Personal decision-making criteria related to seasonal and pandemic A(H1N1) influenza-vaccination acceptance among French healthcare workers
Auteur Lila Bouadma
Auteur François Barbier
Auteur Lucie Biard
Auteur Marina Esposito-Farèse
Auteur Bertrand Le Corre
Auteur Annick Macrez
Auteur Laurence Salomon
Auteur Christine Bonnal
Auteur Caroline Zanker
Auteur Christophe Najem
Auteur Bruno Mourvillier
Auteur Jean Christophe Lucet
Auteur Bernard Régnier
Auteur Michel Wolff
Auteur Florence Tubach
Résumé BACKGROUND: Influenza-vaccination rates among healthcare workers (HCW) remain low worldwide, even during the 2009 A(H1N1) pandemic. In France, this vaccination is free but administered on a voluntary basis. We investigated the factors influencing HCW influenza vaccination. METHODS: In June-July 2010, HCW from wards of five French hospitals completed a cross-sectional survey. A multifaceted campaign aimed at improving vaccination coverage in this hospital group was conducted before and during the 2009 pandemic. Using an anonymous self-administered questionnaire, we assessed the relationships between seasonal (SIV) and pandemic (PIV) influenza vaccinations, and sociodemographic and professional characteristics, previous and current vaccination statuses, and 33 statements investigating 10 sociocognitive domains. The sociocognitive domains describing HCWs’ SIV and PIV profiles were analyzed using the classification-and-regression-tree method. RESULTS: Of the HCWs responding to our survey, 1480 were paramedical and 401 were medical with 2009 vaccination rates of 30% and 58% for SIV and 21% and 71% for PIV, respectively (p<0.0001 for both SIV and PIV vaccinations). Older age, prior SIV, working in emergency departments or intensive care units, being a medical HCW and the hospital they worked in were associated with both vaccinations; while work shift was associated only with PIV. Sociocognitive domains associated with both vaccinations were self-perception of benefits and health motivation for all HCW. For medical HCW, being a role model was an additional domain associated with SIV and PIV. CONCLUSIONS: Both vaccination rates remained low. Vaccination mainly depended on self-determined factors and for medical HCW, being a role model.
Publication PloS one
Volume 7
Numéro 7
Pages e38646
Date 2012
Chercher cette référence sur : Google Scholar, Worldcat
doi:10.1371/journal.pone.0038646
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