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Health Behavior Associated With Influenza Vaccination Among Healthcare Workers in Long-Term-Care Facilities

Published online by Cambridge University Press:  02 January 2015

D. G. Manuel ,
B. Henry ,
J. Hockin  and
M. Naus
D. G. Manuel*
Affiliation:
Field Epidemiology Training Program, Population and Public Health Branch, Health Canada, Ottawa, Ontario, Canada University of Toronto, Toronto, and the Public Health Branch, Ontario Ministry of Health and Long-term Care, Toronto, Ontario, Canada Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
B. Henry
Affiliation:
Field Epidemiology Training Program, Population and Public Health Branch, Health Canada, Ottawa, Ontario, Canada University of Toronto, Toronto, and the Public Health Branch, Ontario Ministry of Health and Long-term Care, Toronto, Ontario, Canada
J. Hockin
Affiliation:
Field Epidemiology Training Program, Population and Public Health Branch, Health Canada, Ottawa, Ontario, Canada
M. Naus
Affiliation:
University of Toronto, Toronto, and the Public Health Branch, Ontario Ministry of Health and Long-term Care, Toronto, Ontario, Canada
*
Institute for Clinical Evaluative Sciences, G-106, 2075 Bayview Ave., Toronto, Ontario M6G 3L7, Canada
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Abstract

Objective:

To investigate the health behavior associated with influenza vaccination among healthcare workers (HCWs) in long-term–care facilities.

Design:

A cross-sectional, self-administered survey of HCWs, augmented with focus groups to further examine attitudes toward influenza vaccination.

Setting:

Two long-term–care facilities participated in the survey. The focus groups were held at one of the two facilities.

Participants:

All HCWs were invited to participate in the survey and all nonmanagerial staff members were invited to participate in the focus groups. The response rate for the survey was 58% (231 of 401).

Results:

Vaccinated HCWs had a more positive attitude toward influenza vaccination and a greater belief that the vaccine is effective. This was not accompanied by differences in vaccine knowledge or values of potential preventive outcomes. Nonvaccinated respondents were more likely to believe that other preventive measures, such as washing hands, taking vitamins and supplements, eating a nutritious diet, exercising, and taking homeopathic or naturopathic medications, were more effective than vaccination. Additional findings from the focus groups suggest that HCWs believe that the main purpose of influenza vaccination programs is to protect residents' health at the expense, potential harm, and burden of responsibility of the staff.

Conclusions:

This study identifies challenges to and opportunities for improving vaccination rates among HCWs. A message that emphasizes the health benefits of vaccination to staff members, such as including vaccination as part of a staff “wellness” program, may improve the credibility of influenza immunization programs and coverage rates.(Infect Control Hosp Epidemiol 2002;23:609-614).

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 23 , Issue 10 , October 2002 , pp. 609 - 614
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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