Abstract
BackgroundInfluenza-vaccination rates among healthcare workers (HCW) remain low worldwide, even during the 2009 A(H1N1) pandemic. In France, this vaccination is free but administered on a voluntary basis. We investigated the factors influencing HCW influenza vaccination.MethodsIn June–July 2010, HCW from wards of five French hospitals completed a cross-sectional survey. A multifaceted campaign aimed at improving vaccination coverage in this hospital group was conducted before and during the 2009 pandemic. Using an anonymous self-administered questionnaire, we assessed the relationships between seasonal (SIV) and pandemic (PIV) influenza vaccinations, and sociodemographic and professional characteristics, previous and current vaccination statuses, and 33 statements investigating 10 sociocognitive domains. The sociocognitive domains describing HCWs' SIV and PIV profiles were analyzed using the classification-and-regression–tree method.ResultsOf the HCWs responding to our survey, 1480 were paramedical and 401 were medical with 2009 vaccination rates of 30% and 58% for SIV and 21% and 71% for PIV, respectively (p<0.0001 for both SIV and PIV vaccinations). Older age, prior SIV, working in emergency departments or intensive care units, being a medical HCW and the hospital they worked in were associated with both vaccinations; while work shift was associated only with PIV. Sociocognitive domains associated with both vaccinations were self-perception of benefits and health motivation for all HCW. For medical HCW, being a role model was an additional domain associated with SIV and PIV.ConclusionsBoth vaccination rates remained low. Vaccination mainly depended on self-determined factors and for medical HCW, being a role model.
Highlights
The 2009 A(H1N1) influenza was declared a pandemic on 11 June 2009 [1] and, on 13 July the World Health Organization (WHO) defined healthcare workers (HCW) as the priority target for A(H1N1) vaccination campaigns [2]
Our study aimed to investigate, in an unprecedented pandemic context, the sociodemographic and work-related factors associated with seasonal influenza vaccination (SIV) and pandemic A(H1N1) influenza vaccination (PIV) among HCW, and to identify sociocognitive profiles reflecting decision-making concerning both
1,977 HCW participated in the study, including 1,480 paramedical and 401 medical HCW (respective response rates, 80% and 70%, and 96 of unknown professional status excluded from the analyses, leaving 1,881 HCW for the study (Figure 1)
Summary
The 2009 A(H1N1) influenza was declared a pandemic on 11 June 2009 [1] and, on 13 July the World Health Organization (WHO) defined healthcare workers (HCW) as the priority target for A(H1N1) vaccination campaigns [2]. The Centers for Disease Control and Prevention (CDC) [3] and other major public health institutions [4], have recommended annual seasonal influenza vaccination (SIV) for all HCW for many years. Despite recommendations and vaccination campaigns, influenza vaccination rates among HCW remained constantly below 60% in the United States [7] and only 13%–48% in European countries [8]. Influenza-vaccination rates among healthcare workers (HCW) remain low worldwide, even during the 2009 A(H1N1) pandemic. We investigated the factors influencing HCW influenza vaccination
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
