Determinants of influenza vaccination coverage rates among primary care patients in Krakow, Poland and the surrounding region

Nessler, Katarzyna; Krztoń-Królewiecka, Anna; Chmielowiec, Teresa; Jarczewska, Dorota Łucja; Windak, Adam

doi:10.1016/j.vaccine.2014.10.026

Cited by 27 publications

(23 citation statements)

References 17 publications

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“…The possible explanation of this finding is that because chronic diseases are an indication for immunization against influenza, the frequency of vaccination is likely to be higher with their presence. Our results support the previous reports on influenza vaccination in the elderly [16,28,29,30,31,32,33]. …”

Section: Discussionsupporting

confidence: 93%

“…Important sources of information for our patients were medical staff, mainly a family doctor, television, and friends, which is in line with other studies [16,17,32,35,36]. Furthermore, most vaccinated patients reported that their decision was based on a family doctor recommendation.…”

Section: Discussionsupporting

confidence: 82%

“…However, data coming from Poland, a country in which the uptake is one of the lowest in the EU, are rather scant [13,16,17]. Therefore, the objective of this study was to assess vaccination coverage and influencing determinants of seasonal influenza vaccination in hospitalized Polish patients ≥65 years of age.…”

Section: Objectivementioning

confidence: 99%

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Coverage and Influencing Determinants of Influenza Vaccination in Elderly Patients in a Country with a Poor Vaccination Implementation

Gańczak

Gil

Korzeń

et al. 2017

IJERPH

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The seasonal influenza vaccination uptake of the elderly in Poland is one of the lowest in Europe. Objective: to assess the vaccination coverage and influencing determinants in patients ≥65 years of age. Methods: A cross-sectional study was conducted (November 2015–April 2016) among consecutive patients admitted to a municipal hospital located in the city of Szczecin, North-west Poland. Patients completed researcher-administered, anonymous questionnaires on socio- demographic data/factors related to the vaccination. Results: The response rate: 92.0%. Among 230 patients (79.6% women, median of age 69 years, range 65–89) who agreed to participate, 34.8% (95% Confidence Interval: 28.6–41.0%) were vaccinated. About 15.7% of respondents had not previously heard about the vaccination; 41.3% of those who stated they were vaccinated or planned on being vaccinated the following year, compared to 19.3% of respondents who stated they were not currently vaccinated (p < 0.001). A multivariable regression analysis revealed that patient factors, such as younger age (Odds Ratio, OR = 7.69), living in the urban area (OR = 7.69), having comorbidities (OR = 2.70), having a vaccinated family member (OR = 3.57), and being informed about vaccination (OR = 5.00) were each associated with greater odds of being immunized. Willingness for vaccination the next year was strongly associated (OR = 8.59) with vaccination status. Conclusions: The influenza vaccination uptake in the elderly population in Poland is disturbingly low. Improved education strategies are needed to increase the uptake. Vaccinated respondents are more likely to plan on being vaccinated the following year. Future interventions related to maximizing vaccination coverage should be more tailored, focusing especially on older patients living in rural areas.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 82%

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Coverage and Influencing Determinants of Influenza Vaccination in Elderly Patients in a Country with a Poor Vaccination Implementation

Gańczak

Gil

Korzeń

et al. 2017

IJERPH

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“…However, flu vaccination among Italian HCWs is confirmed to be far below the satisfactory levels seen in the United Kingdom, Germany, France, Canada and Australia (prevalence of coverage between 28% and 51%), with a pooled prevalence of vaccinated of 11% and 15% among nurses and physicians, respectively [1,14]. Even if in some countries flu vaccination among HCW is low [15,16,17,18], there is evidence that flu vaccination among HCW decreases the risk of influenza-like illnesses in inpatients admitted to hospital for acute diseases [19], and reduces absenteeism due to respiratory infections [20]. …”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude and Behaviours towards Recommended Vaccinations among Healthcare Workers

et al. 2017

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Healthcare workers (HCWs) are an important group of professionals exposed to biological risk during their work activities. So, the aim of this study is to perform a survey on the knowledge, attitude and behaviour of Italian HCWs towards the vaccinations recommended by the Ministry of Health. A cross-sectional study was carried out during the period September 2014–August 2015 in the Lazio region. The study was conducted by recruiting HCWs and biomedical students. The sample was comprised of 571 responders, of whom 12.4% were physicians, 18.9% were nurses, 34.3% were other HCW, and 34.3% were biomedical students (medical and nurses students). Hepatitis B virus (HBV) is perceived as a risk for personal health by 457 (80%) participants; TB is also worrying (434; 76%). Moreover, HBV (70.9%) and tuberculosis (TB) (79.2%) are perceived as a risk for health, while influenza is not considered so by most participants (46.2%). There is an underestimation of the role of influenza, perceived as a risk for 137 respondents (24%). The vaccination rate among these HCWs is highest for Hepatitis B virus (HBV) (82%), and lowest for influenza (28.5%) and varicella (40.3%). The vast majority of responders are in favour of HBV (77.8%) and TB (64.8%) vaccines. For other vaccinations there is less interest (between 33% and 40% for measles, mumps, rubella, pertussis and influenza). This study shows that knowledge of recommended occupational vaccinations is insufficient in HCWs, with few exceptions represented by HBV and TB. There is a need for novel approaches in this field, with the aim of enhancing vaccine coverage among HCW.

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“…Their patients perceive them as a reliable source of information about vaccines, [14][15][16] and their consultation can also be a key factor in patients' decision to be vaccinated or not. [17][18][19][20][21] Moreover, their recommendations to patients about vaccinations are associated with their vaccination behaviors and attitudes for themselves. [22][23][24][25][26] Their own vaccination might be important as a proxy for their potential "vaccine hesitancy," -a term that describes vaccination reluctance and was first studied in the general population 27,28 and, more recently, also among GP/FPs.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes, beliefs and behaviors of general practitioners/family physicians toward their own vaccination: A systematic review

Collange

Verger

Launay

et al. 2016

Human Vaccines & Immunotherapeutics

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Context: General practitioners and family physicians (GP/FPs) play a key role in the vaccination of the public in many countries and serve as role models for their patients through their own health behaviors. Objectives and Methods: a) To search for and document recommended/mandated vaccines for GP/FPs in high-income countries; b) To systematically search and review the literature on these physicians' knowledge, attitudes, beliefs, and behaviors (KABB) toward their own vaccination with the recommended/ mandated vaccines and the factors determining it. Results: a) The 14 countries included recommended or mandated as many as 12 vaccines; b) The systematic review identified 11 studies published in the last 10 y. All considered seasonal influenza vaccination but differed in the variables investigated. Discussion/ Conclusions: This review highlights the need for further studies on this topic, including qualitative and interventional studies (based on behavior change theories). These should cover occupational vaccines and determinants known to be associated with vaccine hesitancy.

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Determinants of influenza vaccination coverage rates among primary care patients in Krakow, Poland and the surrounding region

Cited by 27 publications

References 17 publications

Coverage and Influencing Determinants of Influenza Vaccination in Elderly Patients in a Country with a Poor Vaccination Implementation

Coverage and Influencing Determinants of Influenza Vaccination in Elderly Patients in a Country with a Poor Vaccination Implementation

Knowledge, Attitude and Behaviours towards Recommended Vaccinations among Healthcare Workers

Knowledge, attitudes, beliefs and behaviors of general practitioners/family physicians toward their own vaccination: A systematic review

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