{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T22:07:09Z","timestamp":1788991629305,"version":"build-2803163510"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study assessed influenza vaccination uptake, knowledge, beliefs, and willingness among healthcare workers (HCWs) in maternal and child health (MCH) institutions in Chengdu in the post-COVID-19 era and identified factors associated with vaccination behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional online survey was conducted in 10 Chengdu MCH institutions from May 12 to June 30, 2025, using a validated questionnaire. Analyses included descriptive statistics, univariate tests (chi-square; independent-samples\n                      <jats:italic>t<\/jats:italic>\n                      -tests\/one-way ANOVA), and hierarchical multivariable logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 1,880 HCWs, 35.21% (662) reported receiving influenza vaccination since June 2024, and 10.43% reported clinician-diagnosed influenza. Before the 2025 influenza season, 57.61% reported willingness to be vaccinated. Objective knowledge was suboptimal: 45.05% correctly identified the time to develop protective antibodies (2\u20134\u202fweeks), and 43.72% correctly identified the duration of protection (at least 6\u202fmonths). Belief scores increased with higher education and professional title (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05) and were lowest among outsourced staff. Hierarchical regression (Nagelkerke\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f0.377) identified independent correlates of vaccination uptake, including older age [odds ratio (OR)\u202f=\u202f1.029 per year], master\u2019s degree or above (OR\u202f=\u202f2.067), working in secondary-level MCH hospitals (OR\u202f=\u202f5.377) or outpatient\/preventive-care departments (OR\u202f=\u202f1.682), being a nurse (OR\u202f=\u202f1.804) or administrative staff member (OR\u202f=\u202f3.262) versus physician, higher belief score (OR\u202f=\u202f1.062 per point), and, most strongly, willingness to vaccinate (uncertain vs. unwilling: OR\u202f=\u202f3.431; willing vs. unwilling: OR\u202f=\u202f23.296).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Influenza vaccination coverage among HCWs in Chengdu MCH institutions remained suboptimal in the post-pandemic period, with a clear intention-behavior gap. Uptake was associated with more favorable beliefs, higher willingness, older age, higher education, and institutional\/departmental and occupational factors. Targeted strategies to strengthen confidence, improve access and convenience, and tailor interventions to specific departments and job categories are needed to increase coverage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1766101","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T05:48:28Z","timestamp":1776059308000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Influenza vaccination uptake and associated factors among healthcare workers in Chengdu\u2019s maternal and child health institutions in the post-pandemic era"],"prefix":"10.3389","volume":"14","author":[{"given":"Mei","family":"Cha","sequence":"first","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, 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China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erdan","family":"Luo","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Tang","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjie","family":"Qing","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]},{"name":"Pengzhou Maternity and Child Healthcare Hospital, Pengzhou Women\u2019s and Children\u2019s Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"He","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dingqian","family":"Gu","sequence":"additional","affiliation":[{"name":"Shuangliu Maternal and Child Health Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dingyu","family":"Yan","sequence":"additional","affiliation":[{"name":"Longquanyi District of Chengdu Maternity & Child Health Care Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Shu","sequence":"additional","affiliation":[{"name":"Chengdu Xindu Maternal and Child Health Care Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuerong","family":"Ding","sequence":"additional","affiliation":[{"name":"Xinjin Branch of Chengdu Women's and Children's Central Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Sun","sequence":"additional","affiliation":[{"name":"Jingtang MCH Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiu","family":"Chen","sequence":"additional","affiliation":[{"name":"Dayi County Women and Children's Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Xiang","sequence":"additional","affiliation":[{"name":"Jiangdu Obstetric and Gynecology Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongmei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Longquanyi District of Chengdu Maternity & Child Health Care Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunxian","family":"Jiang","sequence":"additional","affiliation":[{"name":"Chengdu Qingyang Women's and Children's Health Care and Family Planning Service Center (Chengdu Qingyang Women and Children's Health Hospital)","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingqiu","family":"Xie","sequence":"additional","affiliation":[{"name":"Chengdu Qingyang Women's and Children's Health Care and Family Planning Service Center (Chengdu Qingyang Women and Children's Health Hospital)","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bei","family":"Wang","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinghua","family":"Ye","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxu","family":"Yang","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Yang","sequence":"additional","affiliation":[{"name":"Pengzhou Maternity and Child Healthcare Hospital, Pengzhou Women\u2019s and Children\u2019s Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonghong","family":"Lin","sequence":"additional","affiliation":[{"name":"Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, 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