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Background: Vaccination is an important cost-effective measure for preparing against influenza, but uptake rate of flu
vaccination was low among nurses worldwide. In Hong Kong, a place suffered from 2003 SARS outbreak and 2009 flu pandemic,
the intention to receive flu vaccine among nurses was unexpectedly low.
Purposes: This study aimed to identify factors associated with nurses鈥 intention to influenza vaccination and their risk
perception towards influenza and vaccination.
Methodology: A cross-sectional questionnaire survey was conducted in January to February 2018. 300 nurses who worked
in a Hong Kong public hospital were recruited by convenience sampling. Descriptive statistics and binary logistic regression
analysis were used.
Results: For the coming year, 66 (24.6%) respondents were willing to receive influenza vaccine, 133 (49.6%) refused to be
vaccinated, and 69 (25.7%) were undecided. For respondents who refused vaccination, 鈥渢he flu vaccine may not be safe鈥
(40.6%) and 鈥渢he vaccine may not good for health鈥 (21.1%) were the statistical significant associated factors with p-value <
.05. After adjusted the regression logistic model, factors related to the intention of the vaccination were 鈥淧revious experience
of vaccination鈥 (OR= 98.66, 95% CI [19.79-491.75]), 鈥淭aking seasonal influenza vaccination could effectively protect me from
being infected with influenza鈥 (OR=40.71, 95%CI [8.20-202.02]) and 鈥渓ikelihood of being infected in the coming influenza
season鈥 (OR=3.46, 95%CI [1.024-11.67]).
Conclusion: Education on vaccination safety and promotion which focus on flu vaccination effectiveness and the likelihood
of contracting influenza are crucial to 鈥渒ick-off鈥 the journey of vaccination, increase awareness and vaccination uptake rate
among nurses.