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Volume 14
Issue 1
10.3390/vaccines14010013
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Article

Influences of Seasonal Influenza Disease Perceptions, Altruism, Family Harmony, and Information Exposure on Social Media on Behavioral Intention to Receive Seasonal Influenza Vaccination Among Parents in China: Findings of a Population-Based Survey

by
Hongbiao Chen
1,†,
Liwen Ding
2,†,
Lixian Su
3,
Minjie Zhang
1,
Yadi Lin
1,
Yuan Fang
4,
Weijun Peng
1,
He Cao
1 and
Zixin Wang
2,*
1
Longhua District Centre for Disease Control and Prevention, Shenzhen 518055, China
2
Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
3
Futian District Maternal and Child Health Hospital, Shenzhen 518034, China
4
Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Vaccines 2026, 14(1), 13; https://doi.org/10.3390/vaccines14010013
Submission received: 27 November 2025 / Revised: 18 December 2025 / Accepted: 20 December 2025 / Published: 22 December 2025
(This article belongs to the Special Issue Factors Affecting and Strategies Enhancing the Willingness to Receive and Uptake of Seasonal Influenza Vaccination)
Versions Notes

Abstract

Background: Promoting seasonal influenza vaccination among parents may help increase the coverage of seasonal influenza vaccination among both parents and children. This study aims to investigate determinants of behavioral intention to receive a seasonal influenza vaccination among parents of children aged 0–15 years to protect themselves. Methods: A cross-sectional survey was conducted among parents of children aged 0 to 15 years with administrative health records in Shenzhen, China, between September and October 2024. Participants were recruited through multistage random sampling. First, 10 community health centers were randomly selected in Shenzhen. Within each selected center, 200 parents were randomly selected. Multivariate logistic regression models were fitted. Results: Among 1504 parents, 47.6% intended to receive a seasonal influenza vaccination in the next year. After adjusting for significant background characteristics, parents’ intention to receive a seasonal influenza vaccination was associated with a higher intention to vaccinate their children against seasonal influenza (AOR: 20.39). At the individual level, eight items measuring illness representations of seasonal influenza were associated with higher odds of intending to receive such a vaccine (AOR: 1.15–1.25), including identity (identifying symptoms), timeline, negative consequences, personal and treatment control, concern, negative emotions, and coherence. At the interpersonal level, parents who had higher levels of general and family-oriented altruism (AOR: 1.10–2.47), better family harmony (AOR: 1.07), higher exposure to information related to seasonal influenza on social media (AOR: 1.24–1.38), and thoughtful consideration of information veracity (AOR: 1.33) were more likely to report an intention. Conclusions: There are strong needs to promote seasonal influenza vaccination among parents in China.
Keywords: seasonal influenza vaccination; behavioral intention; illness representation; altruism; family harmony; social media; Socioecological Model; parents; China seasonal influenza vaccination; behavioral intention; illness representation; altruism; family harmony; social media; Socioecological Model; parents; China

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MDPI and ACS Style

Chen, H.; Ding, L.; Su, L.; Zhang, M.; Lin, Y.; Fang, Y.; Peng, W.; Cao, H.; Wang, Z. Influences of Seasonal Influenza Disease Perceptions, Altruism, Family Harmony, and Information Exposure on Social Media on Behavioral Intention to Receive Seasonal Influenza Vaccination Among Parents in China: Findings of a Population-Based Survey. Vaccines 2026, 14, 13. https://doi.org/10.3390/vaccines14010013

AMA Style

Chen H, Ding L, Su L, Zhang M, Lin Y, Fang Y, Peng W, Cao H, Wang Z. Influences of Seasonal Influenza Disease Perceptions, Altruism, Family Harmony, and Information Exposure on Social Media on Behavioral Intention to Receive Seasonal Influenza Vaccination Among Parents in China: Findings of a Population-Based Survey. Vaccines. 2026; 14(1):13. https://doi.org/10.3390/vaccines14010013

Chicago/Turabian Style

Chen, Hongbiao, Liwen Ding, Lixian Su, Minjie Zhang, Yadi Lin, Yuan Fang, Weijun Peng, He Cao, and Zixin Wang. 2026. "Influences of Seasonal Influenza Disease Perceptions, Altruism, Family Harmony, and Information Exposure on Social Media on Behavioral Intention to Receive Seasonal Influenza Vaccination Among Parents in China: Findings of a Population-Based Survey" Vaccines 14, no. 1: 13. https://doi.org/10.3390/vaccines14010013

APA Style

Chen, H., Ding, L., Su, L., Zhang, M., Lin, Y., Fang, Y., Peng, W., Cao, H., & Wang, Z. (2026). Influences of Seasonal Influenza Disease Perceptions, Altruism, Family Harmony, and Information Exposure on Social Media on Behavioral Intention to Receive Seasonal Influenza Vaccination Among Parents in China: Findings of a Population-Based Survey. Vaccines, 14(1), 13. https://doi.org/10.3390/vaccines14010013

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