Web-based analysis of adherence to influenza vaccination among French healthcare workers

Pichon, Maxime; Gaymard, Alexandre; Zamolo, Hugo; C, Bazire; Valette, Martine; Sarkozy, François; Lina, Bruno

doi:10.1016/j.jcv.2019.04.008

Cited by 19 publications

(21 citation statements)

References 17 publications

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“…Important differences in vaccination coverages were found by age and gender. In particular, older HCWs were less likely to accept vaccination, in contrast with findings of previous studies [ 33 ]. The main reasons for these findings can be found in less knowledge and poor confidence in vaccination.…”

Section: Discussioncontrasting

confidence: 99%

Knowledge and Attitude towards Vaccination among Healthcare Workers: A Multicenter Cross-Sectional Study in a Southern Italian Region

Giovanni

Girolamo

et al. 2020

Vaccines

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Background: In Italy, the loss of confidence towards vaccination resulted in low vaccine coverage, also among healthcare workers (HCWs). Indeed, low vaccination coverage among HCWs can lead to dangerous outbreaks of disease, reduce productivity, and increase absenteeism. The aim of this study was to investigate the vaccine coverage and attitudes toward vaccination among HCWs. Methods: A multicenter cross-sectional study was conducted among HCWs referred to all hospitals of the Local Health Authority 02 of Abruzzo Region, Italy. The survey was based on the questionnaire proposed by the H-ProImmune Project. Results: A total of 347 HCWs were enrolled in the study. Of these, 57.3% reported missing diphtheritis-tetanus-pertussis (DTP) vaccination, 50.1% reported missing measles-mumps-rubella (MMR) vaccination, and 62.5% reported missing flu vaccination. Regarding attitudes, other healthcare professionals reported to believe more in natural immunization compared to vaccination (26.5%; p < 0.001), and they were worried about long-term effects of vaccination (10.2%; p = 0.044). Conclusions: This survey showed all vaccination coverage considered resulted below the 95% threshold. Training on vaccination and mandatory measures may be needed in order to achieve better coverage.

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Section: Discussioncontrasting

confidence: 99%

Knowledge and Attitude towards Vaccination among Healthcare Workers: A Multicenter Cross-Sectional Study in a Southern Italian Region

Giovanni

Girolamo

et al. 2020

Vaccines

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“…Indeed, since it is well established that HCWs play a role in nosocomial transmission of infectious diseases, the low-level coverage of those susceptible did not contribute to limit the spread of infections and might not provide indirect protection for the patients. The findings of previous investigations showed a higher coverage for several vaccinations in different groups of HCWs compared to the results of this survey, with values of 41.7% [21] and 45.7% [22] for influenza in Slovenia and France, respectively; values of 93.7% and 80.5% were reported for diphtheria-tetanus-acellular-pertussis and measles-mumps-rubella in Italy, respectively [12]; values of 88% and 72% were reported for diphtheria-tetanus-poliomyelitis and pertussis in France, respectively [23]; and a value of 50.5% was reported for pertussis in Australia [24]. One possible explanation for the observed poor immunization coverage could be the lack of free on-site vaccines at work.…”

Section: Discussioncontrasting

confidence: 55%

Healthcare Workers’ Knowledge, Attitudes, and Practices about Vaccinations: A Cross-Sectional Study in Italy

et al. 2020

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The cross-sectional study assessed the knowledge, attitudes, and practices regarding the recommended vaccinations and factors affecting such outcomes among a sample of healthcare workers (HCWs) in public hospitals in Italy. Only 14.1% knew all the recommended vaccinations for HCWs. Physicians and those who had received information about vaccinations from scientific journals, educational activities, or professional associations were more likely to have this knowledge, while those aged 36–45 were more likely to have less knowledge than those in the age group below 36 years. Only 57.3% agreed that the information received about vaccinations was reliable. Respondents who had children, who worked in pediatric/neonatal wards, who were more knowledgeable, or who did not need further information about vaccinations considered the available information to be reliable. Only 17.7% of respondents always recommended vaccinations to their patients. This behavior was more likely to occur in physicians, in HCWs, in pediatric/neonatal wards, in those who considered the information received about vaccinations reliable, and in those who considered themselves to be at high risk of transmitting an infectious disease to their patients. Health promotion programs and efforts are needed to improve the level of knowledge about vaccinations and immunization coverage among HCWs.

