Attitudes, perceptions and factors associated with influenza vaccination among primary healthcare professionals in Navarre, 2011-2012
Keywords:
Influenza vaccination. Primary heath care. Healthcare professionals. Vaccination coverage.Abstract
Background. The influenza vaccine is recommended for all healthcare workers to protect their own health and their patients. We aimed to describe the influenza vaccine coverage in primary healthcare professionals in the 2011-12 season in Navarre and to study the factors associated with this coverage.
Methods. An anonymous web-based survey was sent to primary healthcare professionals in 2012. The survey collected information on the influenza vaccination status for the four previous seasons, the attitudes towards and knowledge of the vaccine, and socio-demographic and professional data.
Results. Of 1,083 professionals, 381 (35%) completed the survey: 54.3% nurses, 35.7% general practitioners and 10% paediatricians. In the 2011-12 season, 56.2% had received the influenza vaccine, without significant changes compared to previous seasons. The vaccination in any previous season was the main predictive factor for current vaccination (odds ratio (OR): 20.87; confidence interval (CI) 95%: 8.98-48.48). The vaccine coverage was higher among those living with persons with risk factors for influenza (OR: 1.72; CI 95%: 1.05-2.84), those worried about becoming ill (OR: 4.59; CI 95%: 2.30-9.15), or infecting their patients (OR: 6.29; IC 95%: 3.02-13.13). Participation in training activities on influenza or vaccines was not significantly associated with influenza vaccination.
Conclusions. Influenza vaccination coverage in primary healthcare professionals in Navarre is below desirable levels. A greater involvement of healthcare professionals is necessary in the influenza prevention strategy.
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References
1. GLEZEN WP. Serious morbidity and mortality associated with influenza epidemics. Epidemiol Rev 1982; 4: 25-44.
https://doi.org/10.1093/oxfordjournals.epirev.a036250
2. Fifty-sixth World Health Assembly. Prevention and control of influenza pandemics and annual epidemics.2003. WHA56.19. Disponible en: http://apps.who.int/gb/archive/pdf_files/WHA56/ea56r19.pdf.
3. VANHEMS P, VOIRIN N, ROCHE S, ESCURET V, REGIS C, GORAIN C et al. Risk of influenza-like illness in an acute health care setting during community influenza epidemics in 2004-2005, 2005-2006, and 2006-2007: a prospective study. Arch Intern Med 2011; 171: 151-157.
https://doi.org/10.1001/archinternmed.2010.500
4. JORDAN R, HAYWARD A. Should healthcare workers have the swine flu vaccine? BMJ 2009; 339: b3398.
https://doi.org/10.1136/bmj.b3398
5. CARMAN WF, ELDER AG, WALLACE LA, MCAULAY K, WALKER A, MURRAY GD 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: 93-97.
https://doi.org/10.1016/S0140-6736(99)05190-9
6. POTTER J, STOTT DJ, ROBERTS MA, ELDER AG, O'DONNELL B, KNIGHT PV et al. Influenza vaccination of health care workers in long-term-care hospitals reduces the mortality of elderly patients. J Infect Dis 1997; 175: 1-6.
https://doi.org/10.1093/infdis/175.1.1
7. CASTILLA J, GODOY P, DOMÍNGUEZ A, MARTÍN V, DELGADO-RODRÍGUEZ M, MARTÍNEZ-BAZ I et al. Risk factors and effectiveness of preventive measures against influenza in the community. Influenza Other Respi Viruses 2013; 7: 177-183.
https://doi.org/10.1111/j.1750-2659.2012.00361.x
8. European Union. Council Recommendation of 22 December 2009 on seasonal influenza vaccination. Official Journal of the European Union L348:71-2. 2009. Disponible en: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2009:348:0071:0072:EN:PDF
9. Advisory Committee on Immunization Practices; Centers for Disease Control and Prevention (CDC). Immunization of health-care personnel: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2011; 60 (RR-7): 1-45.
