scholarly journals Knowledge, attitudes, and practices of seasonal influenza vaccination in healthcare workers, Honduras

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246379
Author(s):  
Zachary J. Madewell ◽  
Rafael Chacón-Fuentes ◽  
Jorge Jara ◽  
Homer Mejía-Santos ◽  
Ida-Berenice Molina ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Healthcare Facility ◽  
Sources Of Information ◽  
Seasonal Influenza Vaccination ◽  
Attitudes And Practices ◽  
Knowledge And Attitude ◽  
Knowledge Attitudes And Practices

Background Seasonal influenza is a highly contagious vaccine-preventable disease that may cause high morbidity and mortality in susceptible populations. Healthcare workers are a priority group for seasonal influenza vaccination to protect them from contracting influenza and prevent nosocomial transmission to patients. This study aimed to evaluate knowledge, attitudes, and practices (KAP) of seasonal influenza vaccination among healthcare workers in Honduras. Method From August 24 to October 21, 2018, we conducted a cross-sectional KAP survey regarding seasonal influenza vaccination to a random sample of healthcare workers who attended patients in hospitals of the Ministry of Health of Honduras (SESAL) and Honduran Social Security Institute (IHSS). We reported frequency distributions of demographics, vaccination KAP, sources of information, and reasons for non-vaccination. We used principal components factor analysis to create knowledge and attitude scores. We used linear regression to analyze associations between demographics and sources of information about the influenza vaccine, and knowledge and attitude scores. We used logistic regression to analyze associations between demographics, sources of information, knowledge scores, and attitude scores, and influenza vaccination. Result We surveyed 947 healthcare workers who attended patients in 13 SESAL hospitals and two IHSS hospitals. Only 4.6% of participants knew the seasonal influenza vaccine was composed of inactivated viruses, 94.7% believed vaccination causes flu-like symptoms, and 52.0% were vaccinated for influenza in 2018. Knowledge scores were lower for nursing assistants and other healthcare professionals compared to doctors, and higher for healthcare workers who attended a healthcare facility training (P-values≤0.030). Attitude scores were higher for healthcare workers who attended ≥11 patients per day having ≤10 patients per day as reference, self-reported influenza vaccination in previous year, and cited trainings and informal information at the healthcare facility as sources of information for influenza vaccination (P-values≤0.030). Factors associated with self-reported vaccination were self-reported influenza vaccination in previous year (aOR: 7.61; 95% CI: 5.24–11.04), attitude score (aOR: 1.14; 95% CI: 1.07–1.21), and worked in a SESAL hospital (aOR: 1.73; 95% CI: 1.12–2.68) having IHSS as reference. Conclusion Although influenza vaccination is required by law in Honduras and available for free in public health centers, coverage of healthcare workers in 2018 was half that reported in 2017. Lower coverage may be attributed to misconceptions of vaccination side effects.

scholarly journals Knowledge, attitudes, and practices for the use of seasonal influenza vaccination, healthcare workers, Costa Rica

2021 ◽  
Vol 15 (07) ◽  
pp. 1004-1013
Author(s):  
Zachary Madewell ◽  
Rafael Chacón-Fuentes ◽  
Xiomara Badilla-Vargas ◽  
Catalina Ramirez ◽  
Maria-Renee Ortiz ◽  
...  
Keyword(s):  
Costa Rica ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Public Hospitals ◽  
Sources Of Information ◽  
Seasonal Influenza Vaccination ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Introduction: Annual seasonal influenza vaccination in healthcare workers prevents nosocomial transmission to patients, coworkers, and visitors, and reduces absenteeism. This study aimed to describe knowledge, attitudes, and practices (KAP) of seasonal influenza vaccine among public healthcare workers attending patients in Costa Rica. Methodology: We conducted a cross-sectional survey of healthcare personnel attending patients in public hospitals in 2017–2018. Frequency distributions of demographics, vaccination KAP, sources of information, clinical manifestations and reasons for non-vaccination were reported. Logistic regression was used to analyze associations between exposures of interest (demographics, sources of information, knowledge, attitudes towards vaccination) and self-reported influenza vaccination. Results: We surveyed 747 healthcare workers in 2017–2018. Of 706 participants who knew their vaccination status, 55.7% were vaccinated for seasonal influenza. Only 20.7% of participants knew the influenza vaccine was an inactivated virus, and 94.6% believed the vaccine causes flu-like symptoms. Factors associated with current influenza vaccination were vaccination in previous year (aOR: 8.13; 95% CI: 5.65–11.71) and believed influenza vaccination may be harmful (aOR: 0.62; 95% CI: 0.44–0.89). Reasons for non-vaccination included fear of adverse effects and access limitations. Conclusions: Suboptimal influenza vaccination among healthcare workers may be attributed to misconceptions about the vaccine and limited engagement strategies focusing on healthcare workers. Appropriate interventions are needed to increase healthcare worker vaccination rates and improve their knowledge and beneficence, which would improve patient safety in hospitals.

