Are medical residents a “core group” for future improvement of influenza vaccination coverage in health-care workers? A study among medical residents at the University Hospital of Palermo (Sicily)

Amodio, Emanuele; Tramuto, Fabio; Maringhini, Guido; Asciutto, Rosario; Firenze, Alberto; Vitale, Francesco; Costantino, Claudio; Calamusa, Giuseppe

doi:10.1016/j.vaccine.2011.08.033

Cited by 36 publications

(32 citation statements)

References 17 publications

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“…Otherwise, influenza coverage rates documented by our study are very similar to those reported in 2 different Italian studies both conducted in a confined regional area (21.8% 8 and 33.7% 15,17 ). These last data confirm that compliance with influenza vaccination among Italian MRs has not improved, with a decreasing feeling during the last years.…”

supporting

confidence: 91%

“…[8][9][10][11][12][13][14][15] Looking at the overall vaccination rate observed in the current study, Italian MRs seem to have a very low compliance with influenza vaccination. Acceptance of seasonal and pandemic A (H1N1) influenza vaccination ranged from 12% to 20%, being significantly lower than influenza vaccinations rates reported in MRs attending 3 different university hospitals in the United States (49.5%, 9 58%, 10 and 75%…”

Section: Discussionmentioning

confidence: 99%

“…5 Although influenza vaccination is recognized to be safe and effective, providing for 70-90% protection against infection, 6 recent studies have confirmed that influenza vaccination coverage rates especially among HCWs remain generally low. 7 Previous studies have documented that also medical residents (MRs) and general practitioner trainee physicians have shown very low coverage rates (<30%), [8][9][10][11][12][13][14][15][16][17][18] being significantly below the 75% recommended by the American and European Centers for Disease and Control (CDC and ECDC). 19,20 MRs should be considered a "priority group" since they are frequently the first-line providers for hospitalized and debilitated patients and they represent the medical specialists of the future.…”

Section: Introductionmentioning

confidence: 99%

“…This result has been confirmed by studies performed in other European and non-European countries, [21][22][23] as well as in the Italian setting. 8,15,17,24 As a consequence, increasing influenza vaccination coverage in a season could have an important domino effect for the future influenza season.…”

mentioning

confidence: 99%

“…However, this last hypothesis appears to be partially overcome by considering that influenza vaccination coverage observed in our study is consistent with data obtained in the same period among other Italian healthcare workers. 8,16 Moreover, the low response rate could also be considered an important result suggesting a general lack of interest on this topic among Italian MRs.…”

mentioning

confidence: 99%

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Influenza vaccination coverage among medical residents

Costantino¹,

Mazzucco²,

Azzolini

et al. 2014

Human Vaccines & Immunotherapeutics

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although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. a survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. a total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P < 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs.Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

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supporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Influenza vaccination coverage among medical residents

Costantino¹,

Mazzucco²,

Azzolini

et al. 2014

Human Vaccines & Immunotherapeutics

Self Cite

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Opinion, knowledge and attitude of public health residents towards the new mandatory vaccination law in Italy

Gentile

Cuda

Dallagiacoma

et al. 2020

J Public Health (Berl.)

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Vaccine Hesitancy and Fear of COVID-19 Among Italian Medical Students: A Cross-Sectional Study

et al. 2022

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Medical students are in close contact with patients and should adhere to the same recommendations as healthcare workers. The study aimed to explore medical students' hesitancy towards COVID-19 vaccine and evaluate fear of COVID-19 and its relationship with hesitancy. A cross-sectional survey was conducted amongst a sample of medical students attending clinical years (November 2020–February 2021, Italy). Multivariable regressions were performed (p < 0.05 as significant). A total of 929 students participated (58.6% of eligible students). Hesitancy was reported by 6.7%; extreme fear of COVID-19 by 42.0%. Among hesitancy predictors, there were the survey completion before COVID-19 vaccine authorisation (adjOR = 6.43), adverse reactions after a vaccination (adjOR = 3.30), and receiving advice against COVID-19 vaccination from a relative (adjOR = 2.40). Students who received the recommended paediatric vaccinations (adjOR = 0.10), students with higher adherence to preventive measures (adjOR = 0.98), and students with fear of contracting COVID-19 with regard to the health of loved ones (adjOR = 0.17) were less likely to be hesitant. Females (adjOR = 1.85), students with poor health (adjOR = 1.64), students who had a loved one severely affected by COVID-19 (adjOR = 1.68), and students with fear of contracting flu (adjOR = 3.06) had a higher likelihood of reporting extreme fear. Hesitancy was remarkably lower than in similar studies. However, there is room for improvement in university activities that could deepen the competence in vaccines. Our focus on fear should not be overlooked, since the extent of extreme fear that we found might represent a substantial burden, considering the associations between fear and other health outcomes.

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Are medical residents a “core group” for future improvement of influenza vaccination coverage in health-care workers? A study among medical residents at the University Hospital of Palermo (Sicily)

Cited by 36 publications

References 17 publications

Influenza vaccination coverage among medical residents

Influenza vaccination coverage among medical residents

Opinion, knowledge and attitude of public health residents towards the new mandatory vaccination law in Italy

Vaccine Hesitancy and Fear of COVID-19 Among Italian Medical Students: A Cross-Sectional Study

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