{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T16:39:27Z","timestamp":1772728767200,"version":"3.50.1"},"reference-count":45,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,12]],"date-time":"2024-10-12T00:00:00Z","timestamp":1728691200000},"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>Background\/Objectives: The experience of the COVID-19 pandemic has turned the spotlight on the importance of public health measures and disease prevention. Despite this, the acceptance of influenza vaccination has remained low in most countries (and far from the 75% target set by the World Health Organization). The objective of this study has been to investigate how attitudes and behaviors regarding influenza vaccination in the Spanish adult population have changed over the last three years (from 2021 to 2024) in order to analyze trends in influenza vaccination. Methods: To this end, a cross-sectional study was conducted through 2206 telephone interviews, and the results were compared with those obtained in previous campaigns. Results: The findings indicate a significant decline in overall vaccination intent. Healthcare professionals remain the most influential factor in encouraging vaccination, yet there is a notable increase in the lack of vaccine recommendations, contributing to the decision not to vaccinate. This study also reveals low awareness of the influenza vaccine campaign, emphasizing the need for improved public health communication. Conclusions: To counteract these trends, this study recommends intensifying awareness campaigns, strengthening the role of healthcare providers in vaccine advocacy, and tailoring communication strategies. These efforts are crucial to enhancing vaccination coverage and protecting vulnerable populations against influenza.<\/jats:p>","DOI":"10.3390\/vaccines12101162","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T04:02:58Z","timestamp":1728878578000},"page":"1162","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Analyzing Changes in Attitudes and Behaviors towards Seasonal Influenza Vaccination in Spain\u2019s Adult Population over Three Seasons"],"prefix":"10.3390","volume":"12","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":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4569-6755","authenticated-orcid":false,"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":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7146-2059","authenticated-orcid":false,"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":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4365-3197","authenticated-orcid":false,"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":[{"role":"author","vocabulary":"crossref"}]},{"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), 42002 Soria, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Infecciosas (CIBERINFECC), 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"6719","DOI":"10.1016\/j.vaccine.2023.09.047","article-title":"Factors Associated to Influenza Vaccination among Hospital\u2019s Healthcare Workers in the Autonomous Community of Madrid, Spain 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