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Innovative Approaches for Understanding Seasonal Influenza Vaccine Declination in Healthcare Personnel Support Development of New Campaign Strategies

  • Tamara M. Schult (a1), Ebi R. Awosika (a1) (a2), Michael J. Hodgson (a1), Pamela R. Hirsch (a1), Kristin L. Nichol (a2) (a3), Sue R. Dyrenforth (a4) and Scott C. Moore (a4)...
Abstract
Objective.

The main objectives of our study were to explore reasons for seasonal influenza vaccine acceptance and declination in employees of a large integrated healthcare system and to identify underlying constructs that influence acceptance versus declination. Secondary objectives were to determine whether vaccine acceptance varied by hospital location and to identify facility-level measures that explained variability.

Design.

A national health promotion survey of employees was conducted that included items on vaccination in the 2009-2010 influenza season. The survey was administered with two other institutional surveys in a stratified fashion: approximately 40% of participating employees were randomly assigned to complete the health promotion survey.

Setting.

National single-payer healthcare system with 152 hospitals.

Participants.

Employees of the healthcare system in 2010 who responded to the survey.

Methods.

Factor analysis was used to identify underlying constructs that influenced vaccine acceptance versus declination. Mean factor scores were examined in relation to demographic characteristics and occupation. Multilevel logistic regression models were used to determine whether vaccine acceptance varied by location and to identify facility-level measures that explained variability.

Results.

Four factors were identified related to vaccine declination and were labeled as (1) “don't care,” (2) “don't want,” (3) “don't believe,” and (4) “don't know.” Significant differences in mean factor scores existed by demographic characteristics and occupation. Vaccine acceptance varied by location, and vaccination rates in the previous year were an important facility-level predictor.

Conclusions.

Results should guide interventions that tailor messages on the basis of particular reasons for declination. Occupation-specific and culturally appropriate messaging should be considered. Continued efforts will be taken to better understand how workplace context influences vaccine acceptance.

Copyright
Corresponding author
One Veterans Drive (V68), Minneapolis, MN 55417 (tamara.schult@va.gov)
Linked references
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12. H Honda , S Padival , Y Shimamura , HM Babcock . Changes in influenza vaccination rates among healthcare workers following a pandemic influenza year at a Japanese tertiary care centre. J Hosp Infect 2012;80:316320.

14. HG Hollmeyer , F Hayden , G Poland , U Buchholz . Influenza vaccination of health care workers in hospitals: a review of studies on attitudes and predictors. Vaccine 2009;27:39353944.

17. N Warren , M Hodgson , T Craig , S Dyrenforth , J Perlin , F Murphy . Employee working conditions and healthcare system performance: the Veterans Health Administration experience. J Occup Environ Med 2007;49:417429.

22. K Larsen , J Merlo . Appropriate assessment of neighborhood effects on individual health: integrating random and fixed effects in multilevel logistic regression. Am J Epidemiol 2005;161:8188.

25. AN West , RE Lee , MD Shambaugh-Miller , et al.Defining “rural” for veterans' health care planning. J Rural Health 2010;26:301309.

26. TM Schult , ER Awosika , MJ Hodgson , S Dyrenforth . Disparities in health behaviors and chronic conditions in health care providers in the Veterans Health Administration. J Occup Environ Med 2011;53:11341145.

28. GA Poland . Mandating influenza vaccination for health care workers: putting patients and professional ethics over personal preference. Vaccine 2010;28:57575759.

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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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