Skip to main content Accessibility help
×
Home

Seasonal Influenza Vaccine Compliance among Hospital-Based and Nonhospital-Based Healthcare Workers

  • Terri Rebmann (a1), Kathleen S. Wright (a2), John Anthony (a3), Richard C. Knaup (a3) and Eleanor B. Peters (a3)...

Abstract

Background.

Influenza vaccination among nonhospital healthcare workers (HCWs) is imperative, but only limited data are available for factors affecting their compliance.

Objective.

To examine the factors influencing influenza vaccine compliance among hospital and nonhospital HCWs.

Design and Setting.

A vaccine compliance questionnaire was administered to HCWs working in myriad healthcare settings in March-June 2011.

Methods.

Online and paper surveys were used to assess compliance with the 2010/2011, 2009/2010, and H1N1 influenza vaccines and to examine factors that predicted the uptake of the 2010/2011 seasonal influenza vaccine.

Results.

In all, 3,188 HCWs completed the survey; half of these (n = 1,719) reported no hospital work time. Compliance rates for all 3 vaccines were significantly higher (P< .001) among hospital versus nonhospital HCWs. In logistic regression stratified by hospital versus nonhospital setting, and when controlling for demographics and past behavior, the determinants of vaccination against the 2010/2011 seasonal influenza among nonhospital-based HCWs included having a mandatory vaccination policy, perceived importance, no fear of vaccine adverse effects, free and on-site access, and perceived susceptibility to influenza. Determinants of hospital-based HCW vaccine compliance included having a mandatory vaccination policy, belief that HCWs should be vaccinated every year, occupational health encouragement, perceived importance of vaccination, on-site access, and no fear of vaccine adverse effects. The strongest predictor of compliance for both worker groups was existence of a mandatory vaccination policy.

Conclusions.

The reasons for vaccine uptake among nonhospital-based versus hospital-based HCWs differed. Targeted interventions should be aimed at workers in these settings to increase their vaccine compliance, including implementing a mandatory vaccination policy.

Infect Control Hosp Epidemiol 2012;33(3):243-249

Copyright

Corresponding author

Division of Environmental and Occupational Health, Institute for Biosecurity, Saint Louis University, School of Public Health, 3545 Lafayette Avenue, Room 463, Saint Louis, Missouri 63104 (rebmannt@slu.edu)

References

Hide All
1. Centers for Disease Control and Prevention. Influenza vaccination information for health care workers: 2011. http://www.cdc.gov/flu/HealthcareWorkers.htm. Accessed September 17, 2011.
2. Salgado, CD, Farr, BM, Hall, KK, Hayden, FG. Influenza in the acute hospital setting. Lancet Infect Dis 2002;2:145.
3. Carman, WF, Elder, AG, Wallace, LA, et al. Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet 2000;355:9397.
4. Lemaitre, M, Meret, T, Rothan-Tondeur, M, et al. Effect of influenza vaccination of nursing home staff on mortality of residents: a cluster-randomised trial. J Am Geriatr Soc 2009;57:15801586.
5. Potter, J, Stott, DJ, Roberts, MA, et al. Influenza vaccination of healthcare workers in long-term-care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:16.
6. Schepetiuk, S, Papnaoum, K, Qiao, M. Spread of influenza A virus infection in hospitalized patients with cancer. Aust N Z J Med 1998;28:475476.
7. Weingarten, S, Friedlander, M, Rascon, D, Ault, M, Morgan, M, Meyer, RD. Influenza surveillance in an acute-care hospital. Arch Intern Med 1988;148:113116.
8. Talbot, TR, Babcock, H, Caplan, AL, et al. Revised SHEA position paper: influenza vaccination of healthcare personnel. Infect Control Hosp Epidemiol 2010;31:987995.
9. Centers for Disease Control and Prevention. Influenza vaccination coverage among health-care personnel: United States, 2010–11 influenza season. Morb Mortal Wkly Rep 2011;60:19731077.
10. Babcock, HM, Gemeinhart, N, Jones, M, Dunagan, WC, Woeltje, KF. Mandatory influenza vaccination of healthcare workers: translating policy to practice. Clin Infect Dis 2010;50:459464.
11. Rakita, RM, Hagar, BA, Crome, P, Lammert, JK. Mandatory influenza vaccination of healthcare workers: a 5-year study. Infect Control Hosp Epidemiol 2010;31:881888.
12. Ribner, BS, Hall, C, Steinberg, JP, et al. Use of a mandatory declination form in a program for influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 2008;29:302308.
13. Ajenjo, MC, Woeltje, KF, Babcock, HM, Gemeinhart, N, Jones, M, Fraser, VJ. Influenza vaccination among healthcare workers: ten-year experience of a large healthcare organization. Infect Control Hosp Epidemiol 2010;31:233240.
14. Polgreen, PM, Chen, Y, Beekmann, SE, et al. Elements of influenza vaccination programs that predict higher vaccination rates: results of an emerging infections network survey. Clin Infect Dis 2008;46:1419.
15. Polgreen, PM, Septimus, EJ, Parry, MF, et al. Relationship of influenza vaccination declination statements and influenza vaccination rates for healthcare workers in 22 U.S. hospitals. Infect Control Hosp Epidemiol 2008;29:675677.
16. U.S. Department of Health and Human Services. Healthy People 2020 objective topic areas and page numbers: 2011. http://www.healthypeople.gov/2020/topicsobjectives2020/pdfs/HP2020objectives.pdf. Accessed September 17, 2011.
17. Millner, VS, Eichold, BH, Franks, RD, Johnson, GD. Influenza vaccination acceptance and refusal rates among health care personnel. Southern Med J 2010;103:993998.
18. Zimmerman, RK, Nowalk, MP, Lin, CJ, et al. Factorial design for improving influenza vaccination among employees of a large health system. Infect Control Hosp Epidemiol 2009;30:691697.
19. Tao, X, Giampino, J, Dooley, DA, Humphrey, FE, Baron, DM, Bernacki, EJ. Description of an influenza vaccination campaign and use of a randomized survey to determine participation rates. Infect Control Hosp Epidemiol 2010;31;151157.
20. Godin, G, Vezina-Im, L, Naccache, H. Determinants of influenza vaccination among healthcare workers. Infect Control Hosp Epidemiol 2010;31:689693.
21. Potter, J, Stott, DJ, Roberts, MA, et al. Influenza vaccination of healthcare workers in long-term care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:16.
22. Lynn, MR. Determination and quantification of content validity. Nurs Res 1986;35:382385.
23. Stevens, JP. Applied Multivariate Statistics for the Social Sciences. 4th ed. Mahwah, NJ: Lawrence Erlbaum, 2002.
24. Hosmer, DW, Lemeshow, S. Applied Logistic Regression. 2nd ed. New York: Wiley, 2000.
25. Mok, E, Yeung, SH, Chan, MF. Prevalence of influenza vaccination and correlates of intention to be vaccinated among Hong Kong Chinese. Pub Health Nurs 2006;23:506515.
26. Trivalle, C, Okenge, E, Hamon, B, Taillandier, J, Falissard, B. Factors that influence influenza vaccination among healthcare workers in a French geriatric hospital. Infect Control Hosp Epidemiol 2006;27:12781280.

Seasonal Influenza Vaccine Compliance among Hospital-Based and Nonhospital-Based Healthcare Workers

  • Terri Rebmann (a1), Kathleen S. Wright (a2), John Anthony (a3), Richard C. Knaup (a3) and Eleanor B. Peters (a3)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed