{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:17:46Z","timestamp":1788254266403,"version":"build-2803163510"},"reference-count":51,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Task Force for Global Health, Inc."},{"id":[{"id":"https:\/\/ror.org\/03747hz63","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Introduction: As seasonal influenza vaccination coverage among healthcare workers (HCWs) in Serbia remains suboptimal, we aimed to identify HCW beliefs associated with their intention to receive seasonal influenza vaccine (\u201cvaccination intention\u201d) in the season 2024\/2025. Methods: In a cross-sectional survey conducted in 2024, healthcare institutions were selected from a national registry, using multi-stage sampling stratified by geographical region and healthcare level. All consenting HCWs present on the survey day self-completed questionnaires. Five dichotomised Health Belief Model constructs were assessed: perceived susceptibility to influenza, perceived disease severity, perceived vaccination benefits, perceived physical and psychological barriers, and perceived cues for action (recommendation by another HCW, someone close, or a supervisor). The association of vaccination intention (yes\/no\/undecided) with Health Belief Model constructs, demographic and occupational factors were assessed using multinomial logistic regression. Results: Of 1919 respondents, 30% declared positive vaccination intention, 52.5% no intention, and 17.5% were undecided. Compared with no intention, positive vaccination intention was associated with perceived self-benefit (aOR = 6.22, CI = 3.49\u201311.08), perceived patient benefit (aOR = 2.26, CI = 1.48\u20133.45), perceived susceptibility (aOR = 3.26, CI = 2.19\u20134.86), and perceived vaccine safety (aOR = 2.95, CI = 1.93\u20134.50). Participants were more likely to be undecided than reject vaccination if they experienced higher perceived susceptibility (aOR = 2.93, CI = 1.89\u20134.54), perceived influenza as severe (aOR = 2.04, CI = 1.30\u20133.21), perceived patient benefits (aOR = 1.77, CI = 1.14\u20132.74), or recalled receiving a recommendation from another HCW (aOR = 2.63, CI = 1.17\u20135.85). Conclusions: HCWs\u2019 positive vaccination intention was associated with beliefs relevant for personal health and patient benefits. The undecided group showed a distinct pattern of beliefs warranting their separate analysis and specific approaches.<\/jats:p>","DOI":"10.3390\/vaccines14090763","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T08:31:13Z","timestamp":1788251473000},"page":"763","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated with Intention to Be Vaccinated Against Seasonal Influenza in Healthcare Workers: A Cross-Sectional Study Assessing Health Belief Model Constructs in Serbia"],"prefix":"10.3390","volume":"14","author":[{"given":"Larisa","family":"Vujnovic","sequence":"first","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovic Batut\u201d, 11000 Belgrade, Serbia"},{"name":"Mediterranean and Black Sea Programme in Intervention Epidemiology Training (MediPIET), European Centre for Disease Prevention and Control (ECDC), 17183 Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8059-814X","authenticated-orcid":false,"given":"Biljana","family":"Kilibarda","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovic Batut\u201d, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4033-6230","authenticated-orcid":false,"given":"Sofija","family":"Jovanovic","sequence":"additional","affiliation":[{"name":"Radiology Centre, University Clinical Centre of Serbia, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dragana","family":"Dimitrijevic","sequence":"additional","affiliation":[{"name":"Independent Researcher, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milunka","family":"Milinkovic","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovic Batut\u201d, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7609-4504","authenticated-orcid":false,"given":"Zoran","family":"Bukumiric","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verica","family":"Jovanovic","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovic Batut\u201d, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/S2213-2600(18)30496-X","article-title":"Mortality, morbidity, and hospitalisations due to influenza lower respiratory tract infections, 2017: An analysis for the Global Burden of Disease Study 2017","volume":"7","author":"Troeger","year":"2019","journal-title":"Lancet Respir. 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