Seasonal Influenza Vaccination Rates in the HIV Outpatient Study--United States, 1999-2013

Background: Vaccine hesitancy is an issue for vaccines required for herd immunity. Although various factors such as sociodemographics can affect vaccine hesitancy, the research results differ and it is unclear whether these differences depend on the subjects or the situation, such as the type of infection or vaccine. Therefore, we investigated the relationship between seasonal influenza vaccination behavior and sociodemographic factors under the COVID-19 pandemic. In addition, we analyzed the relationship between individual factors of risk preference and seasonal influenza vaccination on the premise that there is a difference in the association between efficacy and the risk of side effects of the two vaccines. Methods: A cross-sectional study was conducted on workers aged from 20-65 years on December 22-25, 2020, using data from an Internet survey. We set the presence or absence of 2020/2021 seasonal influenza vaccination as the dependent variable, and each aspect of sociodemographic factors and risk preference as independent variables. We performed a multilevel logistic regression analysis nested by residence. Results: In total, 26,637 respondents (13,600 men, 13,037 women) participated. Significantly more women than men were vaccinated. Both men and women had higher vaccination rates if married, highly educated, with high income, and with underlying disease. Men aged 60-65 had a significantly higher vaccination rate than those aged 20-29, while women aged 40-49 and 50-59 had a significantly lower rate than those aged 20-29. These results differed from those of a previous study on the vaccination intentions of the same subjects for COVID-19. Those with low risk preference had higher vaccination rates than those with high risk preference. Conclusions: Our results suggested that the effect of sociodemographic factors on vaccine hesitancy depends on the situation affecting efficacy of the vaccine and the perception of vaccination risk.

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Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain

BMC Public Health ◽

10.1186/s12889-021-12198-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Théophile Baïssas ◽

Florence Boisnard ◽

Inmaculada Cuesta Esteve ◽

Marta Garcia Sánchez ◽

Christine E. Jones ◽

...

Keyword(s):

United States ◽

United Kingdom ◽

Influenza Vaccination ◽

Pregnant Women ◽

Seasonal Influenza ◽

The United States ◽

Seasonal Influenza Vaccination ◽

High Performing ◽

The United Kingdom ◽

In Pregnancy

Abstract Background Pertussis and seasonal influenza are responsible for significant maternal, neonatal, and infant morbidity and mortality, but vaccine coverage rates (VCR) for both pertussis (administered as a tetanus, diphtheria, acellular pertussis [Tdap] vaccination) and seasonal influenza in pregnancy remain generally low. Only a small number of countries, including Spain, the United Kingdom (UK), and the United States (US), have high Tdap and seasonal influenza VCRs in pregnancy. The purpose of this study was to identify the key factors that contributed to the high VCRs observed in these countries. Methods The experience from both Tdap and seasonal influenza vaccination programmes during pregnancy were documented in Spain, the UK, and the US using a three-step approach. A literature review yielded 157 publications, and a further 117 documents were selected through desk research. A published five-pillar VCR framework for influenza was amended to evaluate the specific contributing factors leading to high Tdap and seasonal influenza VCRs among pregnant women. Results The analysis identified components that contributed to higher VCR in pregnant women across three different healthcare systems in Spain, UK, and US. The combination of several key interventions in each country led to a rapid increase in VCR that reached near-optimal levels (i.e. 75% for seasonal influenza) within a few years. As well as inclusion in national immunisation programme and vaccine reimbursement, key components that were identified included the mobilisation of health authorities, prenatal care Healthcare Professionals (HCP) and scientific societies, the inclusion of vaccination in antenatal medical guidance, the provision of educational material to HCPs, and a strong disease awareness driven by recent pertussis outbreaks in each country. Conclusions Although there is no simple, universal solution to improving sub-optimal VCRs, the list of components identified in this study from three countries with high-performing Tdap and seasonal influenza vaccination programmes provides a basis for public health and medical stakeholders in other countries to define strategies to successfully implement national vaccination programmes for pregnant women.

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Lessons From Voluntary Reporting Of Illinois Hospital Employee Seasonal Influenza Vaccination Rates (2009-2013)

Value in Health ◽

10.1016/j.jval.2013.03.449 ◽

2013 ◽

Vol 16 (3) ◽

pp. A96 ◽

Cited By ~ 1

Author(s):

B. Paris ◽

T. Arahood ◽

C. Asche ◽

G. Amundson

Keyword(s):

Influenza Vaccination ◽

Seasonal Influenza ◽

Voluntary Reporting ◽

Seasonal Influenza Vaccination ◽

Vaccination Rates ◽

Hospital Employee

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Faculty Opinions recommendation of Effect of expanded US recommendations for seasonal influenza vaccination: comparison of two pediatric emergency departments in the United States and Canada.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13352978.14724083 ◽

2011 ◽

Author(s):

George Petrikkos ◽

Sotirios Tsiodras

Keyword(s):

United States ◽

Influenza Vaccination ◽

Emergency Departments ◽

Seasonal Influenza ◽

The United States ◽

Pediatric Emergency ◽

Seasonal Influenza Vaccination

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Championing Patient Safety through Mandatory Influenza Vaccination for All Healthcare Personnel and Affiliated Physicians

Infection Control and Hospital Epidemiology ◽

10.1086/659155 ◽

2011 ◽

Vol 32 (4) ◽

pp. 375-379 ◽

Cited By ~ 30

Author(s):

Lynne V. Karanfil ◽

Jan Bahner ◽

Joan Hovatter ◽

William L. Thomas

Keyword(s):

Influenza Vaccination ◽

Seasonal Influenza ◽

Influenza Season ◽

Vaccination Rate ◽

Vaccination Program ◽

Healthcare Personnel ◽

Full Time ◽

Seasonal Influenza Vaccination ◽

Vaccination Rates ◽

For Profit

Objective.To determine whether a mandatory seasonal influenza vaccination program will increase vaccination rates among healthcare personnel (HCP) and affiliated physicians.Setting.MedStar Health is a not-for-profit regional healthcare organization that includes 9 hospitals with approximately 25,000 HCP and approximately 4,000 affiliated physicians. HCP describes any person employed by MedStar Health.Methods.With previous vaccination rates parallel to reported national rates of 54% among HCP, MedStar Health introduced a mandatory seasonal influenza vaccination program promulgated during the 2009–2010 influenza season. HCP and affiliated physicians were given an opportunity to apply for medical or religious exemptions. Noncompliant HCP were terminated. Noncompliant physicians had their privileges administratively suspended for the influenza season.Results.HCP compliance (vaccinated and exempt) was 99.9%. The influenza vaccination rate among HCP was 98.5%. There were 338 approved medical exemptions and 18 approved religious exemptions. Only 0.01% of HCP (9 full-time, 2 part-time, and 17 per diem employees) were terminated. Overall, 93% of the affiliated physicians were vaccinated; 7 religious and 99 medical exemptions were granted. In total, 149 physicians (4%) had their admitting privileges suspended during the influenza season.Conclusion.A mandatory influenza vaccination program achieves high rates of vaccination among HCP and affiliated physicians.

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