Cluster Analysis: Vaccination Attitudes and Beliefs of Healthcare Personnel

2020 ◽  
Vol 44 (3) ◽  
pp. 302-312
Author(s):  
Barbara H. Bardenheier ◽  
Megan C. Lindley ◽  
Sarah W. Ball ◽  
Marie A. de Perio ◽  
Scott Laney ◽  
...  
Keyword(s):  
Cluster Analysis ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Healthcare Personnel ◽  
Attitudes And Beliefs ◽  
Panel Survey ◽  
Attitudes And Behaviors ◽  
The Future ◽  
And Behaviors

Objectives: We sought to identify patterns of knowledge, attitudes, and behaviors (KABs) about influenza and influenza vaccination among healthcare personnel (HCP) and define characteristics associated with these patterns. Methods: We used an Internet panel survey of HCP (N = 2265) during March 27-April 17, 2018; clustered HCP by their vaccination-related KABs. Results: Four clusters were identified: Immunization Champions (61.1% of the sample) received influenza vaccine to prevent disease; Unworried Vaccinators (15.4%) received the influenza vaccine but did not believe influenza is a serious threat to themselves; Fence Sitters (8.1%) believed the vaccine is safe and worth the time and expense but is not effective; Skeptics (15.4%) did not believe the vaccine is safe or effective. Influenza vaccination coverage was 78.4% overall and higher among Immunization Champions (90.2%) and Unworried Vaccinators (87.0%) than Fence Sitters (61.6%) or Skeptics (32.2%). Conclusions: Findings suggest that based on KABs, the 3 clusters comprising 85% of HCP might be vaccinated in the future. Using messages specific to each group may improve vaccination coverage among HCP.

scholarly journals Influenza Vaccination Coverage among Registered Nurses in China during 2017-2018: an Internet Panel Survey (Preprint)

2019 ◽  
Author(s):  
Zhongjie Li ◽  
Jianxing Yu ◽  
Xiang Ren ◽  
Chuchu Ye ◽  
Keqing Tian ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Registered Nurses ◽  
Vaccination Coverage ◽  
Seasonal Influenza ◽  
Panel Survey ◽  
Vaccine Acceptance ◽  
Seasonal Influenza Vaccine ◽  
Factors Influencing ◽  
Principal Factors

BACKGROUND Influenza vaccination is recommended for nurses in China but is not mandatory or offered free of charge. Identifying factors that impact seasonal influenza vaccine acceptance among nurses in China may inform strategies to increase vaccination coverage in this high priority group. OBJECTIVE To determine influenza vaccination coverage and the principal factors influencing influenza vaccination among nurses in China. METHODS During March 22-April 1, 2018, we conducted an opt-in internet panel survey among registered nurses in China. Respondents were recruited from an internet-based training platform for nurses. We assessed influenza vaccination status and factors influencing influenza vaccine acceptance and refusal. RESULTS Among 22,888 nurses invited to participate, 4,706 responded, and 4,153 were valid respondents. Overall, 257 (6%) nurses reported receiving the seasonal influenza vaccine during the 2017/18 season. Vaccination coverage was highest among nurses working in Beijing (10%, P<.001) and nurses working in primary care (12%, P=.023). The top three reasons for not being vaccinated were lack of time (28%), not knowing where and when to get vaccinated (14%), and lack of confidence in the vaccine’s effectiveness (12%). Overall, 41% of nurses reported experiencing at least one episode of influenza-like illness (ILI) during the 2017/18 season; 87% of nurses kept working while sick, and 25% of nurses reported ever recommending influenza vaccination to patients. Compared with nurses who did not receive influenza vaccination in the 2017/18 season, nurses who received influenza vaccination were more likely to recommend influenza vaccination to patients (67% vs. 22%, P<.001). CONCLUSIONS Influenza vaccination coverage among nurses was low, and only a small proportion recommended influenza vaccine to patients. Our findings highlight the need for a multi-pronged strategy to increase influenza vaccination among nurses in China.

