{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T08:15:05Z","timestamp":1793088905349,"version":"4.5.0"},"reference-count":62,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Annual influenza vaccination is recommended for volunteers involved in primary health and social services. Little is known about the volunteers\u2019 adhesion to influenza vaccination recommendations. The aim of this study was to assess influenza vaccination determinants among a group of volunteers who provided essential activities during the first SARS-CoV-2 pandemic wave in the province of Prato, Tuscany (Italy) and to evaluate the role of health literacy in influencing vaccination determinants. Method: In this cross-sectional study, the predictors of influenza vaccination uptake were assessed through the administration of a questionnaire. Variables significantly associated with influenza vaccination uptake were included in five multivariate logistic regression models through a backward stepwise procedure. Results: Among the 502 enrolled volunteers, 24.3% reported being vaccinated in the 2019\u20132020 season. Vaccination uptake was 48.8% in participants aged 65 years or older and 15.7% in those aged 64 years or younger. Considering the whole sample in the final model of multivariate logistic regression analysis, the predictors of influenza vaccination uptake were age (OR = 1.05; 95% CI = 1.03\u20131.07), presence of heart diseases (OR = 2.98; 95% CI = 1.24\u20137.19), pulmonary diseases (OR = 6.18; 95% CI = 2.01\u201319.04) and having undergone surgery under general anesthesia in the prior year (OR = 3.14; 95% CI = 1.23\u20138.06). In the multivariate model considering only participants with a sufficient level of health literacy (HL), none of these predictors resulted in significant associations with vaccination uptake, except for age (OR= 1.04; 95% CI = 1.02\u20131.07). Conclusions: Our findings revealed a very low influenza vaccination uptake among volunteers, suggesting the need to increase awareness in this at-risk group by means of a better communication approach.<\/jats:p>","DOI":"10.3390\/ijerph19116688","type":"journal-article","created":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T10:05:14Z","timestamp":1653905114000},"page":"6688","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Predictors of Influenza Vaccination Uptake and the Role of Health Literacy among Health and Social Care Volunteers in the Province of Prato (Italy)"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3170-1857","authenticated-orcid":false,"given":"Chiara","family":"Lorini","sequence":"first","affiliation":[{"name":"Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0762-6666","authenticated-orcid":false,"given":"Vieri","family":"Lastrucci","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy"},{"name":"Epidemiology Unit, Meyer Children\u2019s Hospital, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6718-1932","authenticated-orcid":false,"given":"Beatrice","family":"Zanella","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Gori","sequence":"additional","affiliation":[{"name":"Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5645-8588","authenticated-orcid":false,"given":"Fabrizio","family":"Chiesi","sequence":"additional","affiliation":[{"name":"Central Tuscany Local Health Unit, 50142 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6013-8779","authenticated-orcid":false,"given":"Angela","family":"Bechini","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9695-7549","authenticated-orcid":false,"given":"Sara","family":"Boccalini","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2742-0297","authenticated-orcid":false,"given":"Marco","family":"Del Riccio","sequence":"additional","affiliation":[{"name":"Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Moscadelli","sequence":"additional","affiliation":[{"name":"Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Puggelli","sequence":"additional","affiliation":[{"name":"Management Department, Meyer Children\u2019s University Hospital, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renzo","family":"Berti","sequence":"additional","affiliation":[{"name":"Azienda Sanitaria Locale Toscana Centro, Department of Prevention, Via Lavarone 3\/5, 59100 Prato, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2875-3744","authenticated-orcid":false,"given":"Paolo","family":"Bonanni","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5171-4308","authenticated-orcid":false,"given":"Guglielmo","family":"Bonaccorsi","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,30]]},"reference":[{"key":"ref_1","unstructured":"Centers for Disease Control and Prevention (2022, February 16). 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