Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-29T23:08:44.964Z Has data issue: false hasContentIssue false
  • English
  • Français

Influenza Vaccination and Intention to Receive the Pandemic H1N1 Influenza Vaccine among Healthcare Workers of British Columbia, Canada: A Cross-Sectional Study

Published online by Cambridge University Press:  02 January 2015

Fariba Kaboli ,
George Astrakianakis ,
Guiyun Li ,
Jaime Guzman ,
Monika Naus  and
Tara Donovan
Fariba Kaboli
Affiliation:
Occupational Health and Safety Agency for Healthcare in British Columbia, Vancouver, British Columbia, Canada Department of Medicine, Vancouver, British Columbia, Canada
George Astrakianakis*
Affiliation:
Disease Prevention, Vancouver, British Columbia, Canada School of Population and Public Health, Vancouver, British Columbia, Canada School of Environmental Health, Vancouver, British Columbia, Canada
Guiyun Li
Affiliation:
Statistics and Evaluation Program, Vancouver, British Columbia, Canada
Jaime Guzman
Affiliation:
Occupational Health and Safety Agency for Healthcare in British Columbia, Vancouver, British Columbia, Canada Department of Medicine, Vancouver, British Columbia, Canada
Monika Naus
Affiliation:
School of Population and Public Health, Vancouver, British Columbia, Canada University of British Columbia, and Immunization Programs, British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada
Tara Donovan
Affiliation:
University of British Columbia, and Immunization Programs, British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada
*
School of Environmental Health, University of British Columbia, 2206 East Mall, Vancouver, BC V6T 1Z3, Canada (george.astrakianakis@ubc.ca)
Get access Rights & Permissions [Opens in a new window]

Extract

Objective.

To assess healthcare workers' attitudes and concerns regarding seasonal and pandemic influenza vaccines in order to improve vaccination campaign communications.

Design.

Cross-sectional survey.

Setting.

All 6 health authorities in British Columbia, Canada.

Methods.

An anonymous, self-administered online survey was conducted from August 30 through September 30, 2009. Question topics included demographic characteristics, factors influencing acceptance of seasonal influenza vaccine, factors influencing intentions to accept pandemic H1N1 influenza vaccine, and knowledge and concerns regarding the effect of the influenza pandemic.

Participants.

All 96,217 British Columbia healthcare workers were eligible to participate.

Results.

A volunteer sample of 4,046 healthcare workers returned the survey; 3,563 (88%) were women, 58% were under 50 years old (mean age ± standard deviation, 45.3 ± 10.9 years), 3,152 of 4,023 (79%) had 5 or more years of experience in their profession, 1,853 of 4,023 (46%) were nurses, and 2,833 (70%) had been vaccinated against seasonal influenza the previous year. Two thousand eight hundred (69%) respondents reported intending to receive the pandemic H1N1 vaccine. The most important predictor of this intention was having received the seasonal vaccine the previous year (odds ratio [OR], 6.25 [95% confidence interval {CI}, 5.39-7.26]). Worry about making loved ones ill was the only attitude associated with intention to receive the pandemic H1N1 vaccine (adjusted OR, 1.38 [95% CI, 1.27-1.50]). Concerns with vaccine safety (adjusted OR, 0.31 [95% CI, 0.25-0.39]) and belief “that H1N1 is not severe enough” (adjusted OR, 0.29 [95% CI, 0.26-0.32]) were independently associated with the intention to reject the pandemic H1N1 vaccine.

Conclusions.

