NDLI: Seasonal Influenza Vaccine Compliance among Hospital-Based and Nonhospital-Based Healthcare Workers

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Seasonal Influenza Vaccine Compliance among Hospital-Based and Nonhospital-Based Healthcare Workers

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rebmann, Terri Wright, Kathleen S. Anthony, John Knaup, Richard C. Peters, Eleanor B.
Description	Country affiliation: United States Author Affiliation: Rebmann T ( Institute of Biosecurity, School of Public Health, Saint Louis University, Saint Louis, Missouri 63104, USA. rebmannt@slu.edu)
Abstract	Background. Influenza vaccination among nonhospital healthcare workers (HCWs) is imperative, but only limited data are available for factors affecting their compliance. Objective. To examine the factors influencing influenza vaccine compliance among hospital and nonhospital HCWs. Design and Setting. A vaccine compliance questionnaire was administered to HCWs working in myriad healthcare settings in March-June 2011. Methods. Online and paper surveys were used to assess compliance with the 2010/2011, 2009/2010, and H1N1 influenza vaccines and to examine factors that predicted the uptake of the 2010/2011 seasonal influenza vaccine. Results. In all, 3,188 HCWs completed the survey; half of these (n = 1,719) reported no hospital work time. Compliance rates for all 3 vaccines were significantly higher (P< .001) among hospital versus nonhospital HCWs. In logistic regression stratified by hospital versus nonhospital setting, and when controlling for demographics and past behavior, the determinants of vaccination against the 2010/2011 seasonal influenza among nonhospital-based HCWs included having a mandatory vaccination policy, perceived importance, no fear of vaccine adverse effects, free and on-site access, and perceived susceptibility to influenza. Determinants of hospital-based HCW vaccine compliance included having a mandatory vaccination policy, belief that HCWs should be vaccinated every year, occupational health encouragement, perceived importance of vaccination, on-site access, and no fear of vaccine adverse effects. The strongest predictor of compliance for both worker groups was existence of a mandatory vaccination policy. Conclusions. The reasons for vaccine uptake among nonhospital-based versus hospital-based HCWs differed. Targeted interventions should be aimed at workers in these settings to increase their vaccine compliance, including implementing a mandatory vaccination policy. Infect Control Hosp Epidemiol 2012;33(3):243-249
File Format	HTM / HTML
ISSN	0899823X
Issue Number	3
Volume Number	33
e-ISSN	15596834
Journal	Infection Control & Hospital Epidemiology
Language	English
Publisher	Cambridge University Press
Publisher Date	2012-03-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Communicable Diseases Discipline Epidemiology Guideline Adherence Statistics & Numerical Data Health Personnel Influenza Vaccines Therapeutic Use Influenza, Human Prevention & Control Patient Acceptance Of Health Care Attitude Of Health Personnel Female Health Knowledge, Attitudes, Practice Hospitals Humans Influenza A Virus, H1n1 Subtype Immunology Logistic Models Male Mandatory Programs Orthomyxoviridae Questionnaires Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Epidemiology Microbiology (medical)

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