Elements of Influenza Vaccination Programs That Predict Higher Vaccination Rates: Results of an Emerging Infections Network Survey

Background: Many studies report vaccine uptake among young adults aged 18 to 49 years is low. In Canada, the National Advisory Committee on Immunization (NACI) recommends influenza vaccination for adults in contact with young children, however vaccination rates for this specific population are missing. An estimate is required to identify appropriate public health interventions. The objective of this study was to describe recent trends in influenza vaccination uptake among Canadian adults aged 18 to 49 years old living with or without young children.Methods: The Canadian Community Health Survey (2013-2014) dataset, available for public use was used after grouping individuals by influenza vaccination uptake within the past year in adults aged 18 to 49 years. The relationship between living in a household with young children and influenza vaccination uptake was examined using a multivariable logistic regression model.Results: Among Canadian adults aged 18 to 49 years, the influenza vaccination uptake was 24.1% in adult household contacts with young children compared to 18.2% in those without young children (p<.0001). After adjusting for socio-demographic characteristics and self-perceived health, we determined that vaccine uptake was associated with living in a household with young children (adjusted OR: 1.30 [95%CI: 1.17-1.44]). While socio-demographic characteristics and self-perceived health greatly influenced influenza vaccination uptake, we also found marital status was a strong influencer of influenza vaccine uptake (adjusted OR: 1.31 [95%CI: 1.16-1.48]). Conclusion: Overall, influenza vaccination uptake among caregiving adults is low. Increased vaccine uptake was associated with living in a household with one or more young children. Targeted education and vaccination programs are required to improve uptake of the influenza vaccine in this age group.

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Factors That Influenced Rates of Influenza Vaccination Among Employees of Wisconsin Acute Care Hospitals and Nursing Homes During the 2005-2006 Influenza Season

Infection Control and Hospital Epidemiology ◽

10.1086/523866 ◽

2007 ◽

Vol 28 (12) ◽

pp. 1398-1400 ◽

Cited By ~ 20

Author(s):

Gwen Borlaug ◽

Alexandra Newman ◽

John Pfister ◽

Jeffrey P. Davis

Keyword(s):

Nursing Homes ◽

Influenza Vaccination ◽

Acute Care ◽

Influenza Season ◽

Acute Care Hospitals ◽

Vaccination Programs ◽

Vaccination Rates

Hospitals and nursing homes were surveyed in 2006 to obtain information on employee influenza vaccination programs and baseline rates of influenza vaccination among employees. Results were used to make recommendations for improving employees' 2007 influenza vaccination rates. Facilities should continue to provide convenient and free vaccination programs, offer education to promote vaccination, and use signed declination forms.

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Healthcare Workers’ attitudes towards mandatory influenza vaccination: a systematic review

European Journal of Public Health ◽

10.1093/eurpub/ckz187.155 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

M Corezzi ◽

M R Gualano ◽

G Voglino ◽

E Olivero ◽

P Rossello ◽

...

Keyword(s):

Influenza Vaccination ◽

Healthcare Workers ◽

Meta Analysis ◽

Severe Illness ◽

Cross Sectional ◽

Vaccination Programs ◽

Vaccination Rates ◽

Meta Analyses ◽

Coverage Rates ◽

Mandatory Vaccination

Abstract Background Influenza affects approximately between 5 to 10% of general population every year, leading to 3 to 5 million cases of severe illness, and about 290 000 to 650 000 respiratory deaths. Healthcare Workers (HCWs) play a crucial role in spreading the infection to patients. Although the strong recommendations provided, influenza vaccination coverage rates among HCWs are globally well below the coverage target set by WHO. The aim of this study is to assess attitudes towards mandatory influenza vaccination programs among HCWs, in order to make a quantitative synthesis of the phenomenon. Methods The present study systematically reviewed published cross-sectional studies investigating attitudes towards compulsory influenza vaccination in Healthcare Workers. PubMed and Scopus scientific databases were searched and 4,198 results were returned. Of these, 23 met the inclusion criteria for the review and 13 were eligible for the meta-analyses. PRISMA statements were followed. Results Thirteen studies were conducted in North America, 4 were conducted in Europe, 3 in Asia, 2 were performed in Australia and one study collected data both from Europe and Asia. According to the assessed studies, the percentage of agreement ranged from 44% to 95% for different compulsory vaccination programs. A combined prevalence of 59.8% (95%CI 50.1-68.8) was found in the meta-analysis. Having been vaccinated against influenza in the previous year increases the likelihood (OR 4.1; 95%CI 2.8-6.1) of being in favour of mandatory vaccination policies. Conclusions Compulsory influenza vaccination programs are generally accepted by the majority of health professionals, especially by those who have already been vaccinated previously. These results could be important to improve European vaccination strategies, in order to increase influenza vaccination rates among Healthcare Workers. Key messages Mandatory influenza vaccination programs are accepted by the majority of Healthcare Workers. Having been previously vaccinated against influenza increases the likelihood of being in favor of a mandatory vaccination policy.

