Influenza vaccination rates and beliefs about vaccination among nursing home employees
Influenza vaccination rates and beliefs about vaccination among nursing home employees
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DOI：
10.1016/j.ajic.2014.08.021
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发表时间：
2015-02-01
影响因子：
4.9
通讯作者：
Howard, David H.
中科院分区：
文献类型：
--
作者：
Daugherty, Jill D.;Blake, Sarah C.;Howard, David H.
背景资料：最近的研究表明，为养老院工作人员接种疫苗可能会降低养老院居民的流感发病率。目前全国对雇员疫苗接种率的估计（约50%）表明，居民感染流感的风险可能不必要地高。本文报道了美国3个州37家养老院员工的流感疫苗接种率和对疫苗的态度。方法：2011-2012年在佛罗里达、格鲁吉亚和威斯康星州的养老院对养老院员工进行了调查。结果：在2010-2011年和2011-2012年流感季节，约54%的受访员工接受了疫苗接种。养老院一级的工作人员接种率差异很大，从15%-97%不等。黑人和年轻雇员接种疫苗的可能性较小。员工接种率在养老院，使用激励措施比那些没有使用激励措施高12个百分点（P = 0.08）。结论：低接种率的养老院工作人员可能会使居民在流感相关的发病率和死亡率的风险增加。医疗保险和医疗补助服务中心可能会将员工疫苗接种率视为除了居民疫苗接种率之外的质量指标。我们的研究结果支持使用试验来测试使用激励措施来提高员工疫苗接种率。版权所有（C）2015由感染控制和流行病学专业人员协会，Inc.爱思唯尔公司出版All rights reserved.
Background: Recent studies have suggested that vaccination of nursing home staff members may reduce the incidence of influenza among nursing home residents. Current national estimates of employee vaccination rates (around 50%) indicate that residents may be at an unnecessarily high risk of contracting influenza. This article reports on the influenza vaccination rates and attitudes toward the vaccine among employees in 37 nursing homes in 3 states.Methods: Nursing home employees were surveyed at nursing homes in Florida, Georgia, and Wisconsin in 2011-2012. Completed surveys were received from a total of 1,965 employees.Results: Approximately 54% of the employees surveyed received the vaccination during the 2010-2011 and 2011-2012 influenza seasons. Nursing home-level staff vaccination rates varied widely, from 15%-97%. Black and younger employees were less likely to receive the vaccine. Employee vaccination rates in nursing homes that used incentives were 12 percentage points higher than those that did not use incentives (P = .08).Conclusion: Low vaccination rates among nursing home workers may put residents at increased risk for influenza-related morbidity and mortality. The Centers for Medicare and Medicaid Services may consider employee vaccination rates as a quality indicator in addition to resident vaccination rates. Our findings support the use of a trial to test the use of incentives to increase employee vaccination rates. Copyright (C) 2015 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.