS, Lee SS. Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. International journal of nursing stud ies. 2021;114:103854.
- 19.Yusoff MSB. ABC of content validation and content validity index calculation. Edu cation in Medicine Journal. Seasonal Influenza Vaccination Prevalence and Factors Associated with Vaccination Behaviors among Saudi Adults after the COVID 19- Pandemic Majmaah Journal of Health Sciences , Volume 12 Issue 4 October 2024, Rabi Al-Awwal 1446 2019;ll(2):49-54.
- 20.Zamanzadeh V, Ghahramanian A, Rassouli M, Abbaszadeh A, Alavi-Majd H, Nikanfar A-R. Design and implementation content validity study: development of an instrument for measuring patient-centered communication. Journal of caring sciences. 2015;4(2):165.
- 21.Akoglu H. User's guide to correlation co efficients. Turkish journal of emergency medicine. 2018;18(3):91-93.
- 22.Nagelkerke NJ. A note on a general defi nition of the coefficient of determination, biometrika. 1991;78(3):691-692.
- 23.Barqawi H, Saddik B, Adra S, Soudan H, Mustafa J, Nidal A, et al. Evaluating the knowledge, attitudes, and uptake of the in fluenza vaccine in healthcare professionals: A cross-sectional study from the United Arab Emirates. Pharmacy Practice. 2021;19(4):l-8.
- 24.Ebrahimzadeh A, Bijari B, Azarnoosh A, Shakhs Emampour F. Influenza vaccination coverage rates and other related factors in high-risk groups in Birjand, East of Iran. Therapeutic Advances in Vaccines and Immunotherapy. 2022;10:25151355221140229.
- 25.Mohamad RM A, Abu Jamileh KI, Ali MRA, Makki KHA, Alshehri WA, Fadul SSA, et al. Acceptability of The Flu Vaccine among The General Population in Tabuk, Saudi Arabia, 2021-2022. The Egyptian Journal of Hospital Medicine. 2023;90(l):610-620.
- 26.Control CfD, Prevention. Flu vaccina tion coverage, United States, 2019-20 influ enza season. Published; 2021.
- 27.Barry MA, Aljammaz KI, Airashed AA. Knowledge, attitude, and barriers influencing seasonal influenza vaccination uptake. Canadian Journal of Infectious Diseases and Medical Mi crobiology. 2020;2020:1-6.
- 28.Awadalla NJ, Al-Musa HM, Al-Musa KM, Asiri AM, Albariqi AA, Majrashi HM, et al. Seasonal influenza vaccination among primary health care workers in Southwestern Saudi Arabia. Human vaccines & immunotherapeutics. 2020;16(2):321-326.
- 29.Zaraket H, Melhem N, Malik M, Khan WM, Dbaibo G, Abubakar A. Review of season al influenza vaccination in die Eastern Mediter ranean Region: Policies, use and barriers. Journal of infection and public health. 2020;13(3):377-384.
- 30.Sagor KH, AlAteeq MA. Beliefs, attitudes and barriers associated with the uptake of die sea sonal influenza vaccine among patients visiting primary healthcare clinics. Saudi medical journal. 2018;39(7):690.
- 31.KanT, Zhang J. Factors influencing seasonal influenza vaccination behaviour among elderly people: a systematic review. Public health. 2018;156:67-78.
- 32.Stefanizzi P, Martinelli A, Bianchi FP, Mi gliore G,Tafuri S. Acceptability of the third dose of anti-SARS-CoV-2 vaccine co-administered with influenza vaccine: preliminary data in a sample of Italian HCWs. Human vaccines & immunotherapeutics. 2022; 18 (1): 1 -2.
- 33.Roman PC, Kirtland K, Zell ER, Jones-Jack N, Shaw L, Shrader L, et al. Influ enza vaccinations during the COVID-19 pan demic—11 US Jurisdictions, September-De cember 2020. Morbidity and Mortality Weekly Report. 2021;70(45):1575. Seasonal Influenza Vaccination Prevalence and Factors Associated with Vaccination Behaviors among Saudi Adults after the COVID 19- Pandemic
Peer review
Peer reviewed by 3 reviewers, who chose to remain anonymous.