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Impact of Severe Acute Respiratory Syndrome and the Perceived Avian Influenza Epidemic on the Increased Rate of Influenza Vaccination Among Nurses in Hong Kong

Published online by Cambridge University Press:  02 January 2015

Dennise K. P. Tam ,
Shui-Shan Lee  and
Sing Lee
Dennise K. P. Tam
Affiliation:
Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong, China
Shui-Shan Lee*
Affiliation:
Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong, China
Sing Lee
Affiliation:
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China
*
Room 206, School of Public Health, Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China ([email protected])
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Abstract

Objective.

To determine the rate of influenza vaccination and the factors associated with the vaccination's acceptance among nurses in Hong Kong.

Design.

Cross-sectional survey.

Participants.

Nurses practicing between 2003 and 2007.

Methods.

A questionnaire was sent to all nurses registered with any of the 3 nursing associations that participated in this study.

Results.

A total of 941 completed questionnaires were available for analysis, though not all nurses responded to every question (response rate, 33.5%-36.3%). Vaccination rates in 2006 and 2007 were 57.2% and 46.2%, respectively. Nurses who were vaccinated in 2006 were more likely to get vaccinated in 2007 (P<.01); 56% of the nurses perceived influenza vaccine as being effective against influenza. The perceived effectiveness of influenza vaccine was a consistent predictor of rates of vaccination in 2006 (odds ratio [OR], 8.47 [95% confidence interval {CI}, 6.13-11.70]; P<.01) and 2007 (OR, 6.05 [95% CI, 3.79-9.67]; P<.01). Concern about contracting avian influenza was a predictor of the vaccination rate in 2006 but not in 2007 (OR, 1.47 [95% CI, 1.03-2.09]; P<.05), as was the perceived lack of control over avian influenza infection (OR, 1.52 [95% CI, 1.06-2.18]; P<.05).

Conclusions.

The overall influenza vaccination rate for nurses in Hong Kong was about 50%. It was affected by the perceived threat of an impending outbreak. The attitudes of nurses toward the effectiveness of and rationale for vaccination were a major barrier to increasing the rate of vaccination.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 3 , March 2008 , pp. 256 - 261
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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References

1.Doebbeling, BN, Edmond, MB, Davis, CS, Woodin, JR, Zeitler, RR. Influenza vaccination of health care workers: evaluation of factors that are important in acceptance. Prev Med 1997;26:68–77.Google Scholar
2.LaVela, SL, Legro, MW, Weaver, FM, Smith, B. Staff influenza vaccination: lessons learned. SCI Nurs 2004;21:153–157.Google Scholar
3.Piccirillo, B, Gaeta, T. Survey on use of and attitudes toward influenza vaccination among emergency department staff in a New York metropolitan hospital. Infect Control Hosp Epidemiol 2006;27:618–622.CrossRefGoogle Scholar
4.Martinello, RA, Jones, L, Topal, JE. Correlation between healthcare workers' knowledge of influenza vaccine and vaccine receipt. Infect Control Hosp Epidemiol 2003;24:845–847.Google Scholar
5.Christini, AB, Shutt, KA, Byers, KE. Influenza vaccination rates and motivators among healthcare worker groups. Infect Control Hosp Epidemiol 2007;28:171–177.Google Scholar
6.Watanakunakorn, C, Ellis, G, Gemmel, D. Attitude of healthcare personnel regarding influenza immunization. Infect Control Hosp Epidemiol 1993;14:17–20.Google Scholar
7.Wodi, AP, Samy, S, Ezeanolue, E, et al.Influenza vaccine: immunization rates, knowledge, and attitudes of resident physicians in an urban teaching hospital. Infect Control Hosp Epidemiol 2005;26:867–873.Google Scholar
8.Bull, AL, Bennett, N, Pitcher, HC, Russo, PL, Richards, MJ. Influenza vaccine coverage among health care workers in Victorian public hospitals. Med J Aust 2007;186:185–186.Google Scholar
9.Leitmeyer, K, Buchholz, U, Kramer, M, et al.Influenza vaccination in German health care workers: effects and findings after two rounds of a nationwide awareness campaign. Vaccine 2006;24:7003–7008.Google Scholar
10.Qureshi, AM, Hughes, NJ, Murphy, E, Primrose, WR. Factors influencing uptake of influenza vaccination among hospital-based health care workers. Occup Med (Lond) 2004;54:197–201.Google Scholar
11.Canning, HS, Phillips, J, Allsup, S. Health care worker beliefs about influenza vaccine and reasons for non-vaccination—a cross-sectional survey. J Clin Nurs 2005;14:922–925.Google Scholar
12.Hofmann, F, Ferracin, C, Marsh, G, Dumas, R. Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection 2006;34:142–147.Google Scholar
13.Willis, BC, Wortley, P. Nurses' attitudes and beliefs about influenza and the influenza vaccine: a summary of focus groups in Alabama and Michigan. Am J Infect Control 2007;35:20–24.Google Scholar
14.O'Reilly, FW, Cran, GW, Stevens, AB. Factors affecting influenza vaccine uptake among health care workers. Occup Med (Lond) 2005;55:474–479.Google Scholar
15.Weingarten, S, Riedinger, M, Bolton, LB, Miles, P, Ault, M. Barriers to influenza vaccine acceptance: a survey of physicians and nurses. Am J Infect Control 1989;17:202–207.Google Scholar
16.Markey, CS. Healthcare worker influenza vaccination: personal choice or professional responsibility? Home Healthc Nurse 2004;22:643–644.Google Scholar
17.Tapiainen, T, Bar, G, Schaad, UB, Heininger, U. Influenza vaccination among healthcare workers in a university children's hospital. Infect Control Hosp Epidemiol 2005;26:855–858.Google Scholar
18.Lau, JT, Yang, X, Tsui, H, Kim, JH. Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health 2003;57:864–870.Google Scholar
19.Lau, JT, Kim, JH, Tsui, HY, Griffiths, S. Anticipated and current preventive behaviors in response to an anticipated human-to-human H5N1 epidemic in the Hong Kong Chinese general population. BMC Infect Dis 2007;7:18.Google Scholar
20.Imai, T, Takahashi, K, Hasegawa, N, Lim, MK, Koh, D. SARS risk perceptions in healthcare workers, Japan. Emerg Infect Dis 2005;11:404–410.Google Scholar
21.Tam, DKP, Lee, SS, Lee, S. Impact of SARS on avian influenza preparedness in healthcare workers. Infection 2007;35:320–325.Google Scholar
22.Trivalle, C, Okenge, E, Hamon, B, Taillandier, J, Falissard, B. Factors that influence influenza vaccination among healthcare workers in a French geriatric hospital. Infect Control Hosp Epidemiol 2006;27:1278–1280.Google Scholar
23.Bautista, D, Vila, B, Uso, R, Tellez, M, Zanon, V. Predisposing, reinforcing, and enabling factors influencing influenza vaccination acceptance among healthcare workers. Infect Control Hosp Epidemiol 2006;27:73–77.Google Scholar
24.Cameron, PA, Schull, M, Cooke, M. The impending influenza pandemic: lessons from SARS for hospital practice. Med J Aust 2006;185:189–190.Google Scholar
25.Lau, JT, Yang, X, Tsui, HY, Kim, JH. Impacts of SARS on health-seeking behaviors in general population in Hong Kong. Prev Med 2005;41:454–462.Google Scholar
26.Lee, SH. Vigorous controls minimise risk. J Epidemiol Community Health 2003;57:774–775.CrossRefGoogle ScholarPubMed
27.Bettinghaus, EP. Health promotion and the knowledge-attitude-behavior continuum. Prev Med 1986;15:475–491.Google Scholar