Evidence map›Paper›PMID 41698960›Full record

ArticleNPJ vaccines2026

Spillover between influenza and COVID-19 vaccination behaviors across pandemic phases and implications for general vaccine hesitancy.

Sitong Luo, Siwen Huang, Edmund W J Lee, Hui Jiang, Luyao Xie, Xinchen Ye, Ho Hin Lee, Kam Hei Hui, Phoenix K H Mo, Meiqi Xin

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in NPJ vaccines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sitong LuoVanke School of Public Health, Tsinghua University, Beijing, China.
Siwen HuangVanke School of Public Health, Tsinghua University, Beijing, China.
Edmund W J LeeDepartment of Media and Communication, The City University of Hong Kong, Hong Kong SAR, China.
Hui JiangShenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Luyao XieSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
Xinchen YeSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
Ho Hin LeeSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
Kam Hei HuiDepartment of Psychology, The Chinese University of Hong Kong, Hong Kong SAR, China.
Phoenix K H MoSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China. phoenix.mo@cuhk.edu.hk.
Meiqi XinDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China. meiqi.xin@polyu.edu.hk.

Funding

Hong Kong University Grants Committee's General Research Fund 15601623
6 · The paper itself

Abstract

Achieving high vaccination coverage is a critical challenge during both crisis and routine outbreaks of infectious diseases. Previous studies have largely focused on single vaccination behaviors and vaccine-specific attitudes. A three-wave prospective longitudinal study was conducted to investigate the complex relationships between influenza vaccination behavior, COVID-19 vaccination behavior, and general vaccine hesitancy across different peri-pandemic phases. Uptake of pre-pandemic influenza vaccination was associated with uptake of full COVID-19 vaccination during the outbreak of COVID-19, which was further associated with uptake of influenza vaccination in the post-emergency phase when a strong resurgence of seasonal influenza occurred. The specific vaccination behaviors and negative general attitudes toward vaccination had reciprocal relationships across the peri-pandemic phases. Reduced negative attitudes toward vaccination mediated the spillover between influenza and COVID-19 vaccination behaviors. This suggests that general vaccine hesitancy could have a profound impact on shaping specific vaccination behaviors across target diseases and risk communication contexts. Two-tier promotion strategies can help effectively promote vaccinations and better prepare for future pandemics.

Identifiers

PMID41698960
PMCPMC13021954

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.