Uptake rates, knowledge, attitudes, and practices toward seasonal influenza vaccination among healthcare workers in Lebanon

Alame, Malak M.; Kaddoura, Malak; Kharroubi, Samer A.; Ezzeddine, Fatima; Hassan, Ghadir; El-Harakeh, Marwa Diab; Ariqi, Lubna Al; Abubaker, Abdinasir; Zaraket, Hassan

doi:10.1080/21645515.2021.1948783

Cited by 16 publications

(28 citation statements)

References 34 publications

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“…This was supported by strong likelihoods after logistic regression of willingness to receive the influenza vaccine. This is in accordance with previous studies in China and Lebanon which reported that attitudes toward influenza vaccination were the strongest predictor of HCWs' intention, actual acceptance, and recommendation status with respect to influenza vaccination [37,60]. The findings from our study can be explained in light of findings in a study by Costantino and colleagues, performed in three Sicilian University Hospitals, assessing influenza vaccination adherence or refusal and the attitudes and perceptions of vaccinated HCWs during the 2019/2020 influenza season [61].…”

Section: Discussionsupporting

confidence: 93%

“…One key difference between both studies was the larger sample size in the study in Italy, compared to 414 in our study. In addition, several studies conducted in Canada [ 31 ], Ghana [ 36 ], the UK [ 33 ], Israel [ 34 ], and Lebanon [ 37 ] have reported that HCWs’ confidence in accepting influenza vaccines led to them recommending the vaccine to their co-workers, patients, or patients’ families compared to those who did not intend to be vaccinated.…”

Section: Discussionmentioning

confidence: 99%

“…Concerns about the safety and adverse side effects of influenza vaccines were cited as main reasons for hesitancy in most studies [36]. This is supported by a study in which good knowledge of influenza vaccines, previous acceptance of vaccines, perception that the flu vaccine can decrease hospitalization, and prevention of influenza-COVID-19 co-infection had a positive influence on attitudes towards influenza vaccination [37]. In addition, there is evidence suggesting that HCWs' lifestyle changes can shape their behaviour, and HCWs' attitudes towards vaccination may be associated with changes in lifestyle.…”

Section: Introductionmentioning

confidence: 95%

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Influenza Vaccination Uptake and Hesitancy among Healthcare Workers in Early 2021 at the Start of the COVID-19 Vaccine Rollout in Cape Town, South Africa

et al. 2022

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Vaccination attitudes among healthcare workers (HCWs) predict their level of vaccination uptake and intention to recommend vaccinations to their patients. To our knowledge, no study has been conducted in South Africa to assess hesitancy toward influenza vaccines among HCWs. We adapted a questionnaire developed and validated by Betsch and colleagues and used it to conduct online and face-to-face interviews among HCWs at the start of the COVID-19 vaccine rollout. Multivariate logistic regression was used to assess predictors of influenza vaccine hesitancy. Of 401 participants, 64.5% were women, 49.2% were nurses, and 12.5% were physicians. A total of 54.9% were willing to accept, 20.4% were undecided, and 24.7% intended to refuse influenza vaccination. Participants who were above 25 years of age and physicians were more likely to accept the vaccine. Key predictors of vaccine acceptance were confidence in the effectiveness, consideration of benefits and risks, and willingness to be vaccinated to protect others. Influenza vaccine hesitancy was highest in those who did not trust that influenza vaccines are safe. For future flu seasons, tailored education programs on the safety and effectiveness of flu vaccines targeting younger HCWs, could be vital to improving vaccine uptake.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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Influenza Vaccination Uptake and Hesitancy among Healthcare Workers in Early 2021 at the Start of the COVID-19 Vaccine Rollout in Cape Town, South Africa

et al. 2022

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“…The current study can benefit from the literature that examined the acceptance of annual vaccination programs against seasonal influenza [ 38 ]. In studies conducted in developing countries, the acceptance rate for influenza vaccinations was reported to be about 52% in Oman, 58% in Saudi Arabia, and 40.4% in Lebanon [ 39 – 41 ]. In the United States, about one-quarter of the population was reported to be hesitant to receive the annual influenza vaccines [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