10. JIMÉNEZ-GARCÍA R, HERNÁNDEZ-BARRERA V, CARRASCO-GARRIDO P, LÓPEZ DE ANDRÉS A, PÉREZ N, DE MIGUEL AG. Influenza vaccination coverages among children, adults, health care workers and immigrants in Spain: related factors and trends, 2003-2006. J Infect 2008; 57: 472-480.
https://doi.org/10.1016/j.jinf.2008.10.005
11. VÍRSEDA S, RESTREPO MA, ARRANZ E, MAGÁN-TAPIA P, FERNÁNDEZ-RUIZ M, DE LA CÁMARA AG et al. Seasonal and Pandemic A (H1N1) 2009 influenza vaccination coverage and attitudes among health-care workers in a Spanish University Hospital. Vaccine 2010; 28: 4751-4757.
https://doi.org/10.1016/j.vaccine.2010.04.101
12. SÁNCHEZ-PAYÁ J, HERNÁNDEZ-GARCÍA I, GARCÍA-ROMÁN V, CAMARGO-ANGELES R, BARRENENGOA-SAÑUDO J, VILLANUEVA-RUIZ CO et al. Influenza vaccination among healthcare personnel after pandemic influenza H1N1. Vaccine 2012; 30: 911-915.
https://doi.org/10.1016/j.vaccine.2011.11.095
13. BALI NK, ASHRAF M, AHMAD F, KHAN UH, WIDDOWSON MA, LAL RB et al. Knowledge, attitude, and practices about the seasonal influenza vaccination among healthcare workers in Srinagar, India. Influenza Other Respi Viruses 2012. doi: 10.1111/j.1750-2659.2012.00416.x.
https://doi.org/10.1111/j.1750-2659.2012.00416.x
14. MALTEZOU HC, MARAGOS A, KATERELOS P, PAISI A, KARAGEORGOU K, PAPADIMITRIOU T et al. Influenza vaccination acceptance among health-care workers: a nationwide survey. Vaccine 2008; 26: 1408-1410.
https://doi.org/10.1016/j.vaccine.2008.01.049
15. BRANDT C, RABENAU HF, BORNMANN S, GOTTSCHALK R, WICKER S. The impact of the 2009 influenza A (H1N1) pandemic on attitudes of healthcare workers toward seasonal influenza vaccination 2010/11. Euro Surveill 2011; 16. pii: 19854.
https://doi.org/10.2807/ese.16.17.19854-en
16. HOTHERSALL EJ, DE BELLIS-AYRES S, JORDAN R. Factors associated with uptake of pandemic influenza vaccine among general practitioners and practice nurses in Shropshire, UK. Prim Care Respi J 2012; 21: 302-307.
https://doi.org/10.4104/pcrj.2012.00056
17. WARD K, SEALE H, ZWAR N, LEASK J, MACINTYRE CR. Annual influenza vaccination: coverage and attitudes of primary care staff in Australia. Influenza Other Respi Viruses 2011; 5: 135-141.
https://doi.org/10.1111/j.1750-2659.2010.00158.x
18. BARICOT M, TOLEDO D, CASTILLA J, TORNER N, GODOY P, ASTRAY J et al. Estudio de actitudes y conocimientos sobre la vacunación antigripal en personal sanitario de atención primaria. Temporada 2011-2012. Vacunas 2013. (En prensa). http://dx.doi.org/10.1016/j.vacun.2013.03.003
https://doi.org/10.1016/j.vacun.2013.03.003
19. KRAUT A, GRAFF L, MCLEAN D. Behavioral change with influenza vaccination: factors influencing increased uptake of the pandemic H1N1 versus seasonal influenza vaccine in health care personnel. Vaccine 2011; 29: 8657-8663.
