Evidence map›Paper›PMID 42388750›Full record

SynthesisFrontiers in public health2026

Bidirectional associations between influenza and COVID-19 vaccination: a systematic review and meta-analysis.

Xu Luo, Jing-Shan Deng, Jia-Ni Chen, Ting Ye, Si-Jia Chen, Huang-Lin Su, Tao-Hsin Tung, Jian-Sheng Zhu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public 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.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

8 authors.

Xu LuoDepartment of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Jing-Shan DengDepartment of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Jia-Ni ChenDepartment of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Ting YeDepartment of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Si-Jia ChenDepartment of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Huang-Lin SuDepartment of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Tao-Hsin TungEvidence-based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Jian-Sheng ZhuDepartment of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to investigate the effect of vaccination history on future willingness or behavior to receive vaccinations for influenza and COVID-19. Methods: In this systematic review and meta-analysis, the PubMed, Embase, Web of Science, Cochrane Library, APA PsycInfo, CINAHL and Scopus databases were searched up to February 28, 2026, to identify relevant studies in accordance with the inclusion and exclusion criteria. The analysis ultimately included 145 population-based studies conducted in the United States, China, Thailand, the United Arab Emirates, Egypt, and other countries. Results: Prior vaccination histories for influenza and COVID-19 interacted with each other and were associated with an increased willingness and likelihood to receive future vaccines. Specifically, having received the influenza vaccine was associated with an increased willingness to receive the COVID-19 vaccine(odds ratio [OR] = 2.73, 95% confidence interval [CI]: 2.34-3.19, 95% prediction interval:[PI] 0.66-11.07), as well as with an increased likelihood of actually receiving the COVID-19 vaccine (OR = 2.76, 95% CI: 2.32-3.29, 95%PI: 0.90-8.52). Receiving a COVID-19 vaccine was associated with an increased willingness to receive a influenza vaccine (OR = 3.04, 95% CI: 1.25-7.39), and was also associated with an increased likelihood of actually receiving the influenza vaccine (OR = 3.91, 95% CI: 2.45-6.24, 95%PI: 0.81-18.81). Conclusion: In conclusion, prior vaccination history was associated with higher odds of future vaccination, and influenza and COVID-19 vaccination experiences influenced each other. Influenza and COVID-19 vaccine promotion strategies can likely be combined to increase overall vaccination rates. Systematic review registration: PROSPERO identifier CRD42024594174.

Indexed as

COVID-19COVID-19 VaccinesInfluenza, HumanInfluenza VaccinesPatient Acceptance of Health CareVaccinationHumansCOVID-19 VaccinesInfluenza VaccinesCOVID-19 vaccineinfluenza vaccinemeta-analysisvaccination behaviorvaccination historyvaccine willingness

Identifiers

PMID42388750
PMCPMC13319041

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.