title: Influenza vaccination of adults with and without high-risk health conditions in China.
abstract: The World Health Organization recommends the elderly and persons with certain chronic diseases to receive an annual influenza vaccine and to be prioritized for immunization against pandemic influenza, because they are at greater risk for health complications. This paper aims to compare influenza vaccination coverage between adults in China with and without high-risk health conditions.
  
  
  
  Data were from the cross-sectional China General Social Survey, 2010. Adults were interviewed about their health, including whether they had been vaccinated against either seasonal or pandemic influenza within the past year. A multivariable logistic regression model estimated the adjusted odds of any influenza vaccination in high-risk groups compared with low-risk groups.
  
  
  
  Only 10.5% (372/3592) of Chinese adults were vaccinated against influenza. In a multivariable regression model, there was no significant difference in influenza vaccine uptake between those with and without high-risk health conditions. However, healthcare attitudes and behaviours were significantly associated with vaccine uptake.
  
  
  
  Influenza vaccination coverage is extremely low in Chinese adults who are elderly and have chronic diseases. These two groups are at greatest risk for influenza-related morbidity and mortality and should be targets of programmes to increase positive attitudes towards vaccination and decrease barriers to uptake.
authors.affiliation: Department of Epidemiology, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Abram L
authors.initials: AL
authors.lastname: Wagner
authors.affiliation: Department of Epidemiology, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: JoLynn P
authors.initials: JP
authors.lastname: Montgomery
authors.affiliation: Department of Infectious Disease, Tianjin Centers for Disease Control and Prevention, Hedong District, Tianjin 300011, China.
authors.forename: Wenti
authors.initials: W
authors.lastname: Xu
authors.affiliation: Department of Epidemiology, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Boulton
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D002908:Chronic Disease / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D016015:Logistic Models; D008297:Male; D032541:Mass Vaccination / Q000706:statistics & numerical data*; D008875:Middle Aged; D058873:Pandemics / Q000517:prevention & control*; D012307:Risk Factors
chemical_list: D007252:Influenza Vaccines
keywords: China; adult vaccination; elderly; influenza vaccine