scholarly journals Public Knowledge, Attitudes, and Practices toward Seasonal Influenza Vaccine in Saudi Arabia: A Cross-Sectional Study

2021 ◽  
Vol 18 (2) ◽  
pp. 479
Author(s):  
Ibrahim A. Sales ◽  
Wajid Syed ◽  
Majed F. Almutairi ◽  
Yazed Al Ruthia
Keyword(s):  
Saudi Arabia ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Seasonal Influenza ◽  
Seasonal Influenza Vaccine ◽  
Seasonal Influenza Vaccination ◽  
Attitudes And Practices ◽  
Awareness Campaigns ◽  
The Impact ◽  
Knowledge Attitudes And Practices

Objectives: Increasing national influenza vaccination rates continues to be a challenge for Saudi Arabia. Therefore, the purpose of this study was to explore the Saudi public perceptions toward seasonal influenza vaccination and their association with the rate of vaccination. Methods: Individuals aged 15 years and older were surveyed about their knowledge, attitudes, and practices toward the seasonal influenza vaccine using a previously developed and validated 19-item online questionnaire. The impact of the participants’ perceptions toward the seasonal influenza vaccine on their past influenza vaccination history was assessed using multiple linear regressions. Results: The rate of regular vaccination among the 790 surveyed participants was 12.65%, and those who were aged <24 years had the highest rate (57%). The vast majority of the participants with chronic diseases (>90%) reported irregular vaccination histories against seasonal influenza. Participants who believed that the influenza vaccine is safe (β = 3.27; 95% CI: 2.067 to 5.171; p <0.001), efficacious (β = 2.87; 95% CI: 1.834 to 4.498; p <0.001), should be given during a specific time in the year (β = 1.821; 95% CI: 1.188 to 2.789; p = 0.0059), and were aware of their need to get vaccinated against the seasonal influenza (β = 2.781; 95% CI: 1.254 to 6.188; p = 0.0119) were more likely to have received the vaccine. Conclusion: The findings of this study suggest that the rate of seasonal influenza vaccination is low among the Saudi population, which necessitates the launching of public awareness campaigns about the importance of the seasonal influenza vaccine.

scholarly journals Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246385
Author(s):  
Zachary J. Madewell ◽  
Rafael Chacón-Fuentes ◽  
Jorge Jara ◽  
Homer Mejía-Santos ◽  
Ida-Berenice Molina ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Seasonal Influenza ◽  
Easy Access ◽  
Postpartum Women ◽  
Seasonal Influenza Vaccination ◽  
Attitudes And Practices ◽  
Maternity Hospitals ◽  
Knowledge Attitudes And Practices

Background Influenza during pregnancy may cause serious neonatal outcomes including stillbirth, fetal distress, preterm birth, congenital abnormalities, and stunted growth. Pregnant women are the highest priority group for seasonal influenza vaccination, but low coverage has been repeatedly reported in this population. Understanding reasons for and for not receiving the seasonal influenza vaccine is needed to design communication strategies to increase vaccination coverage. This study aimed to describe knowledge, attitudes, and practices (KAP) of seasonal influenza vaccination among women giving birth in public maternity hospitals in Honduras. Methods From August 20–October 8, 2018, we conducted a cross-sectional KAP survey regarding seasonal influenza vaccinations to a sample of postpartum women who gave birth in maternity hospitals and clinics from the Ministry of Health of Honduras and Honduran Social Security Institute. We reported frequency distributions for demographics, KAP of influenza vaccine, and vaccination coverage. We used logistic regression to analyze unadjusted and adjusted associations between sociodemographic characteristics and influenza vaccination. Results We surveyed 842 postpartum women in 17 healthcare facilities. Of 534 postpartum women with term pregnancy and verified vaccinations, 417 (78.1%; 95% CI: 74.6–81.6%) were vaccinated for influenza. Factors associated with verified influenza vaccination included receipt of vaccination recommendations by a healthcare worker during prenatal check-ups (aOR: 16.46; 95% CI: 9.73–27.85), concurrent chronic disease (aOR: 5.00; 95% CI: 1.25–20.07), and influenza vaccination of other children in the household (aOR: 2.28; 95% CI: 1.19–4.39). The most cited reasons for vaccination were perceived benefits for both mother and infant and easy access. Reasons for non-vaccination were: vaccine was not offered and fear of side effects, harm to the infant, and needles or pain caused by injection. Conclusion Influenza vaccination was well received among postpartum women in Honduras. Increasing clinician recommendations for vaccination and assuring the vaccine is readily available to women during prenatal visits may increase vaccination rates.

