Abstract

BackgroundThis study aimed to analyze the factors associated with knowledge and attitudes about influenza A (H1N1) and vaccination, and possible relations of these factors with anxiety among healthcare workers (HCW).MethodsThe study used a cross-sectional descriptive design, and it was carried out between 23 November and 4 December 2009. A total of 300 HCW from two hospitals completed a questionnaire. Data collection tools comprised a questionnaire and the State-Trait Anxiety Inventory (STAI).ResultsVaccination rate for 2009 pandemic influenza A(H1N1) among HCW was low (12.7%). Most of the respondents believed the vaccine was not safe and protective. Vaccination refusal was mostly related to the vaccine's side effects, disbelief to vaccine's protectiveness, negative news about the vaccine and the perceived negative attitude of the Prime Minister to the vaccine. State anxiety was found to be high in respondents who felt the vaccine was unsafe.ConclusionsHCW considered the seriousness of the outbreak, their vaccination rate was low. In vaccination campaigns, governments have to aim at providing trust, and media campaigns should be used to reinforce this trust as well. Accurate reporting by the media of the safety and efficacy of influenza vaccines and the importance of vaccines for the public health would likely have a positive influence on vaccine uptake. Uncertain or negative reporting about the vaccine is detrimental to vaccination efforts.

Highlights

  • This study aimed to analyze the factors associated with knowledge and attitudes about influenza A (H1N1) and vaccination, and possible relations of these factors with anxiety among healthcare workers (HCW)

  • According to WHO, as of 22 November 2009 the number of deaths resulting from pandemic H1N1 was 7826

  • In another study in Hong Kong, 61% of the participants believed that the vaccine wasn’t protective, and 63% of them believed that the vaccine was unsafe as clinical experiments were not performed

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Summary

Introduction

This study aimed to analyze the factors associated with knowledge and attitudes about influenza A (H1N1) and vaccination, and possible relations of these factors with anxiety among healthcare workers (HCW). The earliest confirmed case of influenza A/H1N1 (Swine flu) in 2009 was reported in Mexico in March, and the World Health Organization declared the disease to be a pandemic-Phase 6 on 11 June [1,2]. According to WHO, as of 22 November 2009 the number of deaths resulting from pandemic H1N1 was 7826. As of 22 November 2009, the number of deaths due to the virus was 127 in Turkey [1]. Influenza vaccines are one of the most effective ways to protect people from contracting illness during influenza epidemics and pandemics. Other preventive measures are using a mask; washing hands regularly with soap and water; aerating the environment; avoiding

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