ArticleHuman vaccines & immunotherapeutics2026
Upward intergenerational support and vaccination decisions among community-dwelling older adults in China: A multicenter qualitative study.
Article in Human vaccines & immunotherapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
21 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Routine vaccination coverage among older adults in China remains suboptimal despite established public health recommendations. Family engagement, deeply embedded in Chinese culture, is shown to influence health decisions; however, the specific role of upward intergenerational support (UIS) from adult children in older adults' vaccination decisions remains understudied in the post-pandemic era. To explore the forms and mechanisms through which UIS influences vaccination decision‑making among community‑dwelling older adults in post‑pandemic China, we conducted this multicenter qualitative study. From November 2024 to August 2025, a total of 261 semi‑structured interviews were conducted with older adults (≥ 60 y) and adult children (18‑59 y) across seven Chinese cities selected for maximum variation in socioeconomic status and vaccine policies. Thematic analysis revealed five key forms of UIS, including financial, practical, informational, emotional, and appraisal support, through which adult children influence parental vaccination decisions. Across families, these five forms were enacted in two qualitatively different patterns: a substitutive pattern, where adult children assumed decision-making authority, and a facilitative pattern, where support preserved and strengthened older adults' autonomy. The salience of these supports and patterns was contextualized by regional socioeconomic disparities, local vaccine policies, and lingering post‑COVID vaccine concerns. Findings reveal that UIS is a central social mechanism influencing vaccination decisions among older adults. Public health strategies need to shift from individual-focused to family-systems interventions, equipping adult children as facilitative supporters who respect older adults' autonomy, while concurrently addressing structural and relational barriers to improve routine vaccine uptake among community-dwelling older adults in China.
Indexed as
Identifiers
What OpenQuestion holds
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.