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Factors Associated with Increased Healthcare Worker Influenza Vaccination Rates: Results from a National Survey of University Hospitals and Medical Centers

Infection Control and Hospital Epidemiology ◽

10.1086/651666 ◽

2010 ◽

Vol 31 (05) ◽

pp. 456-462 ◽

Cited By ~ 32

Author(s):

Thomas R. Talbot ◽

Timothy H. Dellit ◽

Joan Hebden ◽

Danny Sama ◽

Joanne Cuny

Keyword(s):

Influenza Vaccination ◽

Healthcare Worker ◽

Vaccination Rate ◽

University Hospitals ◽

Vaccination Programs ◽

Train The Trainer ◽

Vaccination Rates ◽

Factors Associated ◽

Medical Centers ◽

Leadership Support

Objective. To ascertain which components of healthcare worker (HCW) influenza vaccination programs are associated with higher vaccination rates. Design. Survey. Setting. University-affiliated hospitals. Methods. Participating hospitals were surveyed with regard to their institutional HCW influenza vaccination program for the 2007-2008 influenza season. Topics assessed included vaccination adherence and availability, use of declination statements, education methods, accountability, and data reporting. Factors associated with higher vaccination rates were ascertained. Results. Fifty hospitals representing 368,696 HCWs participated in the project. The median vaccination rate was 55.0% (range, 25.6%-80.6%); however, the types of HCWs targeted by vaccination programs varied. Programs with the following components had significantly higher vaccination rates: weekend provision of vaccine (58.8% in those with this feature vs 43.9% in those without; P = .01), train-the-trainer programs (59.5% vs 46.5%; P = .005), report of vaccination rates to administrators (57.2% vs 48.1%; P = .04) or to the board of trustees (63.9% vs 53.4%; P = .01), a letter sent to employees emphasizing the importance of vaccination (59.3% vs 47%; P = .01), and any form of visible leadership support (57.9% vs 36.9%; P = .01). Vaccination rates were not significantly different between facilities that did and those that did not require a signed declination form for HCWs who refused vaccination (56.9% vs 55.1%; P = .68), although the precise content of such statements varied. Conclusions. Vaccination programs that emphasized accountability to the highest levels of the organization, provided weekend access to vaccination, and used train-the-trainer programs had higher vaccination coverage. Of concern, the types of HCWs targeted by vaccination programs differed, and uniform definitions will be essential in the event of public reporting of vaccination rates.

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Using Epidemiology to Target Staff Influenza Vaccination Programs

Infection Control and Hospital Epidemiology ◽

10.1086/501946 ◽

2001 ◽

Vol 22 (08) ◽

pp. 525-526

Author(s):

Margaret L. Russell ◽

Cheryl A. Ferguson

Keyword(s):

Influenza Vaccination ◽

Acute Care ◽

Long Term Care ◽

Rural Hospitals ◽

Care Staff ◽

Term Care ◽

Vaccination Programs ◽

Vaccination Rates

Abstract We examined staff influenza vaccination rates in rural hospitals that had both acute- and long-term-care (LTC) units. After controlling for hospital, acute-care staff were less likely to be vaccinated than LTC staff. There was no consistent association between type of worker and vaccination after controlling for both hospital and type of care.

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Influenza Vaccination in Long-Term–Care Facilities: Structuring Programs for Success

Infection Control and Hospital Epidemiology ◽

10.1086/501659 ◽

1999 ◽

Vol 20 (7) ◽

pp. 499-503 ◽

Cited By ~ 24

Author(s):

Margaret A. McArthur ◽

Andrew E. Simor ◽

Beverly Campbell ◽

Allison McGeer

Keyword(s):

Influenza Vaccination ◽

Long Term Care ◽

The Elderly ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Term Care ◽

Vaccination Programs ◽

Vaccination Rates ◽

Care Facilities

Objectives:To determine which influenza vaccination program characteristics were associated with high resident vaccination rates in Canadian long-term–care facilities (LTCFs).Design:A cross-sectional survey consisting of a mailed questionnaire conducted in spring 1991.Participants:All 1,520 Canadian LTCFs for the elderly with at least 25 beds.Results:The mean overall influenza vaccination rate in the 1,270 (84%) responding facilities was 79%. In multivariate analysis, the variables significantly associated with increased vaccination rates were: a single nonphysician staff person organizing the program, having more program aspects covered by written policies, the offering of vaccine to all residents, a policy of obtaining consent on admission that was durable for future years rather than repeating consent annually, and automatically administering vaccine to residents whose guardians could not be contacted for consent. Any encouragement to staff to be vaccinated had a significant impact on staff vaccination rates.Conclusion:Well-organized influenza vaccination programs increase the influenza vaccination rates of residents in Canadian LTCFs. Facilities need to develop resident vaccination programs further and to focus on vaccinating staff.

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Influenza Vaccination Programs for Healthcare Personnel: Organizational Issues and Beyond

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182111122 ◽

2021 ◽

Vol 18 (21) ◽

pp. 11122

Author(s):

Helena C. Maltezou ◽

Eleni Ioannidou ◽

Koen De Schrijver ◽

Guido François ◽

Antoon De Schryver

Keyword(s):

Influenza Vaccination ◽

Healthcare Services ◽

Healthcare Personnel ◽

Short Term ◽

Vaccination Programs ◽

Vaccination Rates ◽

Organizational Issues ◽

Vulnerable Patients ◽

Single Intervention ◽

Healthcare Associated

Healthcare personnel (HCP) are a high priority group for influenza vaccination aiming to protect them but also to protect vulnerable patients and healthcare services from healthcare-associated influenza and HCP absenteeism. Multi-component influenza vaccination programs targeting behavioral, organizational, and administrative barriers are critical, if influenza vaccination rates among HCP are to be raised on a sustained basis. Mandatory influenza vaccination policy is the only single intervention that can achieve high and sustainable vaccination rates in HCP in short term. In this article, we provide an overview of issues pertaining to influenza vaccination of HCP, with an emphasis on organizational issues of influenza vaccination programs.

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