Measurement of Influenza Vaccination Coverage among Healthcare Personnel in US Hospitals

2009 ◽  
Vol 30 (12) ◽  
pp. 1150-1157 ◽  
Author(s):  
Megan C. Lindley ◽  
Juliet Yonek ◽  
Faruque Ahmed ◽  
Joseph F. Perz ◽  
Gretchen Williams Torres
Keyword(s):  
Confidence Interval ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Medical Staff ◽  
Odds Ratio ◽  
Healthcare Personnel ◽  
American Hospital ◽  
American Hospital Association ◽  
Vaccination Rates

Objective.To characterize practices related to measuring influenza vaccination rates among healthcare personnel in US hospitals.Design.Descriptive survey.Setting.Nonfederal, short-stay hospitals that provide general medical and surgical services, identified by use of the 2004 American Hospital Association Annual Survey Database.Participants.Healthcare personnel from 996 randomly sampled US hospitals stratified by region and bed size.Methods.A self-administered questionnaire was distributed in 2006 to infection control coordinators to gather data on policies and practices related to the provision of the influenza vaccine and on the measurement and reporting of influenza vaccination rates. Descriptive statistics and associations were calculated, and logistic regression was conducted.Results.The response rate was 56% (ie, 555 of 996 US hospitals responded to the questionnaire). Weighting accounted for sampling design and nonresponse. Most hospitals provided the influenza vaccine to employees (100%), credentialed medical staff (ie, independent practitioners; 94%), volunteers (86%), and contract staff (83%); provision for students and residents was less frequent (58%). Only 69% of hospitals measured vaccination rates (mean coverage rate, 55%). Most hospitals that measured coverage included employees (98%) in the vaccination rates, whereas contract staff (53%), credentialed medical staff (56%), volunteers (56%), and students and residents (30%) were less commonly included. Among hospitals measuring coverage, 44% included persons for which vaccine was contraindicated, and 51% included persons who refused vaccination. After adjustment for region and size, hospitals with vaccination plans written into policy (odds ratio, 2.0 [95% confidence interval, 1.22–7.67]) or that addressed internally reporting coverage (odds ratio, 4.8 [95% confidence interval, 2.97–7.66]) were more likely to measure coverage than were hospitals without such plans.Conclusions.Hospitals vary in terms of the groups of individuals included in influenza vaccination coverage measurements. Standardized measures may improve comparability of hospital-reported vaccination rates. Measuring coverage in a manner that facilitates identification of occupational groups with low vaccination rates may inform development of targeted interventions.

scholarly journals Influenza Vaccination Coverage among Registered Nurses in China during 2017–2018: An Internet Panel Survey

Vaccines ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 134 ◽  
Author(s):  
Jianxing Yu ◽  
Xiang Ren ◽  
Chuchu Ye ◽  
Keqing Tian ◽  
Luzhao Feng ◽  
...  
Keyword(s):  
Primary Care ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Registered Nurses ◽  
Vaccination Coverage ◽  
Seasonal Influenza ◽  
Panel Survey ◽  
Seasonal Influenza Vaccine ◽  
Factors Influencing ◽  
Principal Factors

