A Systematic Review of Mandatory Influenza Vaccination in Healthcare Personnel

Pitts, Samantha I.; Maruthur, Nisa M.; Millar, Kathryn; Perl, Trish M.; Segal, Jodi B

doi:10.1016/j.amepre.2014.05.035

Cited by 66 publications

(48 citation statements)

References 35 publications

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“…Furthermore, no studies have addressed whether mandatory vaccination improves actual clinical outcomes. 45 Consequently, addressing vaccine concerns should be a continued focus even at institutions that adopt a mandatory vaccination policy. 46 Finally, HCWs are often viewed as an isolated group, which is an inadequate sociocultural perspective for understanding Note.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Vaccine Concerns on Racial/Ethnic Disparities in Influenza Vaccine Uptake Among Health Care Workers

et al. 2015

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Objectives. We explored whether collective concerns about the safety, effectiveness, and necessity of influenza vaccines mediate racial/ethnic disparities in vaccine uptake among health care workers (HCWs). Methods. We used a self-administered Web-based survey to assess race/ethnicity (exposure), concerns about influenza vaccination (mediator; categorized through latent class analysis), and influenza vaccine uptake (outcome) for the 2012 to 2013 influenza season among HCWs at St. Jude Children’s Research Hospital in Memphis, Tennessee. We used mediation analysis to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for the total, direct, and indirect effects of race/ethnicity on influenza vaccine uptake. Results. Non-Hispanic Blacks had lower influenza vaccine uptake than non-Hispanic Whites (total effect: PR = 0.87; 95% CI = 0.75, 0.99), largely mediated by high concern about influenza vaccines (natural indirect effect: PR = 0.89; 95% CI = 0.84, 0.94; controlled direct effect: PR = 0.98; 95% CI = 0.85, 1.1). Hispanic and Asian HCWs had modestly lower uptake than non-Hispanic Whites, also mediated by high concern about influenza vaccines. Conclusions. Racial/ethnic disparities among HCWs could be attenuated if concerns about the safety, effectiveness, and necessity of influenza vaccines were reduced.

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Section: Discussionmentioning

confidence: 99%

The Impact of Vaccine Concerns on Racial/Ethnic Disparities in Influenza Vaccine Uptake Among Health Care Workers

et al. 2015

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“…Despite this, vaccination coverage of HCP is suboptimal worldwide [4, 5] and in the United States many institutions have successfully implemented a mandatory vaccination policy as a means to increase coverage [6]. …”

Section: Introductionmentioning

confidence: 99%

Influenza vaccination motivators among healthcare personnel in a large acute care hospital in Israel

Nutman

Yoeli

2016

Isr J Health Policy Res

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BackgroundVaccinating healthcare personnel (HCP) against influenza is important to prevent transmission and morbidity among patients and staff.MethodsWe conducted an online survey assessing knowledge, perceptions and attitudes concerning influenza vaccination among HCP. Multivariate logistic regression was performed to identify independent predictors of vaccination.ResultsThe survey was completed by 468 HCP representing all categories of staff. Doctors believed that vaccination was the best way to prevent influenza and perceived the vaccine less harmful as compared to nurses and allied health professionals. Getting vaccinated was associated with a greater likelihood of recommending vaccination to patients: 86 % vs. 54 % in vaccinated and unvaccinated HCP, respectively. Reasons for vaccine refusal were fear of needles (19 %); fear of side effects (66 %) and lack of time (16 %). In the multivariate analysis, survey items that were independently associated with vaccination were beliefs that: vaccine effectively prevents influenza (OR 4.07 95 % CI 2.51, 6.58); HCP are at increased risk of influenza (OR 2.82 95 % CI 1.56, 5.13); vaccine can cause influenza (OR 0.41 95 % CI 0.25, 0.65); contracting influenza is likely in the absence of vaccination (OR 1.96 95 % CI 1.12, 3.42); and that HCP might transmit influenza to their family (OR 4.54 95 % CI 1.38, 14.97). The belief that HCP might transmit influenza to patients was not independently associated with vaccine uptake.ConclusionOur study revealed misconceptions and knowledge gaps concerning the risk of influenza and the influenza vaccine. There were significant differences in knowledge and attitudes between healthcare professions. HCP decline vaccination because they do not perceive a personal risk of influenza infection and are concerned about side effects. Thus, in order to increase vaccination rates it is important to educate HCP to correct misconceptions concerning vaccine efficacy and safety, while promoting the benefit of getting vaccinated in order to protect themselves and their families.

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“…Multiple reviews have found insufficient evidence that mandatory influenza vaccination for healthcare workers has benefits for patients. [19][20][21] As one team of systematic reviewers put it, "evidence from observational studies suggests that a vaccine mandate increases vaccination rates, but evidence on clinical outcomes is lacking." 19 But IAC stands by its flu vaccination campaign telling The BMJ: "While there is debate and research directed at assessing the nature and degree of benefit that vaccinating healthcare workers confers to patients, we are not aware of any definitive and universally accepted study showing a complete lack of benefit.…”

Section: Featurementioning

confidence: 99%

The unofficial vaccine educators: are CDC funded non-profits sufficiently independent?

Doshi¹

2017

BMJ

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A Systematic Review of Mandatory Influenza Vaccination in Healthcare Personnel

Cited by 66 publications

References 35 publications

The Impact of Vaccine Concerns on Racial/Ethnic Disparities in Influenza Vaccine Uptake Among Health Care Workers

The Impact of Vaccine Concerns on Racial/Ethnic Disparities in Influenza Vaccine Uptake Among Health Care Workers

Influenza vaccination motivators among healthcare personnel in a large acute care hospital in Israel

The unofficial vaccine educators: are CDC funded non-profits sufficiently independent?

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