Evidence map›Paper›PMID 29300683›Full record

ArticleHuman vaccines & immunotherapeutics2018

Innovations in adult influenza vaccination in China, 2014-2015: Leveraging a chronic disease management system in a community-based intervention.

Bo Yi, Suizan Zhou, Ying Song, Enfu Chen, Xuyin Lao, Jian Cai, Carolyn M Greene, Luzhao Feng, Jiandong Zheng, Hongjie Yu and 1 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Human vaccines & immunotherapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Bo Yia Ningbo Center for Disease Control and Prevention , Ningbo , Zhejiang Province , China.
Suizan Zhoub Influenza Division, U.S. Centers for Disease Control and Prevention , Atlanta , GA , USA.
Ying Songb Influenza Division, U.S. Centers for Disease Control and Prevention , Atlanta , GA , USA.
Enfu Chenc Zhejiang Provincial Center for Disease Control and Prevention , Hangzhou , Zhejiang Province , China.
Xuyin Laoa Ningbo Center for Disease Control and Prevention , Ningbo , Zhejiang Province , China.
Jian Caic Zhejiang Provincial Center for Disease Control and Prevention , Hangzhou , Zhejiang Province , China.
Carolyn M Greeneb Influenza Division, U.S. Centers for Disease Control and Prevention , Atlanta , GA , USA.
Luzhao Fengd Division of Infectious Disease, Chinese Center for Disease Control and Prevention , Beijing , China.
Jiandong Zhengd Division of Infectious Disease, Chinese Center for Disease Control and Prevention , Beijing , China.
Hongjie Yud Division of Infectious Disease, Chinese Center for Disease Control and Prevention , Beijing , China.
Hongjun Donga Ningbo Center for Disease Control and Prevention , Ningbo , Zhejiang Province , China.
Centers for Disease Control and Prevention · USChinese Center For Disease Control and Prevention · CNNingbo Center for Disease Control and Prevention · CNZhejiang Center for Disease Control and Prevention · CN

Funding

Expanding the Use of Seasonal Influenza Vaccines in Public Health Programs in ChiU51IP000819 · IP · CHINESE CTR-DISEASE CONTROL/PREVENTION · PI YU, HONGJIE · 2013 to 2015
$725k
NCIRD CDC HHS U51 IP000819
6 · The paper itself

Abstract

objectivesTo evaluate a community-based intervention that leveraged the non-communicable disease management system to increase seasonal influenza vaccination coverage among older adults in Ningbo, China.

methodsFrom October 2014 - March 2015, we piloted the following on one street in Ningbo, China: educating community healthcare workers (C-HCWs) about influenza and vaccination; requiring C-HCWs to recommend influenza vaccination to older adults during routine chronic disease follow-up; and opening 14 additional temporary vaccination clinics. We selected a non-intervention street for comparison pre- and post-intervention vaccine coverage. In April 2016, we interviewed a random sample of unvaccinated older adults on the intervention street to ask why they remained unvaccinated.

resultsPre-intervention influenza vaccine coverage among adults aged 60 years and older on both streets was 0.3%. Post-intervention, coverage among adults 60 years and older was 19% (1338/7013) on the intervention street and 0.4% (20/5500) on the non-intervention street (p<0.01). Among vaccinated older adults, 98% reported their main reason for vaccination was receiving a C-HCW's recommendation, 90% were vaccinated at temporary vaccination clinics, and 53% paid for vaccine (10 USD) out-of-pocket. Reasons for not getting vaccinated among 150 unvaccinated adults (response rate = 75%) included: good health (39%); not trusting C-HCWs' recommendations (24%); not knowing where to get vaccinated (17%); and not wanting to pay (9%).

conclusionsRecommending influenza vaccination within a non-communicable disease management system, combined with adding vaccination sites, increased vaccine coverage among older adults in Ningbo, China.

Indexed as

Attitude of Health PersonnelChinaChronic DiseaseDisease ManagementFemaleHealth PersonnelHumansInfluenza, HumanInfluenza VaccinesMaleMiddle AgedSurveys and QuestionnairesVaccinationInfluenza Vaccineshealthcare workerhealth systemnon-communicable diseaseolder adultsSeasonal influenza vaccinevaccination

Identifiers

PMID29300683
PMCPMC5893212
OpenAlexW2781810916

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.