Influenza Vaccination Rates and Motivators Among Healthcare Worker Groups

Amanda Christini · Kathleen A. Shutt · Karin E. Byers

134 citations0/0 files storedInfection Control and Hospital Epidemiology

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Vaccine Coverage and Hesitancy Influenza Virus Research Studies Intramuscular injections and effects

Abstract

BACKGROUND: The rate of influenza vaccination among healthcare workers (HCWs) is approximately 40%. Differences in vaccination rates among HCW groups and reasons for accepting or rejecting vaccination are poorly understood. OBJECTIVES: To determine vaccination rates and motivators among different HCW groups during the 2004-2005 influenza season. DESIGN: Cross-sectional survey conducted between July 10 and September 30, 2005. SETTING: Two tertiary care teaching hospitals in an urban center. PARTICIPANTS: Physicians, nurses, nursing aides, and other staff. Surveys were collected from 1,042 HCWs (response rate, 42%). RESULTS: Sixty-nine percent of physicians (n=282) and 63% of medical students (n=145) were vaccinated, compared with 46% of nurses (n=336), 42% of nursing aides (n=135), and 29% of administrative personnel (n=144). Physicians and medical students were significantly more likely to be vaccinated than all other groups (P<.0001). Pediatricians (84%) were more likely than internists (69%) and surgeons (43%) to be vaccinated (P<.0001). Among the HCWs who were vaccinated, 33.4% received the live attenuated influenza vaccine (LAIV) and 66.6% received trivalent inactivated influenza vaccine (TIV). Vaccinated HCWs were less likely than unvaccinated HCWs to report an influenza-like illness (P=.03). Vaccination with LAIV resulted in fewer episodes of influenza-like illness than did receiving no vaccine (P=.03). The most common reason for rejecting vaccination was a concern about availability. Understanding that HCWs may transmit the virus to patients correlated with vaccine acceptance (P=.0004). CONCLUSIONS: Significant differences in vaccination exist among physician specialties and employee groups, and there are inadequate vaccination rates among those with the greatest amount of patient contact, potentially providing a basis for group-specific interventions.

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References

2006Influenza Vaccination of Health-Care Personnel: Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP)2004Preventing Nosocomial Influenza by Improving the Vaccine Acceptance Rate of Clinicians

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2014Factors Associated with Healthcare Worker Acceptance of Vaccination: A Systematic Review and Meta-analysis 2007Influenza Vaccination Among Registered Nurses: Information Receipt, Knowledge, and Decision-Making at an Institution With a Multifaceted Educational Program 2019Healthcare professionals’ knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study 2008Influenza Vaccination Compliance Among Health Care Workers in a German University Hospital 2009Which determinants should be targeted to increase influenza vaccination uptake among health care workers in nursing homes?2009Influenza vaccination attitudes and practices among US registered nurses 2010Knowledge and attitudes regarding influenza vaccination among nurses: A research review 2011Seasonal influenza vaccination knowledge, risk perception, health beliefs and vaccination behaviours of nurses

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