Health care workers' influenza vaccination: motivations and mandatory mask policy

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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_2D9EF712787D
Type
Article: article from journal or magazin.
Collection
Publications
Title
Health care workers' influenza vaccination: motivations and mandatory mask policy
Journal
Occupational Medicine (oxford, England)
Author(s)
Dorribo Victor, Lazor-Blanchet Catherine, Hugli Olivier, Zanetti Giorgio
ISSN
1471-8405 (Electronic)
ISSN-L
0962-7480
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
65
Number
9
Pages
739-745
Language
english
Abstract
BACKGROUND: 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.
AIMS: To investigate the determinants of this higher vaccination acceptance for PI and to look for an association with the new mask-wearing policy.
METHODS: 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.
RESULTS: 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%).
CONCLUSIONS: 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.
Keywords
Occupational Health , Workplace , Influenza Vaccines , Policy , Risk Management , Vaccination , Health Promotion
Pubmed
Web of science
Open Access
Yes
Create date
20/08/2015 16:37
Last modification date
25/09/2019 7:08
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