Influenza vaccination is recommended for nurses in China but is not mandatory or offered free of charge. The main objective of this study was to determine influenza vaccination coverage and the principal factors influencing influenza vaccination among nurses in China. During 22 March–1 April 2018, we conducted an opt-in internet panel survey among registered nurses in China. Respondents were recruited from an internet-based training platform for nurses. Among 22,888 nurses invited to participate, 4706 responded, and 4153 were valid respondents. Overall, 257 (6%) nurses reported receiving the seasonal influenza vaccine during the 2017/2018 season. Vaccination coverage was highest among nurses working in Beijing (10%, p < 0.001) and nurses working in primary care (12%, p = 0.023). The top three reasons for not being vaccinated were lack of time (28%), not knowing where and when to get vaccinated (14%), and lack of confidence in the vaccine’s effectiveness (12%). Overall, 41% of nurses reported experiencing at least one episode of influenza-like illness (ILI) during the 2017/2018 season; 87% of nurses kept working while sick, and 25% of nurses reported ever recommending influenza vaccination to patients. Compared with nurses who did not receive influenza vaccination in the 2017/2018 season, nurses who received influenza vaccination were more likely to recommend influenza vaccination to patients (67% vs. 22%, p < 0.001). Influenza vaccination coverage among nurses was low, and only a small proportion recommended influenza vaccine to patients. Our findings highlight the need for a multipronged strategy to increase influenza vaccination among nurses in China.

Influenza vaccination coverage in a population-based cohort of Australian-born Aboriginal and non-Indigenous older adults

2019 ◽  
Vol 43 ◽  
Author(s):  
Amalie Dyda ◽  
Surendra Karki ◽  
Marlene Kong ◽  
Heather F Gidding ◽  
John M Kaldor ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Torres Strait Islander ◽  
Vaccine Coverage ◽  
Vaccine Uptake ◽  
P Value ◽  
Healthy Weight ◽  
Medical Risk ◽  
Torres Strait

Background: There is limited information on vaccination coverage and characteristics associated with vaccine uptake in Aboriginal and/or Torres Strait Islander adults. We aimed to provide more current estimates of influenza vaccination coverage in Aboriginal adults. Methods: Self-reported vaccination status (n=559 Aboriginal and/or Torres Strait Islander participants, n=80,655 non-Indigenous participants) from the 45 and Up Study, a large cohort of adults aged 45 years or older, was used to compare influenza vaccination coverage in Aboriginal and/or Torres Strait Islander adults with coverage in non-Indigenous adults. Results: Of Aboriginal and non-Indigenous respondents aged 49 to <65 years, age-standardised influenza coverage was respectively 45.2% (95% CI 39.5–50.9%) and 38.5%, (37.9–39.0%), p-value for heterogeneity=0.02. Coverage for Aboriginal and non-Indigenous respondents aged ≥65 years was respectively 67.3% (59.9–74.7%) and 72.6% (72.2–73.0%), p-heterogeneity=0.16. Among Aboriginal adults, coverage was higher in obese than in healthy weight participants (adjusted odds ratio (aOR)=2.38, 95%CI 1.44–3.94); in those aged <65 years with a medical risk factor than in those without medical risk factors (aOR=2.13, 1.37–3.30); and in those who rated their health as fair/poor compared to those who rated it excellent (aOR=2.57, 1.26–5.20). Similar associations were found among non-Indigenous adults. Conclusions: In this sample of adults ≥65 years, self-reported influenza vaccine coverage was not significantly different between Aboriginal and non-Indigenous adults whereas in those <65 years, coverage was higher among Aboriginal adults. Overall, coverage in the whole cohort was suboptimal. If these findings are replicated in other samples and in the Australian Immunisation Register, it suggests that measures to improve uptake, such as communication about the importance of influenza vaccine and more effective reminder systems, are needed among adults.

scholarly journals Influenza vaccination during the coronavirus pandemic: intention to vaccinate among the at-risk population in the Central Catalonia Health Region (VAGCOVID)

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Anna Bonet-Esteve ◽  
Raquel Muñoz-Miralles ◽  
Carla Gonzalez-Claramunt ◽  
Ana M Rufas ◽  
Xavier Pelegrin Cruz ◽  
...  
Keyword(s):  
At Risk ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Perceived Risk ◽  
Seasonal Influenza ◽  
Public Health Issue ◽  
Risk Population ◽  
Previous Season ◽  
The Individual

