Hesitancy for influenza vaccine among healthcare workers and mothers of preschool children: A cross-sectional study in Zagazig, Egypt

Yasmin H H Hussein; Mona H Ibrahim; Shahenda G Badran; Seham M Eldeeb

doi:10.4103/jfcm.jfcm_95_22

Hesitancy for influenza vaccine among healthcare workers and mothers of preschool children: A cross-sectional study in Zagazig, Egypt

J Family Community Med. 2022 May-Aug;29(2):108-116. doi: 10.4103/jfcm.jfcm_95_22. Epub 2022 May 13.

Authors

Yasmin H H Hussein¹, Mona H Ibrahim², Shahenda G Badran³, Seham M Eldeeb²

Affiliations

¹ Department of Family Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
² Department of Public Health and Community Medicine, Zagazig University, Zagazig, Egypt.
³ Department of Microbiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Abstract

Background: Vaccine hesitancy is a worldwide issue. To intensify our efforts to find a solution to this problem, we need to comprehend its magnitude and underlying causes. This study aimed to determine the prevalence of influenza vaccine hesitancy and the reasons for it among healthcare workers (HCWs) and mothers of preschool children attending Zagazig Maternal and Child Healthcare (MCH) Center, Sharqia Governorate.

Materials and methods: A cross-sectional study was conducted in the Zagazig MCH Center involving 77 HCWs and 210 mothers of preschool children. Two validated questionnaires (one for HCWs and one for mothers of preschool children) were used to collect data on hesitancy to influenza vaccine. Data analysis perfomed using SPSS v 25.0. For quantitative variables, statistical significance was determined using t-test, whereas Chi-square test was employed for quantitative variables. Poisson regression model was used to determine the independent predictors of influenza vaccine hesitancy. P < 0.05 was used as a level of statistical significance.

Results: The prevalence of hesitancy to the influenza vaccine was 46.8% among HCWs and 54.3% among mothers of preschool children. Fear of side effects (42.9%) and doubt in the usefulness of the vaccine (42.1%) were the most frequent barriers. Hesitancy was significantly more prevalent in the negative-attitude HCWs (62.0%) than positive-attitude HCWs (18.5%). According to Poisson regression analysis, the age of the index child, the mothers' source of information, and the frequency of vaccination were the critical indicators of influenza vaccine hesitancy in the studied mothers.

Conclusion: Influenza vaccine hesitancy among the studied sample is high (46.8% among HCWs, and 54.3% among mothers of preschool children). Periodic health education campaigns to increase awareness and change the negative attitude about the influenza vaccine are recommended.

Keywords: Attitude; barriers; seasonal influenza; vaccine hesitancy.