Evidence map›Paper›PMID 41626374›Full record

ArticleFrontiers in public health2025

Influenza vaccine effectiveness among adults aged ≥60 years in northeastern Zhejiang Province, China, 2021-2024.

Zhao Yu, Xinyu Liu, Jiayun Fu, Xiaokun Yang, Yang Liu, Yanru Chu, Jialie Jin, Zenghao Xu, Yanli Cao, Jinren Pan and 4 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
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

14 authors.

Zhao Yu *Department of Prevention and Control of Infectious Disease, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Xinyu Liu *School of Public Health, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Jiayun Fu *Department of Public Health, Central Hospital of Huashui Town, Jinhua City, Zhejiang, China.
Xiaokun Yang *Division of Infectious Disease, Key Laboratory of Surveillance and Early-Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Yang LiuDepartment of Infectious Diseases, Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang, China.
Yanru ChuDepartment of Infectious Diseases, Ningbo Center for Disease Control and Prevention, Ningbo, Zhejiang, China.
Jialie JinDepartment of Prevention and Control of Infectious Disease, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Zenghao XuDepartment of Prevention and Control of Infectious Disease, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Yanli CaoDepartment of Prevention and Control of Infectious Disease, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Jinren PanDepartment of Prevention and Control of Infectious Disease, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Shelan LiuDepartment of Prevention and Control of Infectious Disease, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Xiaofei FuDepartment of Infectious Diseases, Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang, China.
Tianfeng HeDepartment of Infectious Diseases, Ningbo Center for Disease Control and Prevention, Ningbo, Zhejiang, China.
Hangjie ZhangDepartment of Prevention and Control of Infectious Disease, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Influenza poses a particularly severe threat to older adults, yet vaccination coverage among this vulnerable population remains suboptimal in China. To address this public health challenge, Zhejiang Province initiated a free influenza vaccination program for older residents starting in 2020. This study evaluated the effectiveness of influenza vaccination in reducing outpatient visits among adults aged ≥60 years during three consecutive influenza seasons (2021-2024). Methods: We employed a test-negative design (TND) among adults aged ≥60 years presenting with influenza-like illness (ILI) at sentinel surveillance hospitals in two cities in Zhejiang Province from October 2021 to April 2024. Standardized questionnaires were administered to collect demographic and clinical data. Respiratory specimens were tested for influenza virus types and subtypes using RT-PCR. Multivariable logistic regression models were employed to assess factors associated with vaccination status and influenza virus detection, with subsequent estimation of influenza vaccine effectiveness (VE). Results: A total of 3,796 ILI cases were enrolled, with 644 testing positive for influenza, yielding a positivity rate of 16.97%. The results of multivariable logistic regression analysis showed that age, whether vaccinated in the current year, and whether vaccinated in the previous year were the influencing factors for influenza-positive ILI cases ( Conclusion: Influenza vaccination provides moderate protection for adults aged ≥60 years, with effectiveness varying by subtype, age, and season, particularly limited in the older population aged ≥80 years.

Indexed as

Influenza, HumanInfluenza VaccinesVaccine EfficacyAgedAged, 80 and overChinaFemaleHumansInfluenza A Virus, H3N2 SubtypeMaleMiddle AgedSeasonsSentinel SurveillanceInfluenza Vaccinesinfluenza vaccineolder adultstest-negative designvaccinationvaccine effectiveness

Identifiers

PMID41626374
PMCPMC12855481

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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.