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Health Behavior Associated With Influenza Vaccination Among Healthcare Workers in Long-Term-Care Facilities

Published online by Cambridge University Press:  02 January 2015

D. G. Manuel ,
B. Henry ,
J. Hockin  and
M. Naus
D. G. Manuel*
Affiliation:
Field Epidemiology Training Program, Population and Public Health Branch, Health Canada, Ottawa, Ontario, Canada University of Toronto, Toronto, and the Public Health Branch, Ontario Ministry of Health and Long-term Care, Toronto, Ontario, Canada Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
B. Henry
Affiliation:
Field Epidemiology Training Program, Population and Public Health Branch, Health Canada, Ottawa, Ontario, Canada University of Toronto, Toronto, and the Public Health Branch, Ontario Ministry of Health and Long-term Care, Toronto, Ontario, Canada
J. Hockin
Affiliation:
Field Epidemiology Training Program, Population and Public Health Branch, Health Canada, Ottawa, Ontario, Canada
M. Naus
Affiliation:
University of Toronto, Toronto, and the Public Health Branch, Ontario Ministry of Health and Long-term Care, Toronto, Ontario, Canada
*
Institute for Clinical Evaluative Sciences, G-106, 2075 Bayview Ave., Toronto, Ontario M6G 3L7, Canada
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Abstract

Objective:

To investigate the health behavior associated with influenza vaccination among healthcare workers (HCWs) in long-term–care facilities.

Design:

A cross-sectional, self-administered survey of HCWs, augmented with focus groups to further examine attitudes toward influenza vaccination.

Setting:

Two long-term–care facilities participated in the survey. The focus groups were held at one of the two facilities.

Participants:

All HCWs were invited to participate in the survey and all nonmanagerial staff members were invited to participate in the focus groups. The response rate for the survey was 58% (231 of 401).

Results:

Vaccinated HCWs had a more positive attitude toward influenza vaccination and a greater belief that the vaccine is effective. This was not accompanied by differences in vaccine knowledge or values of potential preventive outcomes. Nonvaccinated respondents were more likely to believe that other preventive measures, such as washing hands, taking vitamins and supplements, eating a nutritious diet, exercising, and taking homeopathic or naturopathic medications, were more effective than vaccination. Additional findings from the focus groups suggest that HCWs believe that the main purpose of influenza vaccination programs is to protect residents' health at the expense, potential harm, and burden of responsibility of the staff.

Conclusions:

This study identifies challenges to and opportunities for improving vaccination rates among HCWs. A message that emphasizes the health benefits of vaccination to staff members, such as including vaccination as part of a staff “wellness” program, may improve the credibility of influenza immunization programs and coverage rates.(Infect Control Hosp Epidemiol 2002;23:609-614).

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 23 , Issue 10 , October 2002 , pp. 609 - 614
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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References

1.Tamblyn, SE. Preventing influenza outbreaks in long-term care facilities. Canadian Medical Association Journal 1997;157:927–928.Google Scholar
2.Potter, J, Stott, DJ, Roberts, MA, et alInfluenza vaccination of health care workers in long-term-care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:1–6.Google Scholar
3.Carman, WF, Elder, AG, Wallace, LA, et alEffects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet 2000;355:93–97.Google Scholar
4.Nicholson, KG. Should staff in long-stay hospitals for elderly patients be vaccinated against influenza?. Lancet 2000;355:83–84.CrossRefGoogle ScholarPubMed
5.McArthur, MA, Simor, AE, Campbell, B, McGeer, A. Influenza and pneumococcal vaccination and tuberculin skin testing programs in long-term care facilities: where do we stand? Infect Control Hosp Epidemiol 1995; 16:18–24.Google Scholar
6.Evans, MR, Wilkinson, EJ. How complete is influenza immunization coverage? A study in 75 nursing and residential homes for elderly people. Br J Gen Pract 1995;45:419–421.Google Scholar
7.Weingarten, S, Friedlander, M, Rascon, D, Ault, M, Morgan, M, Meyer, RD. Influenza surveillance in an acute-care hospital. Arch Intern Med 1988; 148:113–116.CrossRefGoogle Scholar
8.Pachucki, CT, Pappas, SA, Fuller, GF, Krause, SL, Lentino, JR, Schaaff, DM. Influenza A among hospital personnel and patients: implications for recognition, prevention, and control. Arch Intern Med 1989;149:77–80.CrossRefGoogle ScholarPubMed
9.Ballada, D, Biasio, LR, Cascio, G, et alAttitudes and behavior of health care personnel regarding influenza vaccination. Eur J Epidemiol 1994; 10:63–68.Google Scholar
10.Nichol, KL, Hauge, M. Influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 1997;18:189–194.CrossRefGoogle ScholarPubMed
11.Pachucki, CT, Lentino, JR, Jackson, GG. Attitudes and behavior of health care personnel regarding the use and efficacy of influenza vaccine. J Infect Dis 1985;151:1170–1171. Letter.Google Scholar
12.Nafziger, DA, Herwaldt, LA. Attitudes of internal medicine residents regarding influenza vaccination. Infect Control Hosp Epidemiol 1994; 15:32–35.Google Scholar
13.Watanakunakorn, C, Ellis, G, Gemmel, D. Attitude of healthcare personnel regarding influenza immunization. Infect Control Hosp Epidemiol 1993;14:17–20.Google Scholar
14.Doebbeling, BN, Edmond, MB, Davis, CS, Woodin, JR, Zeitler, RR. Influenza vaccination of health care workers: evaluation of factors that are important in acceptance. Prev Med 1997;26:68–77.Google Scholar
15.Ballard, JE, Liu, J, Uberuagua, D, Mustin, HD, Sugarman, JR. Assessing influenza immunization rates in Medicare managed care plans: a comparison of three methods. Jt Comm J Qual Improv 1997;23:434–442.Google Scholar
16.Beguin, C, Boland, B, Ninane, J. Health care workers: vectors of influenza virus? Low vaccination rate among hospital health care workers. Am J Med Qual 1998;13:223–227.Google Scholar
17.Glanz, K, Lewis, F, Rimer, B, eds. Health Behavior and Health Education, 2nd ed. San Francisco: Jossey-Bass; 1997.Google Scholar
18.Nexoe, J, Kragstrup, J, Sogaard, J. Decision on influenza vaccination among the elderly: a questionnaire study based on the Health Belief Model and the Multidimensional Locus of Control Theory. Scand J Prim Health Care 1999;17:105–110.Google Scholar
19.Montano, DE. Predicting and understanding influenza vaccination behavior: alternatives to the health belief model. Med Care 1986;24:438–453.Google Scholar
20.Carter, WB, Beach, LR, Inui, TS, Kirscht, JP, Prodzinski, JC. Developing and testing a decision model for predicting influenza vaccination compliance. Health Serv Res 1986;20(6 Part 2):897–932.Google Scholar
21.de Vries, H, Weijts, W, Dijkstra, M, Kok, G. The utilization of qualitative and quantitative data for health education program planning, implementation, and evaluation: a spiral approach. Health Education Quarterly 1992;19:101–115.Google Scholar
22.Crabtree, B, Miller, W. Doing Qualitative Research. London: Sage Publications; 1992.Google Scholar
23.Orenstein, WA, Bernier, RH, Hinman, AR. Assessing vaccine efficacy in the field: further observations. Epidemiol Rev 1988;10:212–241.CrossRefGoogle ScholarPubMed