Abstract Background Influenza is a major public health issue, with the primary preventive measure being an annual influenza vaccination. Nevertheless, vaccination coverage among the at-risk population is low. Our understanding of the behaviour of the influenza virus during the SARS-CoV-2 coronavirus pandemic is limited, meaning influenza vaccination is still recommended for individuals at risk for severe complications due to influenza infection. The aim of the study is to determine the intention to vaccinate against seasonal influenza among the at-risk population in the 2020-21 campaign during the SARS-CoV-2 pandemic and to analyse the factors which influence such intention. Methods Cross-sectional telephone survey of adults (aged over 18) with risk factors in central Catalonia where the need for the Seasonal Influenza Vaccine (SIV) was recommended. Results A total of 434 participants responded to the survey, 43.3% of whom intended to be vaccinated against influenza for the 2020-2021 influenza season, 40.8% had no intention to be vaccinated and 15.9% were uncertain or did not express their opinion. The intention to get vaccinated against influenza is associated with having dependents, the individual’s perception of the risk of being infected with influenza and the perceived risk of transmission to dependents. It is also associated with age, whether the individual had received influenza vaccine the previous season or any other season before. The best predictors of the intention to vaccinate are the individual’s perception of the risk of catching influenza and whether the individual had been vaccinated in the previous season. Conclusions Intention to vaccinate can be a good predictor of individual behaviour in relation to vaccination. During the current SARS-CoV-2 pandemic many individuals are hesitant to influenza vaccination. In order to improve influenza vaccination coverage in people included in risk groups, it is necessary to promote educational actions, especially among those who express doubts.

scholarly journals Citizens' Attitudes Under Covid19: a cross-country panel survey of public opinion in 11 democracies

2021 ◽  
Author(s):  
Brouard Sylvain ◽  
Martial Foucault ◽  
Elie Michel ◽  
Michael Becher ◽  
Pavlos Vasilopoulos ◽  
...  
Keyword(s):  
Public Opinion ◽  
Economic Crisis ◽  
Panel Survey ◽  
Health Governance ◽  
Attitudes And Behaviors ◽  
Cross Country ◽  
And Behaviors ◽  
Set Up ◽  
Citizens Attitudes

This article introduces data collected in the Citizens' Attitudes Under Covid-19 Project (CAUCP), which surveyed public opinion throughout the Covid-19 pandemic in 11 countries between March to December 2020. In this paper, we present a unique cross-country panel survey of citizens' attitudes and behaviors during a worldwide unprecedented health, governance, and economic crisis. This dataset allows to examine the behavioral and attitudinal consequences of crisis across time and contexts. In this paper, we describe the set-up of the CAUCP and the main features of the dataset and we present promising research prospects.

“Money Worlds” and Wellbeing

2018 ◽  
pp. 74-101
Author(s):  
Leisa Reinecke Flynn ◽  
Ronald Earl Goldsmith ◽  
Michael Brusco
Keyword(s):  
Cluster Analysis ◽  
Consumer Culture ◽  
The Other ◽  
Price Sensitivity ◽  
Cluster Solution ◽  
Status Consumption ◽  
Brand Engagement ◽  
Attitudes And Behaviors ◽  
And Behaviors

Tatzel proposed a theory of money worlds and wellbeing comprised of four prototypical consumer patterns based on whether consumers are high/low on materialism and simultaneously tight or loose with money. Tatzel proposes that the four prototypes (value-seekers, non-spenders, big-spenders, and experiencers) differ strikingly along many values, attitudes, and behaviors. This study uses data from 1,016 U.S. student consumers to test empirically the typology and differences. A cluster analysis confirmed that a four-cluster solution best represented the data, supporting Tatzel's model. Subsequent ANOVAs showed that two of the four groups differed predictably in the hypothesized directions. Significant differences between big-spenders and non-spenders appeared in levels of price sensitivity, status consumption, generosity, brand engagement, worry about debt, and spending. The other two groups, value-seekers and experiencers, fell between them. The findings partially confirm Tatzel's theory and suggest that “money worlds” are one way of conceptualizing consumer culture.

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