scholarly journals Knowledge, attitudes, and practices of seasonal influenza vaccination among older adults in nursing homes and daycare centers, Honduras

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246382
Author(s):  
Zachary J. Madewell ◽  
Rafael Chacón-Fuentes ◽  
Jorge Jara ◽  
Homer Mejía-Santos ◽  
Ida-Berenice Molina ◽  
...  
Keyword(s):  
Older Adults ◽  
Influenza Virus ◽  
Nursing Homes ◽  
Influenza Vaccination ◽  
Seasonal Influenza ◽  
Severe Illness ◽  
Seasonal Influenza Vaccination ◽  
Attitudes And Practices ◽  
Daycare Centers ◽  
Knowledge Attitudes And Practices

Background Older adults represent 70–90% of seasonal influenza-related deaths and 50–70% of influenza-related hospitalizations. Vaccination is the most efficient means of preventing influenza and reducing influenza-related illnesses. We aimed to describe knowledge, attitudes, and practices (KAP) of seasonal influenza vaccination among older adults in Honduras. Methods From August 29–October 26, 2018, we conducted a cross-sectional KAP survey regarding seasonal influenza vaccinations to samples of older adults 1) admitted to nursing homes and 2) attending daycare centers. We used the Minimental State Examination (MMSE) psychometric tool to assess the cognitive status of older adults and included participants with scores of ≥23 points in the survey. We reported frequency distributions for demographics, KAP of influenza virus and vaccination, and vaccination coverage. We used logistic regression to analyze associations between demographics and verified influenza vaccination. Results Of 511 MMSE participants, 341 completed the survey (95 adults in 12 nursing homes and 246 older adults in ten daycare centers). Almost all participants knew that influenza causes severe illness and may be transmitted from person to person, vaccination is safe and protects against disease, and older adults have greater risk of complications. Of 284 participants with verified vaccinations, 81.3% were vaccinated for influenza: 87.9% attending daycare centers and 61.4% in nursing homes. Among all participants, verified current influenza vaccination was associated with self-reported influenza vaccination in previous year (aOR: 14.05; 95% CI: 5.36–36.81); no formal education (aOR: 4.83; 95% CI: 1.63–14.37) or primary school education (aOR: 4.51; 95% CI: 1.79–11.37) having ≥secondary as reference; and indigenous (aOR: 4.55; 95% CI: 1.18–17.49) having Mestizo as reference. Reasons for vaccination were perceived self-benefits, protection against influenza complications, favorable vaccination hours, and healthcare provider recommendations. Conclusion Four-fifths of older adults were vaccinated for seasonal influenza. Educational efforts provided in conjunction with vaccination campaigns resulted in high knowledge of influenza virus, transmission, and vaccination. Further outreach regarding disease risks and vaccine safety needs to be directed towards older adults in nursing homes who had lower knowledge and coverage than older adults in daycare centers.

scholarly journals Factors Associated with Seasonal Influenza Vaccination Among Nursing Staff of Three Teaching Hospitals Affiliated to Kerman University of Medical Sciences, Iran

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ali Khalooei ◽  
Mehdi Shafiei Bafti
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Nursing Staff ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Family Members ◽  
Coverage Rate ◽  
Teaching Hospitals ◽  
Medical Sciences ◽  
Seasonal Influenza Vaccination

Background: Although seasonal influenza vaccination decreases infection rate and associated complications, its coverage rate is suboptimal in healthcare workers worldwide. Objectives: The present study aimed at assessing the predictors of influenza vaccination and reasons for accepting or refusing it among nursing staff. Methods: The present study was conducted from February to March 2019 on nurses of three teaching hospitals affiliated to Kerman University of Medical Sciences in the Southeast of Iran. Data were collected using a validated questionnaire, including demographic data, knowledge, and attitude toward influenza and its vaccine, and reasons for accepting or refusing the vaccine. Data were analyzed by SPSS version 22. Independent samples t- and the chi-squared tests and the binary logistic regression were employed for data analysis. Results: The influenza vaccination coverage rate was 10.1% among the nursing staff. Male gender (adjusted odds ratio (AOR) = 4.77, 95% confidence interval (CI) =2.13 - 10.64), receiving a recommendation for influenza vaccination in hospital (AOR = 1.86, 95% CI = 1.06 - 3.26), influenza vaccination of the family members (AOR = 2.61, 95% CI = 1.55 - 4.41), and a higher score of attitude toward influenza vaccination (AOR = 1.05, 95% CI = 1.03 - 1.07) increased the likelihood of influenza vaccination in the nursing staff. Fear of vaccine adverse effects (64.7%), lack of trust in vaccine manufacturers (36.0%), and being healthy (29.7%) were the most common reasons for refusing vaccination. Likewise, self-protection (79.6%), patient protection (73.0%), and family protection (72.4%) were the most common reasons for undergoing vaccination. The odds of influenza vaccine uptake was four times more among males than females (AOR = 4.77, 95% CI = 2.13 - 10.64), and odds of influenza vaccination was 1.86 times more among nursing staff receiving recommendations for influenza vaccination in hospital than the ones not receiving such recommendations (AOR = 1.86, 95% CI = 1.06 - 3.26). Also, odds of influenza vaccination increased 2.73 times in nursing staff whose family members received influenza vaccine (AOR = 2.61, 95% CI = 1.55 - 4.41). Furthermore, the model showed that one unit increase in the attitude score increased odds of influenza vaccination by 1.05 units (AOR = 1.05, 95% CI = 1.03 - 1.07). Conclusions: The influenza vaccination rate was suboptimal among the nursing staff. Also, there were poor knowledge and improper attitude toward influenza and its vaccine among healthcare workers. Therefore, appropriate policies should be made at national and regional levels on increasing the rate of influenza vaccination.

