Evaluation of the knowledge, attitudes and behavior of healthcare workers concerning influenza vaccination in a training and research hospital in Türkiye
DOI:
https://doi.org/10.15584/ejcem.2024.2.11Keywords:
attitude, behavior, healthcare workers, influenza vaccine, knowledgeAbstract
Introduction and aim. Although increasing vaccination rates among healthcare workers (HCWs) is crucial for protecting their own health and preventing the spread of infections to patients, vaccination rates remain low. The purpose of this study is to evaluate the knowledge, attitudes, and behavior of healthcare workers concerning seasonal influenza vaccination in a training and research hospital in Türkiye.
Material and methods. This cross-sectional descriptive study was conducted among 364 healthcare workers working in a training and research hospital in Ankara, Türkiye. A face-to-face questionnaire was completed by selected participants that included questions about their sociodemographic characteristics, receiving seasonal influenza vaccination, reasons for not receiving vaccination, attitudes and behavior towards seasonal influenza vaccination recommendations for their surroundings, knowledge of who should get the vaccine, and their immunization history.
Results. Among the participants, 58.5% stated that they had never received an influenza vaccination, 35.7% mentioned not receiving the regular influenza vaccination, and only 5.8% reported receiving the influenza vaccination regularly every year. Reasons for not getting vaccinated included not trusting the influenza vaccine’s protection (60.1%), not believing they are in the risk group (38.9%), and not finding a suitable time to get vaccinated (36.1%). A total of 57.1% of the healthcare workers recommended the influenza vaccine for their surroundings.
Conclusion. Influenza vaccination rates among healthcare workers are quite low. To maximize influenza vaccine uptake, awareness programs are needed to correct the misconceptions health care workers have about the vaccine, and diverse strategies should be implemented to encourage them to get vaccinated, thereby promoting influenza vaccination.
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Uyeki TM, Hui DS, Zambon M, Wentworth DE, Monto AS. Influenza. Lancet. 2022;400 (10353):693-706. doi: 10.1016/S0140-6736(22)00982-5
Guillari A, Polito F, Pucciarelli G, et al. Influenza vaccination and healthcare workers: barriers and predisposing factors. Acta Biomed. 2021;92(2):2021004. doi: 10.23750/abm.v92iS2.11106
Gualano MR, Corradi A, Voglino G, et al. Healthcare workers’ (HCWs) attitudes towards mandatory influenza vaccination - A systematic review and meta-analysis. Vaccine. 2021;39(6):901-914. doi: 10.1016/j.vaccine.2020.12.061
Schumacher S, Salmanton-Garcia J, Cornely OA, Mellinghoff SC. Increasing influenza vaccination coverage in healthcare workers: a review on campaign strategies and their effect. Infection. 2021;49(3):387-399. doi: 10.1007/s15010-020-01555-9
Grohskopf LA, Alyanak E, Ferdinands JM, et al. Prevention and control of seasonal influenza with vaccines: Recommendations of the advisory committee on immunization practices, United States, 2021-22 influenza season. MMWR Recomm Rep. 2021;70:1-28. doi: 10.15585/mmwr.rr7005a1
World Health Organization (WHO) Influenza (Seasonal). Available at: https://www.who.int/news-room/fact-sheets/detail/influenza-(seasonal). Accessed January 20, 2024.
Van Hooste WLC, Bekaert M. To Be or Not to Be Vaccinated? The ethical aspects of influenza vaccination among healthcare workers. Int J Environ Res Public Health. 2019;16(20):3981. doi: 10.3390/ijerph16203981
Vanhems P, Voirin N, Bénet T, et al. Detection of hospital outbreaks of influenza-like illness based on excess of incidence rates compared to the community. Am J Infect Control. 2014;42(12):1325-1327. doi: 10.1016/j.ajic.2014.08.011
Mytton OT, Rutter PD, Mak M, Stanton EA, Sachedina N, Donaldson LJ. Mortality due to pandemic (H1N1) 2009 influenza in England: a comparison of the first and second waves. Epidemiol Infect. 2012;140(9):1533-1541. doi: 10.1017/S0950268811001968
Jędrzejek MJ, Mastalerz-Migas A. Seasonal influenza vaccination of healthcare workers: a narrative review. Int J Occup Med Environ Health. 2022;35(2):127-139. doi: 10.13075/ijomeh.1896.01775
Bianchi FP, Stefanizzi P, Di Lorenza A, et al. Attitudes toward influenza vaccination in heathcare workers in Italy: A systematic review and meta-analysis. Hum Vaccin Immunother. 2023;19(3):2265587. doi: 10.1080/21645515.2023.2265587
La Torre G, Scalingi S, Garruto V, Siclari M, Chiarini M, Mannocci A. Knowledge, attitude and behaviours towards recommended vaccinations among healthcare workers. Healthcare (Basel). 2017;5(1):13. doi: 10.3390/healthcare5010013
Yaqub O, Castle-Clarke S, Sevdalis N, Chataway J. Attitudes to vaccination - a critical review. Soc Sci Med. 2014;112:1-11. doi: 10.1016/j.socscimed.2014.04.018
Korkmaz N, Nazik S, Gümüştakım RŞ, et al. Influenza vaccination rates, knowledge, attitudes and behaviours of healthcare workers in Turkey: A multicentre study. Int J Clin Pract. 2021;75(1):13659. doi: 10.1111/ijcp.13659
Lang P, Wu CT, Le-Nguyen AF, Czock A. Influenza vaccination behaviour of healthcare workers in Switzerland: A cross-sectional study. Int J Public Health. 2023;68:1605175. doi: 10.3389/ijph.2023.1605175
Lindvig SO, Larsen L. Uptake of and attitudes towards influenza vaccination among Danish hospital healthcare workers. Dan Med J. 2021;68(3):A10200729.
