Coverage and influencing factors of influenza vaccination among community healthcare workers in Shanghai, 2023–2024

Seasonal influenza vaccination is critical for community healthcare workers (HCWs) to protect themselves, patients, and families, yet uptake remains low in China. This study investigates the influenza vaccination status among community HCWs in Shanghai and analyses the factors driving vaccination. A cross-sectional survey was conducted in 47 Community Health Service Centers (CHSC) in Pudong New Area, Shanghai, China. Vaccination status in the 2023-2024 influenza season and reasons for or against vaccination were surveyed. The potential factors influencing vaccination uptake were determined using bivariate logistic regression. Among 1,781 surveyed HCWs, 335 (18.81%, 95% CI: 17.04-20.72) received influenza vaccination in 2023-2024. Nurses had the highest coverage (32.08%, 95% CI: 20.30-46.45), followed by public health workers (26.78%, 95% CI: 23.40-30.45), with clinicians the lowest (11.64%, 95% CI: 9.21-14.59) (<i>P</i> < .001). Significant correlates of vaccination included age, education, occupation, and monthly household income (<i>P</i> < .05). Unvaccinated HCWs cited main reasons as follows: concerns about side effects (clinicians 32.60%, technicians 35.60%); self-rated good health (public health workers 32.30%, support staff 37.70%); and for nurses, perceived ineffectiveness/not worth the cost alongside side effect concerns (30.00% each). The coverage rate of influenza vaccination among community HCWs in the Pudong New Area of Shanghai is low. Improving influenza vaccination uptake among community HCWs requires a multifaceted approach combining education and policy support.