Birth order and influenza vaccination: a comparative study of behaviors and intentions between first-time and second-time Chinese parents

First-time parents demonstrate lower vaccination rates and higher hesitancy to children, particularly before age three, influenced by social norms and vaccine confidence. These findings provide empirical evidence for birth order-based strategies to improve vaccine equity.

Authors

Chuanxi Fu (ORCID: https://orcid.org/0000-0003-3458-8386)
Yi Zhou (ORCID: https://orcid.org/0000-0001-6130-687X)
Kan Chen (ORCID: https://orcid.org/0000-0003-1205-7410)
Zhonghui Xu (ORCID: https://orcid.org/0000-0002-6469-9178)
Hongni Wang (ORCID: https://orcid.org/0000-0002-2491-3838)
Linchen Chu

Institutions

Zhejiang Chinese Medical University (CN)
National Medical Products Administration (CN)

Publication Details

Journal: Expert Review of Vaccines
Published: 2025-10-17
DOI: https://doi.org/10.1080/14760584.2025.2576235
Primary Topic: Influenza Virus Research Studies
Type: article
Field-Weighted Citation Impact: 0.00

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article

Birth order and influenza vaccination: a comparative study of behaviors and intentions between first-time and second-time Chinese parents

Chuanxi Fu, Yi Zhou, Kan Chen, Zhonghui Xu et al.

Oct 17, 2025

Expert Review of Vaccines

Influenza Virus Research Studies

article

Birth order and influenza vaccination: a comparative study of behaviors and intentions between first-time and second-time Chinese parents

Chuanxi Fu, Yi Zhou, Kan Chen, Zhonghui Xu, Hongni Wang, Linchen Chu

October 17, 2025article en

Abstract

First-time parents demonstrate lower vaccination rates and higher hesitancy to children, particularly before age three, influenced by social norms and vaccine confidence. These findings provide empirical evidence for birth order-based strategies to improve vaccine equity.

Expert Review of VaccinesVol. 24(1)

Zhejiang Chinese Medical University (CN), National Medical Products Administration (CN)

Openalex Percentile: Top 60%

Influenza Virus Research Studies

DOI Open Access PDF OpenAlex

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