[Determinants of influenza vaccination in health staff: 2009-2010 season]

Gac Sanit. 2011 Jan-Feb;25(1):29-34. doi: 10.1016/j.gaceta.2010.09.018. Epub 2011 Feb 17.
[Article in Spanish]

Abstract

Objectives: To determine vaccination coverage against seasonal influenza and the new A (H1N1) influenza virus among healthcare personnel during the 2009-2010 season and to identify its determining factors.

Methods: We performed a cross-sectional study among healthcare staff at the General University Hospital in Alicante (Spain) during the 2008-2009 and 2009-2010 influenza vaccination campaigns. The 2009-2010 vaccination campaign was subdivided into two phases. In the first phase, from 1st October to 19th November, 2009, the seasonal influenza vaccine was administered; in the second phase, from 16th November to 30th December, 2009, vaccination against the new A (H1N1) influenza virus was performed. Each of the vaccine programs was preceded by a specific vaccination promotion campaign. Healthcare staff were asked to complete a brief self-administered questionnaire containing a list of reasons for being vaccinated. Coverage during both vaccination campaigns was calculated, and the results, both overall and for each profession, were then compared using a Chi-square test.

Results: Coverage against seasonal influenza was 31% and that against the new A (H1N1) influenza virus was 22.2% (p<0.05); these percentages were 36% and 34% respectively in medical personnel (NS), 33% and 24% respectively in nursing personnel (p<0.001), and 21% and 12% respectively in nursing assistants (p<0.001). The main reason given for being vaccinated was self-protection.

Conclusions: The low coverage achieved is a public health problem. Specific intervention programs should be implemented.

MeSH terms

  • Cross-Sectional Studies
  • Disease Outbreaks*
  • Female
  • Health Promotion
  • Hospitals, General / statistics & numerical data
  • Hospitals, University / statistics & numerical data
  • Humans
  • Influenza A Virus, H1N1 Subtype* / immunology
  • Influenza Vaccines* / immunology
  • Influenza, Human / epidemiology
  • Influenza, Human / prevention & control*
  • Influenza, Human / virology
  • Male
  • Medical Staff, Hospital / psychology
  • Medical Staff, Hospital / statistics & numerical data
  • Motivation
  • Nursing Assistants / psychology
  • Nursing Assistants / statistics & numerical data
  • Nursing Staff, Hospital / psychology
  • Nursing Staff, Hospital / statistics & numerical data
  • Occupational Exposure
  • Personnel, Hospital / psychology
  • Personnel, Hospital / statistics & numerical data*
  • Spain / epidemiology
  • Vaccination* / psychology
  • Vaccination* / statistics & numerical data

Substances

  • Influenza Vaccines