Attitudes, believes, determinants and organisational barriers behind the low seasonal influenza vaccination uptake in healthcare workers – A cross-sectional survey

Boey, Lise; Bral, C; Roelants, Mathieu; Schryver, Antoon De; Godderis, Lode; Hoppenbrouwers, Karel; Vandermeulen, Corinne

doi:10.1016/j.vaccine.2018.04.044

Cited by 75 publications

(125 citation statements)

References 35 publications

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“…Our study reported that influenza vaccination uptake of HCWs was significantly associated with workplace requirement (PR = 3.21, 95% CI: 2.48-4.04) or promotion for influenza vaccination (PR = 1.75, 95% CI: 1.43-2.14) by workplace. This result was in accordance with previous studies [19]. As mentioned above, combining workplace requirement and free policy seems to be the most effective method for improving influenza vaccination coverage in HCWs.…”

Section: Discussionsupporting

confidence: 93%

An Internet-Based Survey of Influenza Vaccination Coverage in Healthcare Workers in China, 2018/2019 Season

et al. 2019

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Influenza vaccination coverage was low among healthcare workers (HCWs) in China. In October 2018, the National Health Commission of China began to require all hospitals to provide free influenza vaccination for HCWs to increase vaccine uptake, and no study on vaccine coverage among HCWs at the national level after the announcement of new policy. This evaluation aims to investigate self-reported influenza vaccination coverage among HCWs and factors that may affect vaccine receipt during the 2018/2019 influenza season. We delivered an opt-in internet panel survey among registered HCWs of DXY forum (the biggest online forum for HCWs in China). The survey was self-administered using a standard questionnaire to collect information on demographics, occupational characteristics, policy implementation, influenza vaccination and influence factors. We conducted multivariate logistic regression analysis to assess factors associated with receipt of influenza vaccine. The response rate of this online survey was 3.6%. The seasonal influenza vaccine coverage reported among HCWs surveyed during the 2018/2019 season was 11.6% (472/4078). Only 19.0% (774/4078) of HCWs surveyed reported free policy in their workplace. Combing free policy and workplace requirement proved to be effective to improve influenza vaccination coverage in HCWs (PR = 6.90, 95% CI: 6.03–7.65). The influenza vaccination coverage among surveyed HCWs in China was low during the 2018/2019 season. To increase future vaccination uptake, we recommend a multi-faceted strategy that include free policy, workplace requirement and promotion, on-site vaccination, and monitoring.

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Section: Discussionsupporting

confidence: 93%

An Internet-Based Survey of Influenza Vaccination Coverage in Healthcare Workers in China, 2018/2019 Season

et al. 2019

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“…The low RR recorded in this study seems to indicate that staff vaccination is a critical issue that needs to be carefully addressed, focusing specifically on the context of NHs. Similar studies exploring NH staff perceptions of flu vaccination throughout a survey found comparable response rates (e.g., from 10% to 45%), confirming the complexity of the topic [13][14][15][16]. This evidence is further underlined by the reported extremely low adherence to annual flu vaccination.…”

Section: Discussionsupporting

confidence: 66%

Attitudes of Nursing Home Staff towards Influenza Vaccination: Opinions and Factors Influencing Hesitancy

Moretti

Visentin

Bovolenta

et al. 2020

IJERPH

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Seasonal influenza is recognized to be a significant public health problem and a cause of death, especially in fragile persons. In nursing homes (NHs), vaccination for both residents and staff is the best preventive strategy. However, professionals’ immunization rates are far from reaching the international recommended values. This study aims to describe the adherence and attitudes of NH staff towards flu vaccination and to explore staff hesitancy. A questionnaire was developed based on a literature review and on the 3Cs (confidence, complacency, convenience) of the WHO framework and administered among the staff of four NHs of a province in the northeast of Italy. Results demonstrated a low adherence towards annual vaccination (i.e., only 3% declared getting the flu vaccination each year). Complacency, confidence and convenience all showed a significant impact on the attitude towards vaccination both in univariate and multivariable analysis, with complacency being the most strongly associated area. The area of confidence resulted in strongly challenging factors. Only 24.8% of interviewees appeared trustful towards the efficacy of receiving immunization and 34% declared safety issues. Insights from the study can support the implementation of effective interventions to improve vaccination adherence in NHs. Specifically, increasing complacency by raising awareness related to the risks of influenza appears to be an essential strategy to effectively promote vaccination uptake.

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“…Despite almost 10 years of efforts and extensive campaigns to vaccinate health care professionals in most European countries, vaccination coverage is still low in this group [20]. In own study, the percentage of vaccinated persons was similar to Italian studies, but considerably lower than in other countries, such as the United States (90.5%), the United Kingdom (68.7%), and other European countries (40%-45%) [20][21][22][23][24][25].…”

Section: Discussionsupporting

confidence: 67%

Attitudes and knowledge of Health care workers in Cieszyn County of the Silesian Province in southern Poland about seasonal flu vaccinations – preliminary study

Michalik¹

2020

Med Og Nauk Zdr.

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Attitudes, believes, determinants and organisational barriers behind the low seasonal influenza vaccination uptake in healthcare workers – A cross-sectional survey

Abstract: There is a need for guidance for the organization of seasonal influenza campaigns, in which education, communication and easy accessible vaccination are promoted.

Cited by 75 publications

References 35 publications

An Internet-Based Survey of Influenza Vaccination Coverage in Healthcare Workers in China, 2018/2019 Season

An Internet-Based Survey of Influenza Vaccination Coverage in Healthcare Workers in China, 2018/2019 Season

Attitudes of Nursing Home Staff towards Influenza Vaccination: Opinions and Factors Influencing Hesitancy

Attitudes and knowledge of Health care workers in Cieszyn County of the Silesian Province in southern Poland about seasonal flu vaccinations – preliminary study

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