tetano
Editor, Senior Moderator
Am J Infect Control
. 2025 Dec 16:S0196-6553(25)00748-5.
doi: 10.1016/j.ajic.2025.12.006. Online ahead of print. Core Belief as the Key Driver: Overcoming Knowledge-Behavior Gap in Influenza Vaccination and Recommendation Among Healthcare Workers for Infection Control
Liu Jing[SUP] 1 [/SUP], Wu Jinwei[SUP] 2 [/SUP], Shi Yayin[SUP] 2 [/SUP], Gao Huijuan[SUP] 2 [/SUP], Tang Tao[SUP] 3 [/SUP]
Affiliations
Background: Healthcare workers' suboptimal influenza vaccination rates persist globally despite occupational risks. This study examines how vaccine literacy dimensions influence their vaccination and recommendation behaviors.
Methods: A cross-sectional survey assessed vaccine literacy (fundamental knowledge, core belief, behavioral competency) among 1,725 Chinese healthcare workers. Multivariate logistic regression analyzed associations with influenza vaccination willingness and recommendation to others.
Results: Only 34.09% exhibited behavioral competency literacy, revealing a knowledge-belief-practice gap. Core belief literacy predicted vaccination willingness (OR=2.12, 95%CI:1.70-2.64) and recommendation (OR=3.43, 95%CI: 2.54-4.62). Behavioral competency literacy also increased vaccination willingness (OR=2.30, 95%CI: 1.81-2.93).
Discussion: Core belief is the critical driver bridging knowledge and practice. Nurses showed significantly lower literacy than physicians (OR=1.35, 95%CI:1.08-1.70), warranting targeted interventions.
Conclusions: Addressing the "knowledge-belief-practice dissociation" through belief-focused strategies-not merely knowledge dissemination-is essential to improve influenza vaccine uptake among healthcare workers.
Keywords: China; Healthcare workers;; Infection control; Influenza vaccine; Vaccine literacy.
. 2025 Dec 16:S0196-6553(25)00748-5.
doi: 10.1016/j.ajic.2025.12.006. Online ahead of print. Core Belief as the Key Driver: Overcoming Knowledge-Behavior Gap in Influenza Vaccination and Recommendation Among Healthcare Workers for Infection Control
Liu Jing[SUP] 1 [/SUP], Wu Jinwei[SUP] 2 [/SUP], Shi Yayin[SUP] 2 [/SUP], Gao Huijuan[SUP] 2 [/SUP], Tang Tao[SUP] 3 [/SUP]
Affiliations
- PMID: 41412379
- DOI: 10.1016/j.ajic.2025.12.006
Background: Healthcare workers' suboptimal influenza vaccination rates persist globally despite occupational risks. This study examines how vaccine literacy dimensions influence their vaccination and recommendation behaviors.
Methods: A cross-sectional survey assessed vaccine literacy (fundamental knowledge, core belief, behavioral competency) among 1,725 Chinese healthcare workers. Multivariate logistic regression analyzed associations with influenza vaccination willingness and recommendation to others.
Results: Only 34.09% exhibited behavioral competency literacy, revealing a knowledge-belief-practice gap. Core belief literacy predicted vaccination willingness (OR=2.12, 95%CI:1.70-2.64) and recommendation (OR=3.43, 95%CI: 2.54-4.62). Behavioral competency literacy also increased vaccination willingness (OR=2.30, 95%CI: 1.81-2.93).
Discussion: Core belief is the critical driver bridging knowledge and practice. Nurses showed significantly lower literacy than physicians (OR=1.35, 95%CI:1.08-1.70), warranting targeted interventions.
Conclusions: Addressing the "knowledge-belief-practice dissociation" through belief-focused strategies-not merely knowledge dissemination-is essential to improve influenza vaccine uptake among healthcare workers.
Keywords: China; Healthcare workers;; Infection control; Influenza vaccine; Vaccine literacy.