https://doi.org/10.1016/j.vaccine.2011.08.084
20. JIMÉNEZ-GARCÍA R, HERNÁNDEZ-BARRERA V, CARRASCO-GARRIDO P, SIERRA-MOROS MJ, MARTÍNEZ-HERNÁNDEZ D, DE MIGUEL AG. Influenza vaccination coverages among spanish children, adults and health care workers. Infection 2006; 34: 135-141.
https://doi.org/10.1007/s15010-006-5627-1
21. WICKER S, RABENAU HF, DOERR HW, ALLWINN R. Influenza vaccination compliance among health care workers in a german university hospital. Infection 2009; 37: 197-202.
https://doi.org/10.1007/s15010-008-8200-2
22. LINDLEY MC, YONEK J, AHMED F, PERZ JF, WILLIAMS TORRES G. Measurement of influenza vaccination coverage among healthcare personnel in US hospitals. Infect Control Hosp Epidemiol 2009; 30: 1150-1157.
https://doi.org/10.1086/648086
23. CASTILLA J, MORÁN J, FERNÁNDEZ-ALONSO M, MARTÍNEZ ARTOLA V, ZAMORA MJ, MAZÓN A et al. Caracterización de la pandemia de gripe A H1N1 2009 en Navarra. An Sist Sanit Navar 2010; 33: 287-295.
https://doi.org/10.4321/S1137-66272010000400005
24. VAUX S, VAN CAUTEREN D, GUTHMANN JP, LE STRAT Y, VAILLANT V, DE VALK H et al. Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France: a cross-sectional survey. BMC Public Health 2011; 11: 30.
https://doi.org/10.1186/1471-2458-11-30
25. ARDA B, DURUSOY R, YAMAZHAN T, SIPAHI OR, TAŞBAKAN M, PULLUKÇU H et al. Did the pandemic have an impact on influenza vaccination attitude? A survey among health care workers. BMC Infect Dis 2011; 11: 87.
https://doi.org/10.1186/1471-2334-11-87
26. CHEN SC, HAWKINS G, ASPINALL E, PATEL N. Factors influencing uptake of influenza A (H1N1) vaccine amongst healthcare workers in a regional pediatric centre: lessons for improving vaccination rates. Vaccine 2012; 30: 493-497.
https://doi.org/10.1016/j.vaccine.2011.04.032
27. MARTINELLO RA, JONES L, TOPAL JE. Correlation between healthcare workers' knowledge of influenza vaccine and vaccine receipt. Infect Control Hosp Epidemiol 2003; 24: 845-847.
https://doi.org/10.1086/502147
28. HOLLMEYER HG, HAYDEN F, POLAND G, BUCHHOLZ U. Influenza vaccination of health care workers in hospitals--a review of studies on attitudes and predictors. Vaccine 2009; 27: 3935-3944.
https://doi.org/10.1016/j.vaccine.2009.03.056
29. PICAZO JJ, GONZÁLEZ ROMO F, SALLERAS SANMARTÍ L, BAYAS RODRÍGUEZ JM, ALVAREZ PASQUÍN MJ. Encuesta sobre vacunación de adultos en España. Gripe y neumococo. Vacunas 2012; 13: 100-111.
https://doi.org/10.1016/S1576-9887(12)70048-1
30. MCLENNAN S, WICKER S. Reflections on the influenza vaccination of healthcare workers. Vaccine 2010; 28: 8061-8064.
https://doi.org/10.1016/j.vaccine.2010.10.019
31. LLUPIÀ A, GARCÍA-BASTEIRO AL, OLIVÉ V, COSTAS L, RÍOS J, QUESADA S et AL. New interventions to increase influenza vaccination rates in health care workers. Am J Infect Control 2010; 38: 476-481.
https://doi.org/10.1016/j.ajic.2010.01.013
32. LLUPIÀ A, GARCÍA-BASTEIRO AL, MENA G, RÍOS J, PUIG J, BAYAS JM et al. Vaccination behaviour influences self-report of influenza vaccination status: a cross-sectional study among health care workers. PLoS One 2012; 7: e39496.
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