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Self-reported influenza vaccination rates and attitudes towards vaccination among health care workers: results of a survey in a German university hospital.
Public Health. 2018 Jan; 154:102-109.PH

Abstract

OBJECTIVES

The objective of this survey was to analyse vaccination rates and attitudes towards vaccination among health care workers (HCWs). The period prevalence of self-reported acute respiratory infections in the influenza season 2014/2015 was examined.

STUDY DESIGN

A cross-sectional study was conducted among HCWs of a German university hospital using an anonymised questionnaire. Recruitment was performed by providing all medical and nursing staff a paper questionnaire with an invitation to participate.

METHODS

Descriptive aggregated data were generated from digitalised questionnaires for all variables. Differences in categorical variables were analysed by Chi-squared test. Textual data were analysed by an iterative process based on the grounded theory by Glaser and Strauss.

RESULTS

The response rate was 31% (677/2186). Probable influenza was described by 9% (64/677) of the participants. The overall self-reported vaccination rate was 55% (366/666). Self-reported vaccination rate was higher in physicians (172/239, 72%) than in nursing staff (188/418, 45%). HCWs in paediatrics (103/148, 70%) more likely received vaccines than HCWs in surgery (31/84, 37%). Most vaccinations were provided by medical staff on the wards (164/368, 45%). Self-reported lost work-time due to adverse events after vaccination was low (6/336, 2%). Eight categories for vaccine refusal were identified, whereof doubts about effectiveness and indication of the vaccine was most frequently mentioned (72/202, 36%).

CONCLUSIONS

Efforts to promote vaccination should focus on nursing staff and should provide scientific evidence on effectiveness, adverse effects, and the benefits of health care workers' vaccination for patients. Administering vaccines at the workplace proved to be a successful strategy in our setting. Studies are needed to assess the frequency of influenza causing disease in HCWs.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Hagemeister MH
Public Health Authority, District Office Kitzingen, Bavaria, Germany; Infection Control, University Hospital Würzburg, Bavaria, Germany. Electronic address: hagemeiste_m@ukw.de.
Stock NK
Institute for Hygiene and Microbiology, University of Würzburg, Bavaria, Germany.
Ludwig T
Institute for Clinical Epidemiology and Biometry, University of Würzburg, Bavaria, Germany.
Heuschmann P
Institute for Clinical Epidemiology and Biometry, University of Würzburg, Bavaria, Germany; Clinical Trial Centre, University Hospital Würzburg, Bavaria, Germany.
Vogel U
Infection Control, University Hospital Würzburg, Bavaria, Germany; Institute for Hygiene and Microbiology, University of Würzburg, Bavaria, Germany.

MeSH

AdolescentAdultAgedAttitude of Health PersonnelCross-Sectional StudiesFemaleGermanyHospitals, UniversityHumansInfluenza VaccinesInfluenza, HumanMaleMedical Staff, HospitalMiddle AgedSelf ReportSurveys and QuestionnairesVaccinationYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29220709

Citation

Hagemeister, M H., et al. "Self-reported Influenza Vaccination Rates and Attitudes Towards Vaccination Among Health Care Workers: Results of a Survey in a German University Hospital." Public Health, vol. 154, 2018, pp. 102-109.
Hagemeister MH, Stock NK, Ludwig T, et al. Self-reported influenza vaccination rates and attitudes towards vaccination among health care workers: results of a survey in a German university hospital. Public Health. 2018;154:102-109.
Hagemeister, M. H., Stock, N. K., Ludwig, T., Heuschmann, P., & Vogel, U. (2018). Self-reported influenza vaccination rates and attitudes towards vaccination among health care workers: results of a survey in a German university hospital. Public Health, 154, 102-109. https://doi.org/10.1016/j.puhe.2017.10.027
Hagemeister MH, et al. Self-reported Influenza Vaccination Rates and Attitudes Towards Vaccination Among Health Care Workers: Results of a Survey in a German University Hospital. Public Health. 2018;154:102-109. PubMed PMID: 29220709.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-reported influenza vaccination rates and attitudes towards vaccination among health care workers: results of a survey in a German university hospital. AU - Hagemeister,M H, AU - Stock,N K, AU - Ludwig,T, AU - Heuschmann,P, AU - Vogel,U, Y1 - 2017/12/22/ PY - 2017/04/11/received PY - 2017/09/12/revised PY - 2017/10/26/accepted PY - 2017/12/9/pubmed PY - 2018/2/13/medline PY - 2017/12/9/entrez KW - Health care workers KW - Nosocomial infection KW - Seasonal influenza KW - Vaccination KW - Vaccine refusal SP - 102 EP - 109 JF - Public health JO - Public Health VL - 154 N2 - OBJECTIVES: The objective of this survey was to analyse vaccination rates and attitudes towards vaccination among health care workers (HCWs). The period prevalence of self-reported acute respiratory infections in the influenza season 2014/2015 was examined. STUDY DESIGN: A cross-sectional study was conducted among HCWs of a German university hospital using an anonymised questionnaire. Recruitment was performed by providing all medical and nursing staff a paper questionnaire with an invitation to participate. METHODS: Descriptive aggregated data were generated from digitalised questionnaires for all variables. Differences in categorical variables were analysed by Chi-squared test. Textual data were analysed by an iterative process based on the grounded theory by Glaser and Strauss. RESULTS: The response rate was 31% (677/2186). Probable influenza was described by 9% (64/677) of the participants. The overall self-reported vaccination rate was 55% (366/666). Self-reported vaccination rate was higher in physicians (172/239, 72%) than in nursing staff (188/418, 45%). HCWs in paediatrics (103/148, 70%) more likely received vaccines than HCWs in surgery (31/84, 37%). Most vaccinations were provided by medical staff on the wards (164/368, 45%). Self-reported lost work-time due to adverse events after vaccination was low (6/336, 2%). Eight categories for vaccine refusal were identified, whereof doubts about effectiveness and indication of the vaccine was most frequently mentioned (72/202, 36%). CONCLUSIONS: Efforts to promote vaccination should focus on nursing staff and should provide scientific evidence on effectiveness, adverse effects, and the benefits of health care workers' vaccination for patients. Administering vaccines at the workplace proved to be a successful strategy in our setting. Studies are needed to assess the frequency of influenza causing disease in HCWs. SN - 1476-5616 UR - https://www.unboundmedicine.com/medline/citation/29220709/Self_reported_influenza_vaccination_rates_and_attitudes_towards_vaccination_among_health_care_workers:_results_of_a_survey_in_a_German_university_hospital_ DB - PRIME DP - Unbound Medicine ER -