Core belief as the key driver: Overcoming knowledge-behavior gap in influenza vaccination and recommendation among health care workers for infection control - 07/01/26
Resumen |
Background |
Health care workers’ suboptimal influenza vaccination rates persist globally despite occupational risks. This study examines how vaccine literacy dimensions influence their vaccination and recommendation behaviors.
Methods |
A cross-sectional survey assessed vaccine literacy (fundamental knowledge, core belief, behavioral competency) among 1,725 Chinese health care workers. Multivariate logistic regression analyzed associations with influenza vaccination willingness and recommendation to others.
Results |
Only 34.09% exhibited behavioral competency literacy, revealing a knowledge-belief-practice gap. Core belief literacy predicted vaccination willingness (odds ratio [OR] = 2.12, 95%CI: 1.70-2.64) and recommendation (OR = 3.43, 95%CI: 2.54-4.62). Behavioral competency literacy also increased vaccination willingness (OR = 2.30, 95%CI: 1.81-2.93).
Discussion |
Core belief is the critical driver bridging knowledge and practice. Nurses showed significantly lower literacy than physicians (OR = 1.35, 95%CI: 1.08-1.70), warranting targeted interventions.
Conclusions |
Addressing the “knowledge-belief-practice dissociation” through belief-focused strategies---not merely knowledge dissemination---is essential to improve influenza vaccine uptake among health care workers.
El texto completo de este artículo está disponible en PDF.Highlights |
• | Core belief literacy predicts health care workers' flu vaccination decisions. |
• | The study reveals a critical Knowledge-Behavior Gap among health care workers. |
• | Nurses are a priority for intervention due to lower vaccine literacy. |
• | Belief-focused strategies can bridge the knowledge-behavior gap in infection control. |
Key Words : Vaccine literacy, Influenza vaccine, China
Esquema
| Funding/support: This work was supported the Open Fund of Zhejiang Provincial Key Laboratory of Infectious Disease Vaccine Research and Prevention and Control [grant number 12]. |
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| Conflicts of interest: None to report. |
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