{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:34:22Z","timestamp":1787063662955,"version":"build-2736575974"},"reference-count":47,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T00:00:00Z","timestamp":1695427200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"CSL-Seqirus"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Seasonal influenza is an acute respiratory infection caused by the influenza virus which constitutes a significant public health issue associated with high morbidity and mortality. The aim of this study was to investigate changes in attitudes, perceptions, and practices regarding influenza vaccination in the Spanish adult population during the COVID-19 pandemic, as well as their vaccination intentions, with special attention paid to those over 65 years old and in high-risk groups. To this end, a cross-sectional study was conducted through 2219 telephone interviews, and the results were compared with results obtained a year earlier. Regarding the reasons for deciding to get vaccinated in the 2022\/23 season, a significant increase was observed in vaccine confidence (36.7% vs. 42.8%), social responsibility (32.5% vs. 43.8%), and in awareness of the importance of vaccination due to COVID-19 (21.7% vs. 25.4%). Advanced age (OR 2.8, 95% CI 2.0\u20133.9), belonging to high-risk groups (OR 2.7, 95% CI 2.0\u20133.7), and prior vaccination (OR 25.3, 95% CI 19.5\u201332.7) emerged as significant predictors for the intent to receive the influenza vaccine in the 2022\/23 season. Continuously observing shifts in perceptions and behaviors related to influenza immunization is crucial to pinpoint factors that may influence the willingness to receive the vaccine and, in this way, design public health strategies that achieve a greater acceptance of it.<\/jats:p>","DOI":"10.3390\/vaccines11101514","type":"journal-article","created":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T10:40:22Z","timestamp":1695552022000},"page":"1514","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The Impact of the COVID-19 Pandemic on Influenza Vaccination Attitudes and Actions in Spain\u2019s Adult Population"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2487-9350","authenticated-orcid":false,"given":"Camino","family":"Prada-Garc\u00eda","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain"},{"name":"National Influenza Centre, Edificio Rondilla, Hospital Cl\u00ednico Universitario de Valladolid, 47009 Valladolid, Spain"},{"name":"Dermatology Service, Complejo Asistencial Universitario de Le\u00f3n, 24008 Le\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Toquero-Asensio","sequence":"additional","affiliation":[{"name":"National Influenza Centre, Edificio Rondilla, Hospital Cl\u00ednico Universitario de Valladolid, 47009 Valladolid, Spain"},{"name":"Preventive Medicine and Public Health Service, Hospital Cl\u00ednico Universitario de Valladolid, 47003 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Fern\u00e1ndez-Espinilla","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain"},{"name":"National Influenza Centre, Edificio Rondilla, Hospital Cl\u00ednico Universitario de Valladolid, 47009 Valladolid, Spain"},{"name":"Preventive Medicine and Public Health Service, Hospital Cl\u00ednico Universitario de Valladolid, 47003 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Hern\u00e1n-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain"},{"name":"National Influenza Centre, Edificio Rondilla, Hospital Cl\u00ednico Universitario de Valladolid, 47009 Valladolid, Spain"},{"name":"Preventive Medicine and Public Health Service, Hospital Cl\u00ednico Universitario de Valladolid, 47003 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4725-6663","authenticated-orcid":false,"given":"Iv\u00e1n","family":"Sanz-Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"National Influenza Centre, Edificio Rondilla, Hospital Cl\u00ednico Universitario de Valladolid, 47009 Valladolid, Spain"},{"name":"Instituto de Estudios de Ciencias de la Salud de Castilla y Le\u00f3n, ICSCYL, 24002 Soria, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Infecciosas (CIBERINFECC), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Dolores","family":"Calvo-Nieves","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Hospital Cl\u00ednico Universitario de Valladolid, 47009 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose M.","family":"Eiros","sequence":"additional","affiliation":[{"name":"National Influenza Centre, Edificio Rondilla, Hospital Cl\u00ednico Universitario de Valladolid, 47009 Valladolid, Spain"},{"name":"Microbiology Service, Hospital Universitario R\u00edo Hortega, 47012 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9529-7647","authenticated-orcid":false,"given":"Javier","family":"Castrodeza-Sanz","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain"},{"name":"National Influenza Centre, Edificio Rondilla, Hospital Cl\u00ednico Universitario de Valladolid, 47009 Valladolid, Spain"},{"name":"Preventive Medicine and Public Health Service, Hospital Cl\u00ednico Universitario de Valladolid, 47003 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e12376","DOI":"10.1002\/1348-9585.12376","article-title":"The Impact of COVID-19 on Hospital-based Workers Influenza Vaccination Uptake: A Two-year Retrospective Cohort Study","volume":"64","author":"Albanesi","year":"2022","journal-title":"J. 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