tetano
Editor, Senior Moderator
Occup Med (Lond). 2015 Aug 14. pii: kqv116. [Epub ahead of print]
[h=1]Health care workers' influenza vaccination: motivations and mandatory mask policy.[/h] Dorribo V[SUP]1[/SUP], Lazor-Blanchet C[SUP]2[/SUP], Hugli O[SUP]3[/SUP], Zanetti G[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Vaccination of health care workers (HCW) against seasonal influenza (SI) is recommended but vaccination rate rarely reach >30%. Vaccination coverage against 2009 pandemic influenza (PI) was 52% in our hospital, whilst a new policy requiring unvaccinated HCW to wear a mask during patient care duties was enforced.
[h=4]AIMS:[/h] To investigate the determinants of this higher vaccination acceptance for PI and to look for an association with the new mask-wearing policy.
[h=4]METHODS:[/h] A retrospective cohort study, involving HCW of three critical departments of a 1023-bed, tertiary-care university hospital in Switzerland. Self-reported 2009-10 SI and 2009 PI vaccination statuses, reasons and demographic data were collected through a literature-based questionnaire. Descriptive statistics, uni- and multivariate analyses were then performed.
[h=4]RESULTS:[/h] There were 472 respondents with a response rate of 54%. Self-reported vaccination acceptance was 64% for PI and 53% for SI. PI vaccination acceptance was associated with being vaccinated against SI (OR 9.5; 95% CI 5.5-16.4), being a physician (OR 7.7; 95% CI 3.1-19.1) and feeling uncomfortable wearing a mask (OR 1.7; 95% CI 1.0-2.8). Main motives for refusing vaccination were: preference for wearing a surgical mask (80% for PI, not applicable for SI) and concerns about vaccine safety (64%, 50%) and efficacy (44%, 35%).
[h=4]CONCLUSIONS:[/h] The new mask-wearing policy was a motivation for vaccination but also offered an alternative to non-compliant HCW. Concerns about vaccine safety and efficiency and self-interest of health care workers are still main determinants for influenza vaccination acceptance. Better incentives are needed to encourage vaccination amongst non-physician HCW.
? The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
[h=4]KEYWORDS:[/h] Health care workers; microbiological hazards; occupational health policy; risk management; vaccination; workplace health promotion.
PMID: 26276758 [PubMed - as supplied by publisher]
[h=1]Health care workers' influenza vaccination: motivations and mandatory mask policy.[/h] Dorribo V[SUP]1[/SUP], Lazor-Blanchet C[SUP]2[/SUP], Hugli O[SUP]3[/SUP], Zanetti G[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Vaccination of health care workers (HCW) against seasonal influenza (SI) is recommended but vaccination rate rarely reach >30%. Vaccination coverage against 2009 pandemic influenza (PI) was 52% in our hospital, whilst a new policy requiring unvaccinated HCW to wear a mask during patient care duties was enforced.
[h=4]AIMS:[/h] To investigate the determinants of this higher vaccination acceptance for PI and to look for an association with the new mask-wearing policy.
[h=4]METHODS:[/h] A retrospective cohort study, involving HCW of three critical departments of a 1023-bed, tertiary-care university hospital in Switzerland. Self-reported 2009-10 SI and 2009 PI vaccination statuses, reasons and demographic data were collected through a literature-based questionnaire. Descriptive statistics, uni- and multivariate analyses were then performed.
[h=4]RESULTS:[/h] There were 472 respondents with a response rate of 54%. Self-reported vaccination acceptance was 64% for PI and 53% for SI. PI vaccination acceptance was associated with being vaccinated against SI (OR 9.5; 95% CI 5.5-16.4), being a physician (OR 7.7; 95% CI 3.1-19.1) and feeling uncomfortable wearing a mask (OR 1.7; 95% CI 1.0-2.8). Main motives for refusing vaccination were: preference for wearing a surgical mask (80% for PI, not applicable for SI) and concerns about vaccine safety (64%, 50%) and efficacy (44%, 35%).
[h=4]CONCLUSIONS:[/h] The new mask-wearing policy was a motivation for vaccination but also offered an alternative to non-compliant HCW. Concerns about vaccine safety and efficiency and self-interest of health care workers are still main determinants for influenza vaccination acceptance. Better incentives are needed to encourage vaccination amongst non-physician HCW.
? The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
[h=4]KEYWORDS:[/h] Health care workers; microbiological hazards; occupational health policy; risk management; vaccination; workplace health promotion.
PMID: 26276758 [PubMed - as supplied by publisher]