Evidence map›Paper›PMID 41307620›Full record

ArticleJournal of community health2026

Influenza Vaccine Uptake in the Elderly: Biopsychosocial Vulnerabilities and Effectiveness of a Community-Health Worker Administered Preventive Program.

Adrian Ujin Yap, Jia Yi Chee, Hee Hoon Lee, Thong Gan Chee, Jesslyn Hwei Sing Chong

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Article in Journal of community health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Adrian Ujin YapNg Teng Fong General Hospital, National University Health System, Singapore, Singapore.ORCID 0000-0003-0361-6209
Jia Yi CheeSaw Swee Hock, School of Public Health, National University of Singapore, Singapore Health Services, Singapore, Singapore.ORCID 0009-0009-7528-8479
Hee Hoon LeeNg Teng Fong General Hospital, National University Health System, Singapore, Singapore.
Thong Gan CheeNg Teng Fong General Hospital, National University Health System, Singapore, Singapore.
Jesslyn Hwei Sing ChongNg Teng Fong General Hospital, National University Health System, Singapore, Singapore. jhccru2501@gmail.com.ORCID 0009-0000-6350-0254

Funding

JurongHealth Fund JHF-14-CC-001.
6 · The paper itself

Abstract

This quasi-experimental study examined the biopsychosocial (BPS) vulnerabilities of non-vaccinated elderly individuals, evaluated the effectiveness of community health workers (CHWs) in improving influenza vaccine uptake, and assessed the impact of a CHW-administered community-based health intervention (CBHI) on health-related quality of life (HRQoL). Pre- and post-intervention data were collected from participants enrolled in the "Get Well, Live Well" (GWLW) program. As part of this CBHI, hospital-employed CHWs applied various interventions to improve influenza vaccine awareness, accessibility, and timely administration. The BPS risk screener and EQ5D-3L were used to assess the individuals' initial biopsychosocial vulnerabilities and pre/post-program HRQoL respectively through face-to-face and telephone interviews. Influenza vaccination rates were computed and data were analyzed utilizing Chi-square and non-parametric tests, along with logistic regression analysis (α = 0.05). The final sample (n = 229) had a mean age of 73.15 ± 5.6 years and comprised 68.1% women and 87.8% Chinese. Non-vaccinated individuals were found to be younger and exhibited significantly greater social health risk and poorer self-rated health than their vaccinated counterparts. Multivariate analysis revealed that age was the primary predictor of non-vaccination (OR = 0.94; 95% CI = 0.90-0.99). The CHW-administered GWLW program doubled influenza vaccination rates (30.1-60.7%) and significantly improved the summary index, self-rated health, and prevalence of no pain/discomfort among the elderly. CBHIs, administered by hospital-employed non-medical CHWs, proved effective in improving influenza vaccination rates and elevating HRQoL. Future influenza vaccination efforts should prioritize socio-interpersonal interventions for the younger elderly.

Indexed as

Community Health WorkersInfluenza, HumanInfluenza VaccinesAgedAged, 80 and overFemaleHealth Knowledge, Attitudes, PracticeHumansMaleQuality of LifeVaccinationInfluenza VaccinesCommunity-dwellingElderlyInfluenzaPreventive health programVaccination coverage

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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.