ArticleVaccine2023
Prevalence of influenza-specific vaccination hesitancy among adults in the United States, 2018.
Article in Vaccine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Health system quality and COVID-19 vaccination: a cross-sectional analysis in 14 countries.The Lancet. Global health · 2024Pooled it
- Video and Infographic Messages From Primary Care Physicians and Influenza Vaccination Rates: A Randomized Clinical Trial.JAMA network open · 2025Trial
- What shapes influenza attitudes and behaviors in Italy? Insights from a cross-sectional study.Human vaccines & immunotherapeutics · 2026Article
- Seasonal Influenza Vaccination Uptake, Illness and Economic Burden, and Vaccine Information Exposure Among Young Adults in the San Francisco Bay Area.Pharmacy (Basel, Switzerland) · 2026Article
- Relationships Between Vaccine Knowledge, Hesitancy, and Conspiracy Beliefs on COVID-19, Influenza, and HPV Vaccination.Journal of racial and ethnic health disparities · 2026Article
- Support for Tying Polio Vaccination Status to Child Tax Credit Eligibility in the United States.Vaccines · 2026Article
- What Drives Influenza Vaccination in People with Diabetes? Evidence from the National Health Surveys of 2020 and 2023 in Spain.Epidemiologia (Basel, Switzerland) · 2026Article
- Knowledge, attitudes, and practices related to adult vaccination among adults and healthcare professionals across Mexico.PloS one · 2026Observational
- Perceptions About Influenza and COVID-19 Vaccines Among People With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025Article
- Precision Vaccinology: Making Vaccines Work Better for Women and Men.The Journal of infectious diseases · 2025Article
- Racial and Ethnic Disparities in COVID-19 Vaccination Intention and Uptake by July 2022 in Wisconsin.Public health reports (Washington, D.C. : 1974) · 2025Article
- Influences and Implications of Medical Mistrust on Healthcare Behaviors in a Low Health Outcomes County in the State of New Jersey.Journal of community health · 2025Article
- The optimal strategy for seasonal influenza vaccination to prevent high-intensity level of influenza epidemics in Zhejiang, China: an integrated transmission-dynamic and health-economic modeling analysis.BMC public health · 2025Article
- The Influence of the Coronavirus Disease 2019 Pandemic on Influenza Vaccination Refusal and Patient Satisfaction.Open forum infectious diseases · 2025Article
- Understanding the Influenza Vaccine Knowledge, Barriers, and Trust in the Hispanic Community of Metro Detroit.Cureus · 2025Article
- Article
- Update on Vaccination Recommendations for Adults with HIV.Current HIV/AIDS reports · 2025Review
- Assessing the impact of using a patient counselling prompt-the TARGET antibiotic checklist in England's community pharmacies.JAC-antimicrobial resistance · 2025Article
- Sociodemographic disparities in influenza vaccination among older adults in United States.Frontiers in public health · 2025Article
- Article
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundThe role of vaccine hesitancy on influenza vaccination is not clearly understood. Low influenza vaccination coverage in U.S. adults suggests that a multitude of factors may be responsible for under-vaccination or non-vaccination including vaccine hesitancy. Understanding the role of influenza vaccination hesitancy is important for targeted messaging and intervention to increase influenza vaccine confidence and uptake. The objective of this study was to quantify the prevalence of adult influenza vaccination hesitancy (IVH) and examine association of IVH beliefs with sociodemographic factors and early-season influenza vaccination.
methodsA four-question validated IVH module was included in the 2018 National Internet Flu Survey. Weighted proportions and multivariable logistic regression models were used to identify correlates of IVH beliefs.
resultsOverall, 36.9% of adults were hesitant to receive an influenza vaccination; 18.6% expressed concerns about vaccination side effects; 14.8% personally knew someone with serious side effects; and 35.6% reported that their healthcare provider was not the most trusted source of information about influenza vaccinations. Influenza vaccination ranged from 15.3 to 45.2 percentage points lower among adults self-reporting any of the four IVH beliefs. Being female, age 18-49 years, non-Hispanic Black, having high school or lower education, being employed, and not having primary care medical home were associated with hesitancy.
conclusionsAmong the four IVH beliefs studied, being hesitant to receiving influenza vaccination followed by mistrust of healthcare providers were identified as the most influential hesitancy beliefs. Two in five adults in the United States were hesitant to receive an influenza vaccination, and hesitancy was negatively associated with vaccination. This information may assist with targeted interventions, personalized to the individual, to reduce hesitancy and thus improve influenza vaccination acceptance.
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Registered trials
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.