Influenza Vaccination Coverage Among Health Care Personnel — United States, 2017–18 Influenza Season

Black, Carla L.; Yue, Xin; Ball, Sarah; Fink, Rebecca V.; Perio, Marie A. de; Laney, A. Scott; Williams, Walter W.; Graitcer, Samuel B.; Fiebelkorn, Amy Parker; Lu, Peng–jun; Devlin, Rebecca

doi:10.15585/mmwr.mm6738a2

Cited by 132 publications

(146 citation statements)

References 6 publications

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“…26 In addition, HCP working in LTC settings have had the lowest reported influenza coverage compared with HCP working in other occupational settings. 26,30 These findings indicate that employer support for worksite influenza vaccination activities is associated with higher likelihood that personnel will be vaccinated. Poor support of vaccination activities by LTC employers may help explain why a decreased likelihood of Tdap vaccination among HCP working in LTC settings was observed in the current study.…”

Section: Discussionmentioning

confidence: 85%

“…30 Studies have also shown that HCP working in LTC settings were more likely to report that their employer neither required, provided, nor promoted influenza vaccination compared with HCP working in other occupational settings. 26 In addition, HCP working in LTC settings have had the lowest reported influenza coverage compared with HCP working in other occupational settings.…”

Section: Discussionmentioning

confidence: 99%

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Tdap Vaccination Among Healthcare Personnel, Internet Panel Survey, 2012–2014

Srivastav

Black

et al. 2017

American Journal of Preventive Medicine

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Introduction Healthcare personnel (HCP) are at risk for pertussis infection exposure or transmitting the disease to patients in their work settings. The Advisory Committee on Immunization Practices recommends tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination for HCP to minimize these risks. This study assessed Tdap vaccination coverage among U.S. HCP by sociodemographic and occupation-related characteristics. Methods The 2012, 2013, and 2014 Internet Panel Surveys were analyzed in 2015 to assess HCP Tdap vaccination. Effective sample sizes for 2012, 2013, and 2014 survey years were 2,038, 1613, and 1633, respectively. Missing values were assigned using multiple imputation. Multivariable logistic regression identified factors independently associated with HCP Tdap vaccination. Statistical measures were calculated with an assumption of random sampling. Results Overall, Tdap vaccination coverage among HCP was 34.8% (95% CI=30.6%, 39.0%); 40.2% (95% CI=36.1%, 44.4%); and 42.4% (95% CI=38.7%, 46.0%) in 2012, 2013, and 2014, respectively. Nurse practitioners/physician’s assistants, physicians, nurses, and HCP working in hospitals and ambulatory care settings had higher Tdap coverage. Having contact with an infant aged ≤6 months and influenza vaccination receipt were associated with increased Tdap vaccination. Non-Hispanic black race/ethnicity, having an associate/bachelor’s degree, being below poverty, non-clinical personnel status, and working in a long-term care setting were associated with decreased Tdap vaccination. Conclusions HCP Tdap vaccination coverage increased during 2012–2014; however, coverage remains low. Vaccination coverage varied widely by healthcare occupation, occupational setting, and sociodemographic characteristics. Evidence-based employer strategies used to increase HCP influenza vaccination, if applied to Tdap, may increase Tdap coverage.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Tdap Vaccination Among Healthcare Personnel, Internet Panel Survey, 2012–2014

Srivastav

Black

et al. 2017

American Journal of Preventive Medicine

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“…Offering vaccines on-site, free of charge, and actively promoting influenza vaccination has been shown to be effective in increasing influenza vaccination coverage among HCP and in decreasing cases of influenza among HCP and patients when implemented alone or as a part of a multicomponent intervention 22 . According to an internet panel survey from the 2013-14 influenza season, about 74% of HCP reported that their workplace either required or promoted influenza vaccination 31 . Requirements were highest in hospital settings, which also had the highest reported coverage rates, which might be due to the Centers for Medicare and Medicaid Services (CMS) requirement in place since January 2013 to report HCP influenza vaccination levels as part of its hospital quality reporting programs 31, 32 .…”

