Determinants of healthcare workers’ willingness to recommend the seasonal influenza vaccine to diabetic patients: A cross-sectional survey in Ningbo, China

Ye, Lixia; Chen, Jieping; Fang, Ting; Cui, Jun; Li, Hui; Ma, Rui; Sun, Yexiang; Li, Pingping; Dong, Hongjun; Xu, Guozhang

doi:10.1080/21645515.2018.1496767

Cited by 23 publications

(38 citation statements)

References 44 publications

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“…An association existed across medical specialties for H1N1 (a type of flu virus) or 2009 pandemic influenza (OR = 2.1–10.30) [ 39 , 56 , 73 , 92 ] and pneumococcal conjugate vaccines (PCV) [ 74 ]. HCPs believing vaccines were safe were more likely to recommend (OR = 2.7–3.14) [ 42 , 55 , 56 , 58 , 59 ], and those expressing concerns about safety (A/OR/RR = 0.22–0.76) [ 42 , 52 , 55 , 61 , 62 , 63 ] or side effects (OR = 0.41–0.71) [ 64 , 65 ] were less likely. However, safety and side effects were most often examined by a single survey question; there was little further investigation or reporting about specific beliefs or concerns throughout the literature (e.g., identifying common or particular symptoms pertaining to certain vaccines).…”

Section: Resultsmentioning

confidence: 99%

“…Likewise, vaccine efficacy was often positively associated with HCPs’ likelihood to adopt, recommend (OR = 1.38–1.61, PR = 2.1–2.6) [ 60 , 65 , 68 , 72 ], or intention to recommend [ 56 , 74 , 75 ] (OR = 9.07) [ 73 ]. Providers believing in vaccine efficacy were more likely to recommend vaccines against HPV [ 45 , 61 , 66 , 76 , 77 , 78 ], pneumococcal disease [ 74 ], pertussis [ 63 ], H1N1 [ 73 ], meningococcal group C [ 79 ], and influenza [ 56 , 68 , 69 ].…”

Section: Resultsmentioning

confidence: 99%

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Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review

et al. 2021

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Despite vaccines’ effectiveness in reducing the rate of preventable diseases, vaccine hesitancy has threatened public health and economies worldwide. Healthcare providers’ (HCP) communications and behavior strongly influence patient receptivity and uptake. The goal of this review was to examine HCP vaccine perceptions, knowledge, and reservations and how these attitudes affect their recommendations and vaccination practices. Primary research studies published by 16 September 2020 were searched in PubMed, Web of Science, Embase, CINAHL, and PsycINFO. A 14-item scale was developed for survey study and risk of bias appraisal (SSRBA). In total, 96 papers from 34 countries were included, covering 17 vaccines (HPV and influenza vaccines the most studied). Recommendation was positively associated with provider knowledge and experience, beliefs about disease risk, and perceptions of vaccine safety, necessity, and efficacy. HCP vaccination attitudes and practices varied across specialties, vaccines, and countries; demographic impact was inconclusive. Barriers included anticipation of patient/parental concerns or refusal, lacking clear guidelines, time constraints, and cost. For HPV, vaccines were more often recommended to older, female adolescents and by physicians who discussed sexual health. HCPs are vital advocates for patients and the public, but studies indicated a prevalence of provider hesitancy pertaining to inadequate knowledge, low vaccine confidence, and suboptimal uptake themselves. Improving HCP knowledge and assuring their access to information they deem trustworthy are essential to supporting HCPs‘ role as “trusted messengers” to promote vaccine acceptance.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review

et al. 2021

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“…Similarly, a cross-sectional survey conducted during the 2009 influenza A (H1N1) pandemic showed an extremely low vaccination rate of 12.7% among HCWs, with most believing it to be unsafe and ineffective [37]. Another survey among 1,340 HCWs revealed that only 58% were willing to recommend the influenza vaccine to their diabetic patients [38]. Developing vaccine confidence among HCWs is a major step in stopping the pandemic amid all the misinformation on different media platforms.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine confidence and hesitancy among healthcare workers: a cross-sectional survey from a MERS-CoV experienced nation

