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Correlation Between Healthcare Workers' Knowledge of Influenza Vaccine and Vaccine Receipt

  • Richard A. Martinello (a1) (a2) (a3), Laura Jones (a3) and Jeffrey E. Topal (a1) (a3)
Abstract Objective:

Influenza vaccine receipt by healthcare workers (HCWs) is important because HCWs are at risk for occupational exposure to influenza and may act as vectors in the nosocomial transmission of influenza. HCWs were surveyed to determine whether belief in commonly held influenza vaccine misconceptions was associated with influenza vaccine acceptance.


Cross-sectional study.


A large urban teaching hospital.


A self-administered survey was used to assess nursing and physician staff influenza vaccine knowledge, current vaccination status, and potential reasons for vaccine declination.


Two hundred twelve of 215 surveys were completed. The overall influenza vaccination rate was 73%. Physician staff were significantly more likely to have been vaccinated compared with nursing staff (82% vs 62%, respectively; P = .0009). HCWs answering the 5 influenza vaccine basic knowledge questions correctly were significantly more likely to have been vaccinated than those responding incorrectly to any question (84% vs 64%, respectively; P = .002). This association was present in the nursing group where 80% of those answering the knowledge questions correctly were vaccinated, but only 49% of those answering incorrectly were vaccinated (P = .000005). However, in the physician group, there was no significant difference in the influenza vaccination rates between those answering correctly and those answering incorrectly (P = .459).


Belief in commonly held influenza vaccine misconceptions was significantly associated with influenza vaccine declination among nursing staff and may act as a barrier to greater rates of influenza vaccination. Reasons for influenza vaccine nonreceipt may differ between nursing and physician staff.

Corresponding author
VA Connecticut, 950 Campbell Ave. 111-1, West Haven, CT 06516
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1. J Potter , DJ Stott , AG Roberts , et al.Influenza vaccination of health care workers in long-term care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:16.

2. WF Carman , AG Elder , LA Wallace , 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;355:9397.

3. JA Wilde JA McMillan , J Serwint , J Butta , MA O'Riordan MC Steinhoff . Effectiveness of influenza vaccine in healthcare professionals: a randomized trial. JAMA 1999;281:908913.

6. T Heimberger , HG Chang , M Shaikh , L Crotty , D Morse , G Birkhead . Knowledge and attitudes of healthcare workers about influenza: why are they not getting vaccinated? Infect Control Hosp Epidemiol 1995;16:412414.

7. DA Nafziger LA Herwaldt . Attitudes of internal medicine residents regarding influenza vaccination. Infect Control Hosp Epidemiol 1994;15:3235.

8. RE Begue , SQ Gee . Improving influenza immunization among healthcare workers. Infect Control Hosp Epidemiol 1998;19:518520.

9. C Watanakunakorn , G Ellis , D Gemmel . Attitude of healthcare personnel regarding influenza immunization. Infect Control Hosp Epidemiol 1993;14:1720.

10. CA Muto MG Sistrom , BM Farr . Hand hygiene rates unaffected by installation of dispensers of a rapidly acting hand antiseptic. Am J Infect Control 2000;28:273276.

11. MG Lankford , TR Zembower , WE Trick , DM Hacek , GA Noskin , LR Peterson . Influence of role models and hospital design on hand hygiene of health care workers. Emerg Infect Dis 2003;9:217223.

12. S Harbarth , CA Siegrist , JC Schira , W Wunderli , D Pittet . Influenza immunization: improving compliance of healthcare workers. Infect Control Hosp Epidemiol 1998;19:337342.

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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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