Section: Discussionmentioning

confidence: 99%

Influenza vaccination among workers—21 U.S. states, 2013

Williams

Schumacher

et al. 2017

American Journal of Infection Control

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Background Influenza illnesses can result in missed days at work and societal costs, but influenza vaccination can reduce the risk of disease. Knowledge of vaccination coverage by industry and occupation can help guide prevention efforts and be useful during influenza pandemic planning. Methods Data from 21 states using the 2013 Behavioral Risk Factor Surveillance System (BRFSS) industry/occupation module were analyzed. Influenza vaccination coverage was reported by select industry and occupation groups, including healthcare personnel (HCP) and other occupational groups who may have first priority to receive influenza vaccination during a pandemic (“Tier 1”). T-tests were used to make comparisons between groups. Results Influenza vaccination coverage varied by industry and occupation, with high coverage among persons in healthcare industries and occupations. About half of persons classified as Tier 1 received influenza vaccination, and vaccination coverage among Tier 1 and HCP groups varied widely by state. Conclusions This report points to the particular industries and occupations where improvement in influenza vaccination coverage is needed. Prior to a pandemic event, more specificity on occupational codes to define exact industries and occupations in each Tier group would be beneficial in implementing pandemic influenza vaccination programs and monitoring the success of these programs.

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“…Cohen, et al ., estimated that HIV-infected adults aged 25–54 years in South Africa are 2.2 (95% confidence interval (CI): 1.0–5.1) times more likely to die from influenza-related complications than adults aged 65 years or greater in the general population of the United States [6, 7]. Healthcare workers play a major role in the prevention of transmission of influenza viruses as well as the preservation of vital infrastructure to treat persons suffering from influenza-related complications [8]. For this reason, we conducted a cross-sectional survey on the knowledge, attitudes and practices of healthcare workers in South Africa about the prevention and treatment of influenza, particularly for HIV-infected individuals.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices of South African healthcare workers regarding the prevention and treatment of influenza among HIV-infected individuals

Duque¹,

Gaga²,

Clark³

et al. 2017

PLoS ONE

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BackgroundThe South African Department of Health (DOH) publishes annual guidelines identifying priority groups, including immunosuppressed individuals and healthcare workers (HCW), for influenza vaccination and treatment. How these guidelines have impacted HCW and their patients, particularly those infected with HIV, remains unknown.MethodsWe aimed to describe the knowledge, attitudes and practices regarding influenza and the vaccine among South African HCW. Surveys were distributed by two local non-governmental organizations in public health clinics and hospitals in 21 districts/municipalities (5 of 9 provinces).ResultsThere were 1164 respondents; median age 41 years; 978/1126 (87%) female; 801/1122 (71%) nurses. One-third (34%) of HCW reported getting influenza vaccine 2013/2014 and most (94%) recommended influenza vaccine to patients infected with HIV. Ability to get vaccine free of charge (aOR 1.69; 95% CI 1.21–2.37) and having received influenza government training (aOR 1.50; 95% CI 1.04–2.15) were significantly associated with self-reported vaccination in 2013/2014. Self-reported 2013/2014 vaccination (aOR 3.76; 95% CI 1.28–11.03) and availability of influenza vaccine during the healthcare visit (aOR 2.56; 95% CI 1.18–5.57) were significantly associated with recommending influenza vaccine to patients infected with HIV/AIDS.ConclusionOnly one-third of participants were vaccinated in 2013–2014 but those who were vaccinated were more likely to recommend vaccination to their patients. Free and close access to influenza vaccine were associated with a higher likelihood of getting vaccinated in 2013/2014. HCW who reported getting the influenza vaccine themselves, had vaccine to offer during the patient consult and were familiar with DOH guidelines/trainings were more likely to recommend vaccine to HIV-infected patients.

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Influenza Vaccination Coverage Among Health Care Personnel — United States, 2017–18 Influenza Season

Cited by 132 publications

References 6 publications

Tdap Vaccination Among Healthcare Personnel, Internet Panel Survey, 2012–2014

Tdap Vaccination Among Healthcare Personnel, Internet Panel Survey, 2012–2014

Influenza vaccination among workers—21 U.S. states, 2013

Knowledge, attitudes and practices of South African healthcare workers regarding the prevention and treatment of influenza among HIV-infected individuals

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