{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:15:25Z","timestamp":1778577325434,"version":"3.51.4"},"reference-count":31,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Medical Health Science and Technology Project of Zhejiang Province","award":["2024KY1414"],"award-info":[{"award-number":["2024KY1414"]}]},{"name":"Disease Control and Prevention Science and Technology Project of Zhejiang Province","award":["2026JKY007"],"award-info":[{"award-number":["2026JKY007"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Objective: This study assessed the influence of a highly publicized influenza-related death event on caregivers\u2019 influenza vaccination intention for kindergarten and primary school children in Zhejiang, China, and identified associated factors. Methods: A cross-sectional survey was conducted from March to April 2025 using a multi-stage, stratified cluster sampling method across 10 districts\/counties. Caregivers completed electronic questionnaires covering sociodemographics, event awareness, vaccination history, hesitancy, and cognitive attitudes. Factors associated with vaccination intention were analyzed using chi-square tests and logistic regression. Results: Among 2153 caregivers, overall vaccination intention for the 2025 season was 60.10%, markedly higher than the 2024 season\u2019s actual rate (27.45%). Caregiver awareness of this event was 91.92%, primarily via social media (92.02%). In univariate analyses, event-related characteristics were significantly associated with vaccination intention: perceived \u201ccompletely objective\u201d coverage showed the highest willingness (79.68%, \u03c72 = 79.92, p &lt; 0.001), whereas the \u201cexaggerated risk\u201d (52.44%) and \u201cunaware\u201d (51.15%) groups showed lower willingness. Exposure frequency also correlated positively: low exposure (0\u20132 times) had 53.39% willingness, moderate (3\u20135) 61.11%, and high (\u22656) 66.10% (\u03c72 = 27.75, p &lt; 0.001). However, stronger vaccination intention was independently associated with factors such as no prior vaccination refusal [aOR(95% CI) = 2.74(2.03,3.72)] or hesitancy history [1.47(1.13,1.92)], greater information need (aOR = 6.42\u20138.83), and disbelief in influenza\u2019s spontaneous resolution [1.39(1.08,1.77)]. Weaker intention was associated with poorer child health status [0.19(0.04,0.74)], no influenza vaccination in 2024 [0.41(0.30,0.55)], no influenza illness in 2024 [0.73(0.56,0.95)], belief in vaccine protection [0.60(0.46,0.79)], and the perception that most parents have their children vaccinated [0.70(0.53,0.93)]. Conclusions: Following a highly publicized celebrity influenza death, vaccination intention was primarily driven by caregivers\u2019 cognitive, psychological, and behavioral experience factors. Caregivers who perceived event coverage as completely objective showed higher vaccination intention, while prior vaccination behavior exhibited inertia. Targeted interventions should enhance information credibility and focus on previously unvaccinated and vaccine-hesitant groups to improve coverage.<\/jats:p>","DOI":"10.3390\/vaccines14050377","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T12:04:42Z","timestamp":1776945882000},"page":"377","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Influenza Vaccination Intention Among Caregivers in the Context of Highly Publicized Influenza Events: A Cross-Sectional Survey of Caregivers of Kindergarten and Primary School Children in Zhejiang, China"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7138-0421","authenticated-orcid":false,"given":"Zhaokai","family":"He","sequence":"first","affiliation":[{"name":"Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), Hangzhou 310021, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minchao","family":"Li","sequence":"additional","affiliation":[{"name":"The Centre for Disease Control and Prevention of Haining County, Jiaxing 314400, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun","family":"Zeng","sequence":"additional","affiliation":[{"name":"Hangzhou Qiantang District Center for Disease Control and Prevention (Hangzhou Qiantang District Health Inspection Institute), Hangzhou 310020, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Jiaojiang Center for Disease Control and Prevention and Jiaojiang Institute of Health Supervision, Taizhou 318000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Tao","sequence":"additional","affiliation":[{"name":"Cixi Center for Disease Control and Prevention, Ningbo 315300, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumeng","family":"Wu","sequence":"additional","affiliation":[{"name":"Jiashan County Center for Disease Control and Prevention, Jiaxing 314100, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianwu","family":"Li","sequence":"additional","affiliation":[{"name":"Xianju County Center for Disease Control and Prevention, Taizhou 317300, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guiwei","family":"Zhu","sequence":"additional","affiliation":[{"name":"Tiantai County Center for Disease Control and Prevention, Taizhou 317200, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qianhui","family":"Zheng","sequence":"additional","affiliation":[{"name":"Kaihua County Center for Disease Control and Prevention, Quzhou 324300, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junqi","family":"Yang","sequence":"additional","affiliation":[{"name":"Wenzhou Center for Disease Control and Prevention (Wenzhou Health Supervision Institute), Wenzhou 315000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4150-560X","authenticated-orcid":false,"given":"Liangliang","family":"Huo","sequence":"additional","affiliation":[{"name":"Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), Hangzhou 310021, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6038-7559","authenticated-orcid":false,"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), Hangzhou 310021, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"ref_1","unstructured":"WHO (2026, February 05). 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