James PB, Rehman IU, Bah AJ, Lahai M, Cole CP, Khan TM. An assessment of healthcare professionals' knowledge about and attitude towards influenza vaccination in Freetown Sierra Leone: a cross-sectional study. BMC Public Health. 2017;17(1):692. doi: 10.1186/s12889-017-4700-2
Ali I, Ijaz M, Rehman IU, Rahim A, Ata H. Knowledge, attitude, awareness, and barriers toward influenza vaccination among medical doctors at tertiary care health settings in Peshawar, Pakistan-A cross-sectional study. Front Public Health. 2018;6:173. doi: 10.3389/fpubh.2018.00173
Hammer CC, Lyytikäinen O, Arifulla D, Toura S, Nohynek H. Hight influenza vaccination coverage among healthcare workers in acute care hospitals in Finland, seasons 2017/18, 2018/19 and 2019/20. Euro Surveill. 2022;27(17):210011. doi: 10.2807/1560-7917.ES:2022.27.17.2100411
Hofmann F, Ferracin C, Marsh G, Dumas R. Influenza vaccination of healthcare workers: a literature review of attitudes and beliefs. Infection. 2006;34(3):142-147. doi: 10.1007/s15010-006-5109-5
Gasparini R, Panatto D, Lai PL, Amicizia D. The “urban myth” of the association between neurological disorders and vaccinations. J Prev Med Hyg. 2015;56(1):1-8.
Boey L, Bral C, Roelants M and et al. Attitudes, believes, determinants and organisational barriers behind the low seasonal influenza vaccination uptake in healthcare workers - A cross-sectional survey. Vaccine. 2018;36:3351-3358. doi: 10.1016/j.vaccine.2018.04.044
Karafillakis E, Dinca I, Apfel F, et al. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine. 2016;34(41):5013-5020. doi: 10.1016/j.vaccine.2016.08.029
Padmanabhan A, Abraham SV, Koul PA. Knowledge, attitude and practices towards seasonal influenza vaccination among healthcare workers. Lung India. 2022;39(5):437-442. doi: 10.4103/lungindia.lungindia_741_21
A Report for the European Commission, State of Vaccine Confidence in the EU+UK. Available online: https://ec.europa.eu/health/sites/default/files/vaccination/docs/2020_confidence_rep_en.pdf. Accessed January 20, 2024.
Little KE, Goodridge S, Lewis H, et al. Occupational vaccination of health care workers: uptake, attitudes and potential solutions. Public Health. 2015;129(6):755-762. doi: 10.1016/j.puhe.2015.02.031
Alshammari TM, Yusuff KB, Aziz MM, Subaie GM. Healthcare professionals' knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study. BMC Health Serv Res. 2019;19(1):229. doi: 10.1186/s12913-019-4054-9
Dubé E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. 2013;9(8):1763-1773. doi: 10.4161/hv.24657
Luo Q, Gan L, Xiong Y, Li Q, Chen T, Tang X. Knowledge, attitudes and practices related to influenza and influenza vaccine among healthcare workers in Chongqing, China-a cross-sectional study. Hum Vaccin Immunother. 2021;2;17(12):5500-5508. doi: 10.1080/21645515.2021.2007013
Khan TM, Khan AU, Ali I, Wu DB. Knowledge, attitude and awareness among healthcare professionals about influenza vaccination in Peshawar, Pakistan. Vaccine. 2016;34(11):1393-1398. doi: 10.1016/j.vaccine.2016.01.045
Chen S, Jiang Y, Tang X and et al.Research on Knowledge, Attitudes, and practices of influenza vaccination among healthcare workers in Chongqing, China - Based on structural equation model. Front Public Health. 2022;10:853041. doi: 10.3389/fpubh.2022.853041
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