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“…Then, 52 studies (shown in Table 1) were selected for the systematic review. (Akan et al, 2016;Alsuhaibani, 2020;Awali et al, 2014;Bali et al, 2013;Banach et al, 2013;Bazán et al, 2017;Boey et al, 2018;Chor et al, 2011;DeSante et al, 2010;Douville et al, 2010;Durando et al, 2016;Feemster et al, 2011;Ghandora et al, 2019;Gianfredi et al, 2019;Goldstein et al, 2004;Hakim et al, 2011;Halpin & Reid, 2019;Haridi et al, 2017;Hubble et al, 2011;Hudu et al, 2016;Karageorgou et al, 2014;Kent et al, 2010;Kyaw et al, 2019;La Torre et al, 2017;LaVela et al, 2015;Leask et al, 2010;Lester et al, 2003;Looper et al, 2017;Maltezou et al, 2013;Maltezou, Gargalianos, et al, 2012;Maltezou, Lourida, et al, 2012;Maurer et al, 2012;Naleway et al, 2014;Nicolay et al, 2008;Pichon et al, 2019;Pless et al, 2017;Poland et al, 2008;Polgreen et al, 2010;Quintyne et al, 2018;Rebmann et al, 2012aRebmann et al, , 2012b…”

Section: Resultsmentioning

confidence: 99%

“…The first reported a median of 5 in a scale with 1 as "not at all" and 10 as "absolutely yes" in agreement with mandatory vaccination with bimodal distribution towards the extreme scores (IQR 8). (Pichon et al, 2019) The other used a scale from 1 (strongly agree) to 5 (strongly disagree) and described results stratified for vaccination status: median of 2 for vaccinated HCWs and of 4 for unvaccinated ones. (Shrikrishna et al, 2015)…”

Section: Main Findingsmentioning

confidence: 99%

Healthcare Workers’ (HCWs) attitudes towards mandatory influenza vaccination: A systematic review and meta-analysis

Gualano

Corradi

Voglino

et al. 2021

Vaccine

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Influenza is a disease responsible for thousands of deaths every year. Although healthcare workers (HCWs) represent a way of contagion for patients, vaccination coverage among them is low. Mandatory vaccination has been proposed, but controversies remain. This systematic review and meta-analysis aimed to assess the acceptance of mandatory vaccination by HCWs, and to investigate associated characteristics. MEDLINE, Scopus, Embase, PsycInfo, CINAHL and Web of Science were used to search for studies assessing the topic. PRISMA statements were followed. Of the 13457 univocal records found, 52 studies were included in the systematic review and 40 in the meta-analysis. The pooled proportion of HCWs accepting the policy was of 61% (95% CI: 53%-68%) but with great heterogeneity between continents (from 54% in Europe to 69% in Asia) and in different professionals (from 40% in nurses to 80% in students). Vaccinated HCWs agreed more frequently with mandatory vaccination than non-vaccinated ones. More studies that consider mandatory vaccination acceptance as the main outcome are needed, but the results of this study confirm that physicians and HCWs vaccinated against flu favour mandatory vaccination. This, combined with effects that a flu epidemic could have if overlapped to pandemics with similar symptoms, requires renewed considerations on mandatory vaccination.

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Web-based analysis of adherence to influenza vaccination among French healthcare workers

Cited by 19 publications

References 17 publications

Knowledge and Attitude towards Vaccination among Healthcare Workers: A Multicenter Cross-Sectional Study in a Southern Italian Region

Knowledge and Attitude towards Vaccination among Healthcare Workers: A Multicenter Cross-Sectional Study in a Southern Italian Region

Healthcare Workers’ Knowledge, Attitudes, and Practices about Vaccinations: A Cross-Sectional Study in Italy

Healthcare Workers’ (HCWs) attitudes towards mandatory influenza vaccination: A systematic review and meta-analysis

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