Motivating factors for high rates of influenza vaccination among healthcare workers

Hana Hakim, Aditya H. Gaur, Jonathan Mccullers

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Background: Recent guidance from related regulatory agencies and medical societies supports mandatory vaccination of healthcare workers (HCW) against influenza. At St. Jude Children's Research Hospital, a pediatric oncology referral center, more than 90% of HCWs receive vaccine each year without a policy mandating immunization. Factors associated with HCW uptake of influenza vaccines have not previously been evaluated in a high compliance rate setting. Methods: A structured, anonymous, electronic questionnaire was distributed in August 2010 to employees (HCW and non-HCW). Demographics, prior receipt of influenza vaccines, reasons for acceptance or refusal of seasonal and 2009 H1N1 pandemic vaccine, and attitudes on mandatory vaccination were assessed. Results: 95.0% of 925 HCWs and 63.1% of all 3227 qualifying employees responded to the survey. 93.8% and 75.2% of HCW reported receiving seasonal and 2009 H1N1 influenza vaccines, respectively, in the 2009-2010 season. Benefits to self and/or patients were cited as the most frequent reasons for accepting seasonal (83.5% and 78.3%, respectively) and 2009 H1N1 (85.9% and 81.1%, respectively) vaccination. 36.6% of HCWs opposed mandating influenza vaccination; 88.2% and 59.9% of whom reported receiving the seasonal and 2009 H1N1 influenza vaccines, respectively. Violation of freedom of choice and personal autonomy were the most frequently reported reasons for opposition. Conclusion: In this cohort of HCWs with a high influenza vaccination rate, realistic assessments of the potential benefits of vaccination appear to have driven the choice to accept immunization. Despite this, mandating vaccination was viewed unfavorably by a significant minority of vaccinated individuals. Employee concerns over autonomy should be addressed as institutions transition to mandatory vaccination policies.

Original languageEnglish (US)
Pages (from-to)5963-5969
Number of pages7
JournalVaccine
Volume29
Issue number35
DOIs
StatePublished - Aug 11 2011
Externally publishedYes

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health care workers
influenza
Human Influenza
Vaccination
vaccination
Delivery of Health Care
Influenza Vaccines
vaccines
human resources
Immunization
immunization
Vaccines
Personal Autonomy
Pediatric Hospitals
Medical Societies
Pandemics
pandemic
compliance
electronics
Referral and Consultation

All Science Journal Classification (ASJC) codes

  • Molecular Medicine
  • Immunology and Microbiology(all)
  • veterinary(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Motivating factors for high rates of influenza vaccination among healthcare workers. / Hakim, Hana; Gaur, Aditya H.; Mccullers, Jonathan.

In: Vaccine, Vol. 29, No. 35, 11.08.2011, p. 5963-5969.

Research output: Contribution to journalArticle

Hakim, Hana ; Gaur, Aditya H. ; Mccullers, Jonathan. / Motivating factors for high rates of influenza vaccination among healthcare workers. In: Vaccine. 2011 ; Vol. 29, No. 35. pp. 5963-5969.
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abstract = "Background: Recent guidance from related regulatory agencies and medical societies supports mandatory vaccination of healthcare workers (HCW) against influenza. At St. Jude Children's Research Hospital, a pediatric oncology referral center, more than 90{\%} of HCWs receive vaccine each year without a policy mandating immunization. Factors associated with HCW uptake of influenza vaccines have not previously been evaluated in a high compliance rate setting. Methods: A structured, anonymous, electronic questionnaire was distributed in August 2010 to employees (HCW and non-HCW). Demographics, prior receipt of influenza vaccines, reasons for acceptance or refusal of seasonal and 2009 H1N1 pandemic vaccine, and attitudes on mandatory vaccination were assessed. Results: 95.0{\%} of 925 HCWs and 63.1{\%} of all 3227 qualifying employees responded to the survey. 93.8{\%} and 75.2{\%} of HCW reported receiving seasonal and 2009 H1N1 influenza vaccines, respectively, in the 2009-2010 season. Benefits to self and/or patients were cited as the most frequent reasons for accepting seasonal (83.5{\%} and 78.3{\%}, respectively) and 2009 H1N1 (85.9{\%} and 81.1{\%}, respectively) vaccination. 36.6{\%} of HCWs opposed mandating influenza vaccination; 88.2{\%} and 59.9{\%} of whom reported receiving the seasonal and 2009 H1N1 influenza vaccines, respectively. Violation of freedom of choice and personal autonomy were the most frequently reported reasons for opposition. Conclusion: In this cohort of HCWs with a high influenza vaccination rate, realistic assessments of the potential benefits of vaccination appear to have driven the choice to accept immunization. Despite this, mandating vaccination was viewed unfavorably by a significant minority of vaccinated individuals. Employee concerns over autonomy should be addressed as institutions transition to mandatory vaccination policies.",
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