Personal Decision-Making Criteria Related to Seasonal and Pandemic A(H1N1) Influenza-Vaccination Acceptance among French Healthcare Workers

Abstract

BackgroundInfluenza-vaccination rates among healthcare workers (HCW) remain low worldwide, even during the 2009 A(H1N1) pandemic. In France, this vaccination is free but administered on a voluntary basis. We investigated the factors influencing HCW influenza vaccination.MethodsIn June–July 2010, HCW from wards of five French hospitals completed a cross-sectional survey. A multifaceted campaign aimed at improving vaccination coverage in this hospital group was conducted before and during the 2009 pandemic. Using an anonymous self-administered questionnaire, we assessed the relationships between seasonal (SIV) and pandemic (PIV) influenza vaccinations, and sociodemographic and professional characteristics, previous and current vaccination statuses, and 33 statements investigating 10 sociocognitive domains. The sociocognitive domains describing HCWs' SIV and PIV profiles were analyzed using the classification-and-regression–tree method.ResultsOf the HCWs responding to our survey, 1480 were paramedical and 401 were medical with 2009 vaccination rates of 30% and 58% for SIV and 21% and 71% for PIV, respectively (p<0.0001 for both SIV and PIV vaccinations). Older age, prior SIV, working in emergency departments or intensive care units, being a medical HCW and the hospital they worked in were associated with both vaccinations; while work shift was associated only with PIV. Sociocognitive domains associated with both vaccinations were self-perception of benefits and health motivation for all HCW. For medical HCW, being a role model was an additional domain associated with SIV and PIV.ConclusionsBoth vaccination rates remained low. Vaccination mainly depended on self-determined factors and for medical HCW, being a role model.

Knowledge of and Attitudes to Influenza Vaccination in Healthy Primary Healthcare Workers in Spain, 2011-2012

“…In agreement with the results of the study by Kaboli et al [ 28 ], we did not find that nurses had lower coverages than family physicians, although other studies have found the opposite [ 5 - 7 , 17 , 20 , 33 , 36 ]. Likewise, we found that paediatricians had higher coverages, confirming the results of the study by Bertin et al [ 37 ].…”

“…This coverage was close to the 58% found by Blasi et al [ 32 ] in a survey carried out among members of two European societies and to that found by Bouadna et al (58% for physicians and 30% for other healthcare workers) in a French hospital study [ 33 ]. Compared with other studies in primary healthcare carried out in Spain, the coverage was somewhat higher than the 44.2% and 19.6% obtained by Ortiz et al [ 14 ] and Jimenez et al [ 4 ], respectively.…”

Sustained low influenza vaccination in health care workers after H1N1 pandemic: a cross sectional study in an Italian health care setting for at-risk patients

“…Both general population and HCWs showed a low grade of acceptance of influenza vaccination due to public scepticism, low trust in health’ authorities recommendation, low perceived benefits of influenza vaccination for the individual and the community [ 11 – 14 , 19 ]. Furthermore, personal reasons for not getting influenza vaccination include doubt about safety of vaccines, fear of adverse effects, feeling of not being at risk.…”

Could university training and a proactive attitude of coworkers be associated with influenza vaccination compliance? A multicentre survey among Italian medical residents

“…Nevertheless, several investigations have been performed at a local level to analyze the healthcare workers’ educational deficiencies and the correlations with the actions taken by public health authorities to implement vaccination rates, however no study has systemized and analyzed such results at a nationwide level [ 18 , 19 ].…”