Hostname: page-component-7479d7b7d-wxhwt Total loading time: 0 Render date: 2024-07-11T11:42:58.290Z Has data issue: false hasContentIssue false
  • English
  • Français

H1N1 Influenza Vaccine Compliance among Hospital- and Non-Hospital-Based Healthcare Personnel

Published online by Cambridge University Press:  02 January 2015

Terri Rebmann ,
Ayesha Iqbal ,
John Anthony ,
Richard C. Knaup ,
Kathleen S. Wright  and
Eleanor B. Peters
Terri Rebmann*
Affiliation:
Institute of Biosecurity, Saint Louis University, School of Public Health, St. Louis, Missouri
Ayesha Iqbal
Affiliation:
St. Louis County Department of Health, St. Louis, Missouri
John Anthony
Affiliation:
St. Louis County Department of Health, St. Louis, Missouri
Richard C. Knaup
Affiliation:
St. Louis County Department of Health, St. Louis, Missouri
Kathleen S. Wright
Affiliation:
Heartland Centers for Public Health Preparedness, Saint Louis University, School of Public Health, St. Louis, Missouri
Eleanor B. Peters
Affiliation:
St. Louis County Department of Health, St. Louis, Missouri
*
Division of Environmental and Occupational Health, Institute for Biosecurity, Saint Louis University, School of Public Health, 3545 Lafayette Avenue, Room 463, St. Louis, MO 63104 (rebmannt@slu.edu)
Get access Rights & Permissions [Opens in a new window]

Abstract

Background.

The 2009 pandemic H1N1 influenza vaccine had lower uptake compared to seasonal influenza vaccine, and most studies examining uptake of H1N1 vaccine focused on hospital-based healthcare personnel (HCP). Determinants of H1N1 vaccine uptake among HCP in all work settings need to be identified so that interventions can be developed for use in encouraging uptake of future pandemic or emerging infectious disease vaccines.

Objective.

To identify factors influencing nonhospital HCP H1N1 influenza vaccine compliance.

Design and Setting.

An H1N1 influenza vaccine compliance questionnaire was administered to HCP working in myriad healthcare settings in March-June 2011.

Methods.

Surveys were used to assess H1N1 influenza vaccine compliance and examine factors that predicted H1N1 influenza vaccine uptake.

Results.

In all, 3,188 HCP completed the survey. Hospital-based HCP had higher compliance than did non-hospital-based personnel (x2 = 142.2, P < .001). In logistic regression stratified by hospital setting versus nonhospital setting, determinants of H1N1 vaccination among non-hospital-based HCP included extent to which H1N1 vaccination was mandated or encouraged, perceived importance of vaccination, access to no-cost vaccine provided on-site, no fear of vaccine side effects, and trust in public health officials when they say that the influenza vaccine is safe. Determinants of hospital-based HCP H1N1 vaccine compliance included having a mandatory vaccination policy, perceived importance of vaccination, no fear of vaccine side effects, free vaccine, perceived seriousness of H1N1 influenza, and trust in public health officials.

Conclusions.

