ArticleHuman vaccines & immunotherapeutics2021
The importance of confidence, complacency, and convenience for influenza vaccination among key risk groups in large urban areas of Peru.
Article in Human vaccines & immunotherapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Factors influencing vaccine uptake during pregnancy: A systematic literature review.Human vaccines & immunotherapeutics · 2026Pooled it
- Barriers and facilitators to vaccination in Latin America: a thematic synthesis of qualitative studies.Cadernos de saude publica · 2024Pooled it
- Factors associated with influenza vaccine uptake and intention among public transportation drivers: A cross-sectional study from Lebanon.Human vaccines & immunotherapeutics · 2026Article
- Impact of social media use on influenza vaccine hesitancy among pediatric healthcare workers: The mediating role of 3Cs.Human vaccines & immunotherapeutics · 2026Article
- Addressing Vaccine Hesitancy in College Students Post COVID-19 Pandemic: A Systematic Review Using COVID-19 as a Case Study.Vaccines · 2025Review
- Why do older adults hesitate to get the flu vaccine? A cross-sectional study on vaccine hesitancy in the post-COVID-19 era.Frontiers in public health · 2025Article
- Coverage of influenza vaccination and influencing factors among healthcare workers in Shandong Province, China, 2021-2022.Human vaccines & immunotherapeutics · 2024Article
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- What determinants of COVID-19 vaccine hesitancy among Chinese nursing students? A cross-sectional study.Frontiers in public health · 2024Article
- COVID-19 vaccine booster dose hesitancy among key groups: A cross-sectional study.Human vaccines & immunotherapeutics · 2023Article
- Equitable and effective vaccine access considering vaccine hesitancy and capacity constraints.Omega · 2023Article
- Knowledge, Attitudes, and Practices Concerning Maternal Immunization Among Pregnant/Postpartum Women and Health Care Professionals in Peru.Infectious diseases and therapy · 2023Article
- Understanding Drivers of Vaccine Hesitancy During the COVID-19 Pandemic Among Older Adults in Jiangsu Province, China: Cross-sectional Survey.JMIR formative research · 2023Article
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- Willingness of the Jordanian Population to Receive a COVID-19 Booster Dose: A Cross-Sectional Study.Vaccines · 2022Article
- Drug-Related Hospital Admissions and Associated Factors among Adults Admitted to Felege Hiwot Comprehensive and Specialized Hospital, North West Ethiopia.Journal of environmental and public health · 2022Article
- Vaccination induced complacency in adherence to COVID-19 precautionary measures among oral health care professionals in India and the United States: a retrospective pretest-posttest design.Human vaccines & immunotherapeutics · 2021Article
- What do pregnant women think about influenza disease and vaccination practices in selected countries.Human vaccines & immunotherapeutics · 2021Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Influenza vaccination has been available under Peru's national immunization program since 2008, but vaccination coverage has decreased lately. Surveys and focus groups were conducted among four risk groups (pregnant women, mothers of children aged <6 years, adults with risk factors, and adults aged ≥65 years) to identify factors affecting influenza vaccine hesitancy in Peru. The 3Cs model (Confidence, Complacency, and Convenience) was used as a conceptual framework for the study. Most pregnant women and mothers of young children (70.0%), but less than half (46.3%) of older adults and adults with risk factors were vaccinated against influenza. Vaccine confidence and complacency were positively associated with educational level. Complacency was the most deficient of the 3Cs. Pregnant women and mothers were the most informed and least complacent among risk groups. Focus groups revealed the misconceptions behind the high level of complacency observed, including the perception of influenza risk and the role assigned to vaccination in preventing the disease. Interviews with officials identified that most strategies are directed to vaccination availability and hence to convenience, with opportunities for strategies to improve vaccination uptake and community engagement. The results highlight the importance of implementing in Peru communication strategies to increase perceptions of vaccine safety and effectiveness thus improving confidence and reducing complacency. The establishment of explicit incentives should also be considered to increase vaccination uptake, particularly to health personnel.
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