Barry

Temsah

Alhuzaimi

et al. 2020

Preprint

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ObjectivesThis study aimed to identify COVID-19 vaccine perception, acceptance, confidence, hesitancy, and barriers among healthcare workers (HCW).MethodsAn online national cross-sectional pilot-validated questionnaire was self-administered by HCW in Saudi Arabia, a nation with MERS-CoV experience. The main outcome variable was HCW’s acceptance of COVID-19 vaccine candidates. The associated factors of vaccination acceptance were identified through a logistic regression analysis and the level of anxiety using generalized anxiety disorder 7.ResultOut of 1512 HCWs who completed the study questionnaire—944 (62.4%) women and 568 (37.6%) men—1058 (70%) were willing to receive COVID-19 vaccines. Logistic regression analysis revealed that male HCWs (ORa=1.551, 95% CI: 1.122–2.144), HCWs who believe in vaccine safety (ORa=2.151; 95% CI:1.708–2.708), HCWs who believe that COVID vaccines are the most likely way to stop the pandemic (ORa=1.539; 95% CI: 1.259–1.881), and HCWs who rely on Centers for Disease Control and Prevention website for COVID 19 updates (ORa=1.505, 95% CI: 1.125–2.013) were significantly associated with reporting willingness to be vaccinated. However, HCWs who believed vaccines were rushed without evidence-informed testing were found to be 60% less inclined to accept COVID-19 vaccines (ORa=0.394, 95% CI: 0.298– 0.522).ConclusionMost HCWs are willing to receive COVID-19 vaccines once available; yet, satisfactoriness of COVID-19 vaccination among HCWs is crucial because health professionals’ knowledge and confidence toward vaccines are important determining factors for their own vaccine acceptance and recommendation to their patients.

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“…One of the factors that influenced the refusal of getting vaccinated in a study done in Turkey was concern about side effects among 67.2% of health-care workers; this study, though in community, showed that only 50% avoid the vaccine due to this reason [ 17 ]. On the other hand, a study done in China among health-care workers showed that only 14.3% worried about theses adverse effects [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Barriers Influencing Seasonal Influenza Vaccination Uptake

Barry

Aljammaz

Alrashed

2020

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Background. Seasonal influenza is an acute respiratory infection caused by influenza viruses that are highly contagious and circulate in all parts of the world. It gives rise to an estimated 3 to 5 million cases of severe illness and about 250,000 to 500,000 deaths globally each year. Influenza tends to cause epidemics with serious illness and death among high-risk groups such as children aged 5 years and younger, pregnant women, elderly ≥65 years of age, and with chronic medical conditions. According to the Centers for Disease Prevention and Control (CDC), all people who are 6 months old and above are recommended to receive the seasonal influenza vaccine annually. Despite the fact that influenza vaccine is readily available, and the severity of the disease is known to adversely affect the individual’s quality of life and well-being, vaccination uptake rates are still low, contributing to the increased burden of the disease worldwide. Objectives. To measure the influenza vaccine uptake among residents of Riyadh Province, Saudi Arabia, that determines their attitude, knowledge, and beliefs regarding the vaccine. Methods. A cross-sectional study was conducted using a self-administered structured questionnaire distributed online targeting residents of Riyadh Province, Saudi Arabia, from 1st of August 2019 till 30th of September 2019. Participants were selected through volunteer sampling. The questionnaire included demographic data including age, gender, occupation, education level, marital status, and comorbidities. It also included questions regarding knowledge, attitude, and beliefs regarding influenza vaccine. After collection of data, statistical analyses were conducted by using Statistical Package for Social Sciences (SPSS) version 19.0. A P value of <0.05 was considered statistically significant. Results. Our study included 503 participants, with age ranging from 18 to 65 years old and 324 (64%) were females. 100 participants (19.9%) had comorbid conditions, and 223 (44.3%) have been vaccinated against influenza in the past. A large portion of participants (41.2%) were familiar with seasonal influenza vaccination from the media. The knowledge part of the questionnaire showed that 302 (60%) participants knew how often they should receive the vaccine and 313 (62.2%) participants knew that the vaccine is provided freely in all of Saudi Arabia. In terms of belief and attitude, 371 participants (73.8%) thought they were susceptible to the disease and 365 (73.8%) believed that influenza vaccine is beneficial, while 446 participants (88.7%) thought that the general public need more knowledge and awareness on the scientific facts of influenza vaccine. Regarding barriers, 295 participants (58.6%) wanted to avoid vaccines and 252 (50.1%) were concerned about the vaccine’s adverse effects. Participants with frequent health checkups and those who had previous knowledge on the availability of the vaccine for free were more likely to be vaccinated. Vaccinated participants (44.3%) were asked if they were willing to take the vaccine again when it is due, 158 (70.9%) answered yes. Those who elicited symptomatic reaction to the vaccine (26.0%) were less inclined to take it again P = 0.035 . Conclusion. We concluded that there is a low influenza vaccine uptake rate among our study population, considering that the barriers most commonly chosen by participants are solvable with health education and campaigns oriented towards delivering facts about the vaccine and dispelling misinformation; such measures are highly recommended and are postulated to carry a great benefit that should target common misconceptions identified in this study.

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Determinants of healthcare workers’ willingness to recommend the seasonal influenza vaccine to diabetic patients: A cross-sectional survey in Ningbo, China

Cited by 23 publications

References 44 publications

Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review

Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review

COVID-19 vaccine confidence and hesitancy among healthcare workers: a cross-sectional survey from a MERS-CoV experienced nation

Knowledge, Attitude, and Barriers Influencing Seasonal Influenza Vaccination Uptake

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