Non-hospital-based HCP versus hospital-based HCP reasons for H1N1 vaccine uptake differed. Targeted interventions are needed to increase compliance with pandemic-related vaccines.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 33 , Issue 7 , July 2012 , pp. 737 - 744
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Peiris, JSM, Poon, LLM, Guan, Y. Emergence of a novel swine-origin influenza A virus (S-OIV) H1N1 virus in humans. J Clin Virol 2009;45(3):169–173.Google Scholar
2. Hampton, T. H1N1 vaccine urged for health workers, but some resist getting on board. J Am Med Assoc 2009;302(17): 1848–1849.Google Scholar
3. Jordan, R, Hayward, A. Should healthcare workers have the swine flu vaccine? Br Med J 2009;339:b3398.CrossRefGoogle ScholarPubMed
4. World Health Organization. WHO recommendations on pandemic (H1N1) 2009 vaccines: pandemic (H1N1). 2009 briefing note 2. http://www.who.int/csr/disease/swineflu/notes/hlnl_vaccine_20090713/en/index.html. Accessed November 29, 2011.Google Scholar
5. Centers for Disease Control and Prevention. 2009 H1N1 vaccination recommendations. http://www.cdc.gov/hlnlflu/vaccination/acip.htm. Accessed October 6, 2011.Google Scholar
6. Heymann, DL, Rodier, G. SARS: lessons from a new disease. In: Beaglehole, R, ed. The world health report 2003: shaping the future, http://www.who.int/whr/2003/en/whr03_en.pdf. Accessed November 5, 2011.Google Scholar
7. Lee, N, Hui, D, Wu, A, et al. A major outbreak of severe acute respiratory syndrome in Hong Kong. N Engl J Med 2003; 348(20):1986–1994.Google Scholar
8. Lee, SH. The SARS epidemic in Hong Kong. J Epidemiol Community Health 2003;57(9):652–654.Google Scholar
9. Varia, M, Wilson, S, Sarwal, S, et al. Investigation of a nosocomial outbreak of severe acute respiratory syndrome (SARS) in Toronto, Canada. Can Med Assoc J 2003;169(4):285–292.Google Scholar
10. Wong, TW, Lee, CK, Tam, W, et al. Cluster of SARS among medical students exposed to single patient, Hong Kong. Emerg Infect Dis 2004;10(2):269–276.Google Scholar
11. Caban-Martinez, AJ, Lee, DJ, Davila, EP, et al. Sustained low influenza vaccination rates in US healthcare workers. Prev Med 2010;50(4):210–212.Google Scholar
12. Centers for Disease Control and Prevention. Interim results: influenza A (H1N1) 2009 monovalent and seasonal influenza vaccination coverage among health care personnel—United States, August 2009-January 2010. Morb Mortal Wkly Rep 2010; 12:357–384.Google Scholar
13. Chor, JSY, Ngai, KLK, Goggins, WB, et al. Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys. Br Med J 2009;339:b3391.Google Scholar
14. Del Campo, MT, Miguel, VJ, Susana, C, Ana, G, Gregoria, L, Ignacio, MF. 2009-2010 seasonal and pandemic A (H1N1) influenza vaccination among healthcare workers. Vaccine 2011; 29(20):3703–3707.Google Scholar
15. Oria, PA, Matini, W, Nelligan, I, et al. Are Kenyan healthcare workers willing to receive the pandemic influenza vaccine? results from a cross-sectional survey of healthcare workers in Kenya about knowledge, attitudes and practices concerning infection with and vaccination against 2009 pandemic influenza A (H1N1), 2010. Vaccine 2011;29(19):3617–3622.Google Scholar
16. Savas, E, Tanriverdi, D. Knowledge, attitudes and anxiety towards influenza A/H1N1 vaccination of healthcare workers in Turkey. BMC Infect Dis 2010;10:281–287.Google Scholar
17. Tanguy, M, Boyeau, C, Pean, S, Marijon, E, Delhumeau, A, Fanello, S. Acceptance of seasonal and pandemic a (H1N1) 2009 influenza vaccination by healthcare workers in a french teaching hospital. Vaccine 2011;9(25):4190–4194.CrossRefGoogle Scholar
18. US Department of Labor, Bureau of Labor Statistics. Occupational employment and wages, May 2003: registered nurses. http://www.bls.gov/oes/2003/may/oes291111.htm. Accessed November 29, 2011.Google Scholar
19. 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(1): 1–6.Google Scholar
20. Jaeger, JL, Patel, M, Dharan, N, et al. Transmission of 2009 pandemic influenza A (H1N1) virus among healthcare personnel—Southern California, 2009. Infect Control Hosp Epidemiol 2011;21(12):1149–1157.Google Scholar
21. Godin, G, Vezina-Im, L, Naccache, H. Determinants of influenza vaccination among healthcare workers. Infect Control Hosp Epidemiol 2010;31(7):689–693.Google Scholar
22. Millner, VS, Eichold, BH, Franks, RD, Johnson, GD. Influenza vaccination acceptance and refusal rates among health care personnel. South Med 2010;103(10):993–998.Google Scholar
23. Polgreen, PM, Septimus, EJ, Parry, MF, et al. Relationship of influenza vaccination declination statements and influenza vaccination rates for healthcare workers in 22 US hospitals. Infect Control Hosp Epidemiol 2008;29(7):675–677.Google Scholar
24. 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(7): 691–697.Google Scholar
25. Lynn, MR. Determination and quantification of content validity. Nurs Res 1986;35(6):382–385.Google Scholar
26. Stevens, JP. Applied Multivariate Statistics for the Social Sciences. 4th ed. Mahwah, NJ: Lawrence Erlbaum, 2002.Google Scholar
27. Hosmer, DW, Lemeshow, S. 2nd ed. Applied Logistic Regression. New York: Wiley, 2000.Google Scholar
28. Rebmann, T, Wright, KS, Anthony, J, Knaup, RC, Peters, EB. Seasonal influenza vaccine compliance among hospital and non-hospital-based healthcare workers. Infect Control Hosp Epidemiol 2012;33(3):243–249.Google Scholar
29. 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(3):233–240.Google Scholar
30. Rakita, RM, Hagar, BA, Crome, P, Lammert, JK. Mandatory influenza vaccination of healthcare workers: a 5-year study. Infect Control Hosp Epidemiol 2010;31(9):881–888.Google Scholar
31. 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(4): 302–308.Google Scholar
32. Hidiroglu, S, Ay, P, Topuzoglu, A, Kalafat, C, Karavus, M. Resistance to vaccination: the attitudes and practices of primary healthcare workers confronting the H1N1 pandemic. Vacane 2010;28(51):8120–8124.Google Scholar
33. Maltezou, HC, Dedoukou, X, Patrinos, S, et al. Determinants of intention to get vaccinated against novel (pandemic) influenza A H1N1 among health-care workers in a nationwide survey. J Infect 2010;61(3):252–258.Google Scholar
34. Alkuwari, MG, Aziz, NA, Nazzal, ZA, Al-Nuaimi, SA. Pandemic influenza A/H1N1 vaccination uptake among health care workers in Qatar: motivators and barriers. Vaccine 2011;29(11): 2206–2211.Google Scholar
35. Harris, K, Maurer, J, Black, C, Euler, G, Kadiyala, S. Workplace efforts to promote influenza vaccination among healthcare personnel and their association with uptake during the 2009 pandemic influenza A (H1N1). Vaccine 2011;29(16):2978–2985.Google Scholar