scholarly journals Characteristics of Healthcare Workers Vaccinated against Influenza in the Era of COVID-19

Vaccines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 695
Author(s):  
Giorgia Della Polla ◽  
Francesca Licata ◽  
Silvia Angelillo ◽  
Concetta Paola Pelullo ◽  
Aida Bianco ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Perceived Risk ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
High Risk Group ◽  
High Coverage ◽  
Cross Sectional ◽  
Current Season ◽  
Study Results

Understanding the potential impact of COVID-19 on receiving influenza vaccination among healthcare workers (HCWs) is of utmost importance. The purposes of the present cross-sectional study were to describe the characteristics and to explore the predictors of receiving influenza vaccination among a large cohort of Italian HCWs in hospital settings. Information was collected through an anonymous questionnaire from December 2020 through January 2021. General and practice characteristics, perceived risk of seasonal influenza, attitudes towards efficacy and safety of influenza vaccination, and reasons behind the decision to be vaccinated against influenza were explored. Fewer than half (46.2%) of HCWs agreed that influenza is a serious illness and perceived the risk of getting infected with influenza, and concerns about the safety of the vaccination were significant positive predictors. Fewer than half of the respondents were not concerned at all about the efficacy (48.6%) and safety (49.8%) of influenza vaccination, and 51.9% reported that they have not received a seasonal influenza vaccine during the previous season. The most mentioned reason for receiving the influenza vaccine in the current season was that influenza and COVID-19 share some similar symptoms. Study results will aid policymakers in developing vaccination education programs, promotion of trust to address negative misconceptions, and to achieve future high coverage among this high-risk group.

scholarly journals Influenza Vaccination Hesitancy among Healthcare Workers in South Al Batinah Governorate in Oman: A Cross-Sectional Study

Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 661
Author(s):  
Salah T. Al Awaidy ◽  
Zayid K. Al Mayahi ◽  
Malak Kaddoura ◽  
Ozayr Mahomed ◽  
Nathalie Lahoud ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
General Medicine ◽  
Knowledge Score ◽  
Vaccine Uptake ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk

Background: Seasonal influenza infections are a major cause of morbidity and mortality worldwide. Healthcare workers (HCWs) are an important target group for vaccination against influenza due to their increased risk of infection and their potential to transmit the infection to their patients, families and communities. The aim of this study was to assess the potential hesitancy and its associated factors towards influenza vaccination amongst HCWs in the South Al Batinah governorate in Oman. Methods: A cross-sectional survey of 390 HCWs with direct or indirect patient contact was conducted in May and June 2019 using a self-administered questionnaire. Associations between HCW characteristics and vaccination status were examined using bivariate and multivariate analyses to identify the likelihood of vaccination against seasonal influenza among HCWs. Results: Overall, 60% of HCWs were vaccinated in the 2018/2019 season; vaccine uptake among nurses was 52% and uptake was higher among women. Self-protection and protection of the community were the most cited reasons for vaccine acceptance, with side effects being the main reason for hesitancy. Vaccinated respondents had a higher mean knowledge score (7.18; standard deviation SD: 2.14) than unvaccinated respondents (6.30; SD: 2.2). Odds of vaccination were highest among respondents who believed influenza vaccine should be mandatory for HCWs (Odds ratio (OR): 2.04 [1.30–3.18]), those working in the general medicine, emergency medicine, or intensive care units (OR: 1.92 [1.20–3.10]), nurses and doctors (OR: 1.75 [1.09–2.79]) and those who believe that HCWs should receive an influenza vaccine (OR: 1.35 [1.07–2.77]). Conclusions: The study provides valuable insights into the enablers and barriers of influenza vaccination practices among HCWs and may inform interventions to increase acceptance of vaccination.

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