The public’s attitude to and acceptance of periodic doses of the COVID-19 vaccine: A survey from Jordan

et al. 2022

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Aims This study surveyed people regarding their acceptance of periodic doses (i.e., annual boosters) of the COVID-19 vaccine. Moreover, factors that correlate with attitudes toward periodic COVID-19 vaccines were assessed and identified. Method The study employed a cross-sectional methodology. The study questionnaire was distributed using Google Forms. Data were collected during the last quarter of 2021, and 1,416 adults (18 years old and over) from Jordan responded. Acceptance of COVID-19 periodic vaccine doses was calculated as a percentage of the total number of study participants, and their attitudes were scored. A multiple regression model was used to determine the predictors of public attitudes toward the annual dose of COVID-19 vaccines. Results The acceptance rate for receiving periodic doses of the COVID-19 vaccine was low (19.3%). Additionally, 26% of participants were unsure about receiving additional doses of the vaccine. However, 54.7% had a negative attitude toward getting periodic doses. The mean score for attitudes toward periodic doses was 47.9 (range: 29–66). Among the identified factors leading to decisions not to receive periodic doses were side effects (49.1%), waiting for further clinical studies (38.8%), and perceived no risk of contracting COVID-19 (17.7%). Regression analysis showed that income, educational attainment, and following the news about COVID-19 were predictors of participants’ attitudes toward the periodic COVID-19 vaccine. Conclusion Acceptance of periodic doses of the COVID-19 vaccine in Jordan is low, and the public’s attitude is generally negative. Health programs and educational interventions are needed to promote vaccine acceptance and positive attitudes.

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“…Although the optimal vaccination rate among health care professionals is 100%, a minimum rate of 80% is considered sufficient to prevent circulation of the virus [11,12].…”

Section: Introductionmentioning

confidence: 99%

Flu and COVID-19 Vaccination: What Happens to the Flu Shot When the Campaigns Overlap? Experience from a Large Italian Research Hospital

et al. 2022

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Influenza represents a threat to global health and health care workers (HCWs) have an increased risk of contracting the influenza virus in the workplace. The COVID-19 pandemic has brought back the importance of influenza vaccination, as the influenza virus can circulate together with SARS-CoV-2. The aim of this report is to describe the actual flu vaccination coverage among healthcare workers of a research hospital and the trend changes, with respect to the past flu vaccination campaigns, in light of the present pandemic and COVID-19 vaccination. A Pearson’s χ2 test was used to test the correlation of flu vaccination coverage, across all professional categories, between the last two years. A linear regression model was adopted to predict the total vaccination coverage of this year. A statistically significant decrease (p < 0.01) was observed in vaccination coverage among all the professional categories with a 50% reduction in vaccination trends between the last two years. Analyzing the data from the previous six flu vaccination campaigns, the expected value, according to the linear regression model, was estimated to be 38.5% while the observed value was 24%. The decrease in vaccination coverage may be due to the fear of the pandemic situation and especially to the uncertainty related to the consequences of a concurrent administration which may overload the immune system or may be more reactogenic. The COVID-19 pandemic represents an opportunity to promote and support large-scale influenza vaccination among HCWs through structured programs, adequate funding, and tailored communication strategies.

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Uptake rates, knowledge, attitudes, and practices toward seasonal influenza vaccination among healthcare workers in Lebanon

Cited by 16 publications

References 34 publications

Influenza Vaccination Uptake and Hesitancy among Healthcare Workers in Early 2021 at the Start of the COVID-19 Vaccine Rollout in Cape Town, South Africa

Influenza Vaccination Uptake and Hesitancy among Healthcare Workers in Early 2021 at the Start of the COVID-19 Vaccine Rollout in Cape Town, South Africa

The public’s attitude to and acceptance of periodic doses of the COVID-19 vaccine: A survey from Jordan

Flu and COVID-19 Vaccination: What Happens to the Flu Shot When the Campaigns Overlap? Experience from a Large Italian Research Hospital

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