Vaccination campaigns for pandemic H1N1 vaccine should use messages that emphasize the risk of illness among younger people and the opportunity to protect loved ones by getting the vaccine and should address concerns about the safety and effectiveness of the vaccine.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 10 , October 2010 , pp. 1017 - 1024
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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. 2009-2010 Fluwatch, November 15, 2009, to November 21, 2009 (week 46). Public Health Agency of Canada Web site. http://www.phac-aspc.gc.ca/fluwatch/09-10/w46_09/index-eng.php. Accessed November 30, 2009.Google Scholar
2. FluView: 2009-2010 influenza season week 46 ending November 21, 2009. Center for Disease Control and Prevention Web site. http://www.cdc.gov/flu/weekly/weeklyarchives2009-2010/weekly46.htm. Accessed December 8, 2009.Google Scholar
3. Weekly influenza surveillance overview: December 4, 2009. European Centre for Disease Prevention and Control Web site. http://ecdc.europa,eu/en/activities/surveillance/EISN/Newsletter/091204_EISN_Weekly_Influenza_Surveillance_Overview.pdf. Accessed December 8, 2009.Google Scholar
4.Stewart, AM. Mandatory vaccination of health care workers. N Engl J Med 2009;361(21):2015–2017.Google Scholar
5.Seale, H, Leask, J, Po, K, Maclntyre, CR. “Will they just pack up and leave?”—attitudes and intended behaviour of hospital health care workers during an influenza pandemic. BMC Health Serv Res 2009;9:30. http://www.biomedcentral.eom/1472-6963/9/30. Published February 13, 2009. Accessed June 30, 2009.Google Scholar
6.Christini, AB, Shutt, KA, Byers, KE. Influenza vaccination rates and motivators among healthcare worker groups. Infect Control Hosp Epidemiol 2007;28(2):171–177.CrossRefGoogle ScholarPubMed
7. Immunize BC: a strategic framework for immunization in B.C. British Columbia Ministry of Health Services Web site, http://www.health.gov .bc.ca/library/publications/year/2007/immunizebc.pdf. Published 2007. Accessed March 16, 2010.Google Scholar
8.Bautista, D, Vila, B, Uso, R, Tellez, M, Zanon, V. Predisposing, reinforcing, and enabling factors influencing influenza vaccination acceptance among healthcare workers. Infect Control Hosp Epidemiol 2006;27(1):73–77.Google Scholar
9.Doebbeling, BN, Ferguson, KJ, Kohout, FJ. Predictors of hepatitis B vaccine acceptance in health care workers. Med Care 1996;34(1):58–72.Google Scholar
10.Saluja, I, Theakston, KD, Kaczorowski, J. Influenza vaccination rate among emergency department personnel: a survey of four teaching hospitals. CJEM 2005;7(1):17–21.Google Scholar
11.Smedley, J, Poole, J, Waclawski, E, et al.Influenza immunisation: attitudes and beliefs of UK healthcare workers. Occup Environ Med 2007;64(4): 223–227.Google Scholar
12.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(30):3935–3944.CrossRefGoogle ScholarPubMed
13.Takayanagi, IJ, Cardoso, MR, Costa, SF, Araya, ME, Machado, CM. Attitudes of health care workers to influenza vaccination: why are they not vaccinated? Am J Infect Control 2007;35(1):56–61.Google Scholar
14.Esposito, S, Bosis, S, Pelucchi, C, et al.Influenza vaccination among healthcare workers in a multidisciplinary university hospital in Italy. BMC Public Health 2008;8:422. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2651144/. Published December 23, 2008. Accessed July 7, 2009.Google Scholar
15.Nowalk, MP, Lin, CJ, Zimmerman, RK, et al.Self-reported influenza vaccination rates among health care workers in a large health system. Am J Infect Control 2008;36(8):574–581.Google Scholar
16.Hofmann, F, Ferracin, C, Marsh, G, Dumas, R. Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection 2006;34(3):142–147.Google Scholar
17.Steiner, M, Vermeulen, LC, Mullahy, J, Hayney, MS. Factors influencing decisions regarding influenza vaccination and treatment: a survey of healthcare workers. Infect Control Hosp Epidemiol 2002;23(10):625–627.CrossRefGoogle ScholarPubMed
18.Nichol, KL, Hauge, M. Influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 1997;18(3):189–194.Google Scholar
19.Begue, RE, Gee, SQ. Improving influenza immunization among healthcare workers. Infect Control Hosp Epidemiol 1998;19(7):518–520.Google Scholar
20.Heimberger, T, Chang, HG, Shaikh, M, Crotty, L, Morse, D, Birkhead, G. Knowledge and attitudes of healthcare workers about influenza: why are they not getting vaccinated? Infect Control Hosp Epidemiol 1995;16(7):412–415.Google Scholar
21.Chor, JS, Ngai, KL, Goggins, WB, et al.Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys. BMJ 2009;339:b3391. http://ww.bmj.com/cgi/content/full/399/aug25_2/b3391. Published August 25, 2009. Accessed November 3, 2009.Google Scholar
22.Pareek, M, Clark, T, Dillon, H, Kumar, R, Stephenson, I. Willingness of healthcare workers to accept voluntary stockpiled H5N1 vaccine in advance of pandemic activity. Vaccine 2009;27(8):1242–1247.Google Scholar
23.Qureshi, AM, Hughes, NJ, Murphy, E, Primrose, WR. Factors influencing uptake of influenza vaccination among hospital-based health care workers. Occup Med (bond) 2004;54(3):197–201.Google Scholar