Background: Influenza could circulate in parallel with COVID-19. Studies focusing on the comparison of vaccine acceptance between COVID-19 and seasonal influenza are lacking. The aim of the study was to assess and compare vaccine acceptance of COVID-19 and influenza among reproductive women in China, in order to better understand and address factors associated with vaccine acceptance and to provide guidance for targeted measures to promote vaccination. Methods: A national anonymous cross-sectional survey on COVID-19 and influenza vaccine acceptance among reproductive women aged 18–49 years in China was conducted online based on health belief model, a model widely used to evaluate health beliefs. Sociodemographic characteristics, health status, knowledge, attitude, and health beliefs related to COVID-19 and influenza infection and vaccination were retrieved. Pearson’s χ 2 test was used to compare the vaccine acceptance by the factors mentioned above. Multivariable logistic regression was used to assess the adjusted associations of factors related to vaccine acceptance. Paired t -test was used to compare scores of health beliefs between influenza and COVID-19 vaccinations. Results: COVID-19 vaccine acceptance rate among reproductive women was 90.3% (95% CI 89.2–91.3%), which was significantly higher than influenza vaccine acceptance rate (85.5%, 95% CI: 84.2–86.7%). Influenza and COVID-19 vaccine acceptance both had the trends to decrease with age (all p < 0.05). Living in the western region, young age, a high level of knowledge scores on disease and vaccines, a high level of perceived susceptibility, a high level of cues to action, and a low level of perceived barriers were positively associated with both COVID-19 and influenza vaccine acceptance (all p < 0.05), while influenza vaccination history was additionally associated with influenza vaccine acceptance ( p < 0.05). Conclusions: Our findings suggest that tailored public health measures are needed to improve reproductive women's knowledge of COVID-19, influenza, and vaccines to alleviate women's vaccine hesitancy and expand vaccine uptake.
【저자키워드】 COVID-19, Influenza, Vaccine acceptance, Associated factors, Reproductive women, 【초록키워드】 Vaccine, COVID-19 vaccine, vaccination, Vaccines, knowledge, susceptibility, Vaccine hesitancy, China, Health, Characteristics, Logistic regression, age, Health status, women, disease, Guidance, association, cross-sectional survey, Seasonal influenza, public health measure, Factor, 95% CI, influenza infection, measure, National, Pearson, t -test, COVID-19 vaccinations, decrease, IMPROVE, was used, conducted, adjusted, promote, significantly higher, the vaccine, reproductive, expand, alleviate, knowledge score, retrieved, used to evaluate, with COVID-19, 【제목키워드】 survey, Model, acceptance, belief, seasonal,