Barriers to influenza vaccine acceptance A survey of physicians and nurses

Weingarten, Scott; Riedinger, Mary S.; Bolton, Linda Burnes; Miles, Peggy B.; Ault, Mark J.

doi:10.1016/0196-6553(89)90129-6

Cited by 205 publications

(133 citation statements)

References 11 publications

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“…Furthermore, the results of this survey indicate that HCWs in high-risk areas of our institution have several misconceptions about the vaccine and influenza transmission, as previously reported. 4,5,8,9 We observed significant differences between the concerns expressed by HCWs of our institution compared to those reported in North American studies (Table 4). In our study, the most frequently cited reason for nonacceptance of vaccine was HCWs' confidence in their own host-defense mechanisms against influenza (32%).…”

Section: Discussioncontrasting

confidence: 48%

“…1-3 Despite present recommendations, however, only a minority of healthcare workers (HCWs) accept yearly influenza immunization. [4][5][6] At the University Hospitals of Geneva (HUG), Switzerland, a 1,500-bed healthcare center providing primary and tertiary care for Geneva and the surrounding areas, rates of vaccination for HCWs also remained woefully low (1995)(1996), 10%) in spite of yearly recalls. This study was conducted in three high-risk departments (geriatrics, obstetrics, and pediatrics) at HUG to identify HCWs' reasons for rejection of immunization, to design specific intervention methods in view of these reasons, and to evaluate the impact of such interventions in the selected areas and in the remaining departments.…”

mentioning

confidence: 99%

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Influenza Immunization: Improving Compliance of Healthcare Workers

Harbarth¹,

Siegrist²,

Schira³

et al. 1998

Infection Control and Hospital Epidemiology

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OBJECTIVE:In spite of yearly recalls, influenza immunization rates of healthcare workers (HCWs) remained low (10%) at the University Hospitals of Geneva. This study was conducted to identify HCWs' reasons for rejection of immunization, to design specific intervention methods based on these reasons, and to evaluate the impact of such interventions.METHODS: Three departments with high-risk patients (geriatrics, obstetrics, and pediatrics) were selected as main targets. Questionnaires were distributed in these units. Based on HCWs' perceptions, different intervention methods were designed and used either in these departments only (educational conferences, on-site availability of a vaccination nurse) or in the whole institution (posters, personal letters). Immunization rates were collected throughout the institution.RESULTS: 797 completed questionnaires from 1,092 HCWs (73%) were returned. Major reasons for immunization rejection were confidence that their bodies' selfdefense mechanisms would ward off infection (32%), perception of low exposure risk (23%), and doubts concerning vaccine efficacy (19%). The use of intervention methods designed to address these factors increased influenza immunization rates in the three targeted departments from 13% (95% confidence interval [CI 95 ], 11.4-15.6) in 1995 and 1996 to 37% (CI 95 , 34.5-40.3) in the following season (P<.001). In all other departments, immunization rates rose from 9% (CI 95 ,3) to 23% (CI 95 , P<.001). Nurses were, and remained, more reluctant to be immunized compared to other HCWs.CONCLUSIONS: Influenza immunization rates can be increased significantly by specific interventions based on local concerns of HCWs, among which educational conferences and the on-site availability of a vaccination nurse appeared important (Infect Control Hosp Epidemiol 1998;19:337-342).

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Section: Discussioncontrasting

confidence: 48%

mentioning

confidence: 99%

Influenza Immunization: Improving Compliance of Healthcare Workers

Harbarth¹,

Siegrist²,

Schira³

et al. 1998

Infection Control and Hospital Epidemiology

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show abstract

“…It has been shown that HCWs can be infected with influenza virus either in their workplace or in the community, and that a portion of them continued to work while ill [16]. In the present case, there were also members of the medical staff who were suffering from respiratory illness at the same time of the disease outbreak.…”

Section: Discussionmentioning

confidence: 66%

Outbreak of influenza virus A/H1N1 in a hospital ward for immunocompromised patients

2010

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“…Nosocomial influenza transmission is complicated by the fact that HCWs shed the virus while asymptomatic and routinely report to work with symptomatic influenza illness [17]. An additional consideration is that influenza immunization of some vulnerable patient groups may result in suboptimal immune responses, making immunization of those in contact with them critical [18][19][20][21][22].…”

Section: "Seasonal Influenza Epidemicsmentioning

confidence: 99%