Barriers and facilitators to influenza vaccination and vaccine coverage in a cohort of health care personnel
Barriers and facilitators to influenza vaccination and vaccine coverage in a cohort of health care personnel
复制标题
DOI：
10.1016/j.ajic.2013.11.003
复制
发表时间：
2014-04-01
影响因子：
4.9
通讯作者：
Thompson, Mark G.
中科院分区：
文献类型：
--
作者：
Naleway, Allison L.;Henkle, Emily M.;Thompson, Mark G.
背景：建议卫生保健人员（HCP）每年接种流感疫苗。我们描述了2010-2011年流感季节HCP的流感疫苗接种覆盖率，并报告了疫苗接种的促进因素和障碍。方法：我们招募了年龄在18 - 65岁之间、全职工作、与患者有直接接触的HCP。参与者在入学和流感季节结束时完成了一项基于互联网的调查。除了自我报告的数据外，我们还从电子员工健康和医疗记录中收集了2010-2011年流感疫苗的信息。结果：疫苗接种率为77%（1307 / 1701）。与较高疫苗接种覆盖率相关的因素包括年龄较大、已婚或有伴侣、医生或牙医、流感疫苗接种史、患者护理年限较长以及较高的工作满意度。据报告，个人保护是接种疫苗的最重要原因，其次是方便、保护患者以及保护家人和朋友。对疫苗的安全性和有效性以及对流感的低易感性的担忧是接种疫苗最常见的障碍。大约一半未接种HCP疫苗的人表示，如果雇主要求，他们会接种疫苗。结论：该队列的流感疫苗接种率相对较高，但仍未达到HCP覆盖率90%的推荐目标。解决对疫苗安全性和有效性的担忧是未来教育或干预的可能领域，以提高HCP的覆盖率。感染控制与流行病学专业人员协会版权所有Elsevier Inc.出版。版权所有。
Background: Annual influenza vaccination is recommended for health care personnel (HCP). We describe influenza vaccination coverage among HCP during the 2010-2011 season and present reported facilitators of and barriers to vaccination.Methods: We enrolled HCP 18 to 65 years of age, working full time, with direct patient contact. Participants completed an Internet-based survey at enrollment and the end of influenza season. In addition to self-reported data, we collected information about the 2010-2011 influenza vaccine from electronic employee health and medical records.Results: Vaccination coverage was 77% (1,307/1,701). Factors associated with higher vaccination coverage include older age, being married or partnered, working as a physician or dentist, prior history of influenza vaccination, more years in patient care, and higher job satisfaction. Personal protection was reported as the most important reason for vaccination followed closely by convenience, protection of patients, and protection of family and friends. Concerns about perceived vaccine safety and effectiveness and low perceived susceptibility to influenza were the most commonly reported barriers to vaccination. About half of the unvaccinated HCP said they would have been vaccinated if required by their employer.Conclusion: Influenza vaccination in this cohort was relatively high but still fell short of the recommended target of 90% coverage for HCP. Addressing concerns about vaccine safety and effectiveness are possible areas for future education or intervention to improve coverage among HCP. Copyright (C) 2014 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.