Understanding influenza vaccination attitudes at a Canadian cancer center

Mah, Manuel W.; Hagen, Neil A.; Pauling-Shepard, Karen; Hawthorne, Joanne Standish; Mysak, Marlene; Lye, Tara; Louie, Thomas

doi:10.1016/j.ajic.2004.12.006

Cited by 34 publications

(15 citation statements)

References 14 publications

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“…Our focus group and cross-sectional survey findings are consistent with other studies on factors affecting influenza vaccine uptake. [14][15][16][17][18][19][20][21][22][23][24][25] In our study, the strongest factor for vaccine acceptance among staff of RCHEs were beliefs about influenza vaccine efficacy, which parallels findings among Hong Kong nurses where perceived vaccine effectiveness was a strong predictor (OR 8.47, 95% CI = 6.13-11.70) for rates of vaccination. 24 Consistent with the literature, 18 beliefs regarding vaccine efficacy for self-protection rather than protection of patients was found to be more common among staff of RCHEs who would receive influenza vaccination.…”

Section: Discussionsupporting

confidence: 77%

Promotion of seasonal influenza vaccination among staff in residential care homes for elderly in Hong Kong

Chen¹,

King

et al. 2010

Healthcare infection

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Annual influenza epidemics continue to cause worldwide morbidity, mortality and societal disruption, especially among the aged residents of residential care homes for the elderly (RCHEs). Vaccination remains the most effective measure to prevent influenza and its associated complications. The seasonal influenza vaccine uptake rates among RCHE staff were much lower than that among residents. In order to increase uptake of influenza vaccination among RCHE staff in Hong Kong, this study developed and evaluated a multimodal vaccine promotion program (VPP) based on identified factors affecting vaccination acceptance or refusal within the Hong Kong Chinese context. Vaccine acceptance was found to be significantly associated with belief in vaccine efficacy, duration of service, staff group and providing direct care to residents. The focus group study revealed that RCHE staff's belief in the efficacy and safety of the vaccine played a major role in vaccine acceptance. VPP effectiveness was evaluated with a cluster randomised controlled trial among RCHEs with staff vaccination rates below 50%. Compared with 2008/09, the 2009/10 mean staff vaccination rates increased significantly in both the intervention (39.4% to 59.6% (P < 0.001)) and control groups (36.3% to 47.6% (P = 0.008)). RCHE staff in the intervention group had a higher vaccination rate than in the control group (59.6% versus 47.6%, P = 0.072). This program reinforces the importance of a comprehensive and culturally sensitive approach to promote influenza vaccination for RCHE staff.

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Section: Discussionsupporting

confidence: 77%

Promotion of seasonal influenza vaccination among staff in residential care homes for elderly in Hong Kong

Chen¹,

King

et al. 2010

Healthcare infection

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“…Like ours, most studies on attitudes of HCWs towards influenza vaccination find many have misperceptions on vaccine effectiveness, side effects, protective value and the role of HCWs in transmission of influenza to patients. 9,[22][23][24] Despite general perceptions of safety, false (17) 126 (12) The group of 'Other' is made up of hospital research staff, technologists, pathology and laboratory staff and medical imaging staff. belief that the vaccine can cause influenza persisted among half of the respondents.…”

Section: Discussionmentioning

confidence: 99%

Attitudes amongst Australian hospital healthcare workers towards seasonal influenza and vaccination

Seale

Leask

MacIntyre

2009

Influenza Resp Viruses

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Background Amongst healthcare workers (HCWs), compliance rates with influenza vaccination are traditionally low. Although a safe and effective vaccine is available, there is little Australian data on reasons for poor compliance, especially amongst allied health and ancillary support staff. Methods Cross‐sectional investigation of a sample of clinical and non‐clinical HCWs from two tertiary‐referral teaching hospitals in Sydney, Australia was conducted between June 4 and October 19, 2007. The self‐administered questionnaire was distributed to hospital personal from 40 different wards and departments. The main outcome measures were personal beliefs about influenza vaccination and self‐reported vaccination status. Results Respondents (n = 1079) were categorized into four main groups by occupation: nurses (47·5%, 512/1079), physicians (26·0%, 281/1079), allied health (15·3%, 165/1079) and ancillary (11·2%, 121/1079). When asked whether they felt the influenza vaccine was safe or effective, 81% (879/1079) and 68% (733/1079), respectively, replied in the affirmative. Participants felt that it was more important to get vaccinated to protect patients (74%, 796/1079) than family (68%, 730/1079) or self‐protection (66%, 712/1079). However, only 22% (241/1079) of the HCWs who replied reported receiving the vaccine the year the survey was conducted. Conclusions Although HCWs had an adequate level of knowledge towards influenza vaccination, only 22% of them were vaccinated. The approach to improving influenza vaccination rates amongst HCWs and to tackling misconceptions must be multifaceted, adaptable and must evolve regularly to increase coverage.

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“…In fact, employee resistance was the most commonly cited barrier to increasing vaccination rates. Lack of knowledge has been cited as a barrier to vaccination in other studies [13][14][15]. HCWs commonly avoid vaccination because they think that they can get sick from the vaccine or because they perceive the vaccine to be ineffective.…”

Section: Discussionmentioning

confidence: 99%

Elements of Influenza Vaccination Programs That Predict Higher Vaccination Rates: Results of an Emerging Infections Network Survey

Polgreen¹,

Chen²,

Beekmann³

et al. 2008

Clinical Infectious Diseases

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Introduction.To address suboptimal influenza vaccination rates among health care workers, the Healthcare Infection Control Practices Advisory Committee and the Advisory Committee on Immunization Practices recently issued recommendations designed to increase the number of health care workers vaccinated against influenza. The purpose of the present study was to determine how widely these recommendations have been implemented and to identify important elements of successful influenza vaccine programs.Methods. The Infectious Diseases Society of America Emerging Infections Network surveyed 991 infectious diseases consultants. Infectious diseases consultants were asked about vaccination programs and vaccination rates at their respective institutions. Multinomial logistic regression models based on proportional odds were used to determine predictors of vaccination-rate categories. All program elements were significant univariable factors in predicting vaccination rates. Because the program elements were highly associated with one another, principal components analysis was used to find combinations of the covariates that would serve as optimal predictors of higher vaccination rates.Results. Most infectious diseases consultants indicated that the vaccination rate for all health care workers in their institution had a range of 41%-60%. Vaccination rates were significantly higher in institutions that required signed declination statements (). In the model based on principal components analysis for predicting P p .004 institutional vaccination rates, only the first principal component warranted retention ( ). In this component, P ! .001 the program elements weighted the most heavily were (1) offering the influenza vaccine free of charge, (2) providing adequate staff and resources, and (3) educating targeted groups of health care workers. Requiring signed declinations was not heavily weighted.Conclusion. Influenza vaccination rates remain suboptimal, and hospitals have not completely implemented the Healthcare Infection Control Practices Advisory Committee-Advisory Committee on Immunization Practices recommendations to maximize vaccination rates.

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Understanding influenza vaccination attitudes at a Canadian cancer center

Cited by 34 publications

References 14 publications

Promotion of seasonal influenza vaccination among staff in residential care homes for elderly in Hong Kong

Promotion of seasonal influenza vaccination among staff in residential care homes for elderly in Hong Kong

Attitudes amongst Australian hospital healthcare workers towards seasonal influenza and vaccination

Elements of Influenza Vaccination Programs That Predict Higher Vaccination Rates: Results of an Emerging Infections Network Survey

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