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Prada-García C, Toquero-Asensio M, Fernández-Espinilla V, Hernán-García C, Sanz-Muñoz I, Calvo-Nieves MD, Eiros JM, Castrodeza-Sanz J. The Impact of the COVID-19 Pandemic on Influenza Vaccination Attitudes and Actions in Spain's Adult Population. Vaccines (Basel) 2023; 11:1514. [PMID: 37896918 PMCID: PMC10611015 DOI: 10.3390/vaccines11101514] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 09/17/2023] [Accepted: 09/21/2023] [Indexed: 10/29/2023] Open
Abstract
Seasonal influenza is an acute respiratory infection caused by the influenza virus which constitutes a significant public health issue associated with high morbidity and mortality. The aim of this study was to investigate changes in attitudes, perceptions, and practices regarding influenza vaccination in the Spanish adult population during the COVID-19 pandemic, as well as their vaccination intentions, with special attention paid to those over 65 years old and in high-risk groups. To this end, a cross-sectional study was conducted through 2219 telephone interviews, and the results were compared with results obtained a year earlier. Regarding the reasons for deciding to get vaccinated in the 2022/23 season, a significant increase was observed in vaccine confidence (36.7% vs. 42.8%), social responsibility (32.5% vs. 43.8%), and in awareness of the importance of vaccination due to COVID-19 (21.7% vs. 25.4%). Advanced age (OR 2.8, 95% CI 2.0-3.9), belonging to high-risk groups (OR 2.7, 95% CI 2.0-3.7), and prior vaccination (OR 25.3, 95% CI 19.5-32.7) emerged as significant predictors for the intent to receive the influenza vaccine in the 2022/23 season. Continuously observing shifts in perceptions and behaviors related to influenza immunization is crucial to pinpoint factors that may influence the willingness to receive the vaccine and, in this way, design public health strategies that achieve a greater acceptance of it.
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Affiliation(s)
- Camino Prada-García
- Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain; (V.F.-E.); (C.H.-G.); (J.C.-S.)
- National Influenza Centre, Edificio Rondilla, Hospital Clínico Universitario de Valladolid, 47009 Valladolid, Spain; (M.T.-A.); (I.S.-M.); (J.M.E.)
- Dermatology Service, Complejo Asistencial Universitario de León, 24008 León, Spain
| | - Marina Toquero-Asensio
- National Influenza Centre, Edificio Rondilla, Hospital Clínico Universitario de Valladolid, 47009 Valladolid, Spain; (M.T.-A.); (I.S.-M.); (J.M.E.)
- Preventive Medicine and Public Health Service, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain
| | - Virginia Fernández-Espinilla
- Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain; (V.F.-E.); (C.H.-G.); (J.C.-S.)
- National Influenza Centre, Edificio Rondilla, Hospital Clínico Universitario de Valladolid, 47009 Valladolid, Spain; (M.T.-A.); (I.S.-M.); (J.M.E.)
- Preventive Medicine and Public Health Service, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain
| | - Cristina Hernán-García
- Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain; (V.F.-E.); (C.H.-G.); (J.C.-S.)
- National Influenza Centre, Edificio Rondilla, Hospital Clínico Universitario de Valladolid, 47009 Valladolid, Spain; (M.T.-A.); (I.S.-M.); (J.M.E.)
- Preventive Medicine and Public Health Service, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain
| | - Iván Sanz-Muñoz
- National Influenza Centre, Edificio Rondilla, Hospital Clínico Universitario de Valladolid, 47009 Valladolid, Spain; (M.T.-A.); (I.S.-M.); (J.M.E.)
- Instituto de Estudios de Ciencias de la Salud de Castilla y León, ICSCYL, 24002 Soria, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFECC), 28029 Madrid, Spain
| | - María Dolores Calvo-Nieves
- Department of Clinical Laboratory, Hospital Clínico Universitario de Valladolid, 47009 Valladolid, Spain;
| | - Jose M. Eiros
- National Influenza Centre, Edificio Rondilla, Hospital Clínico Universitario de Valladolid, 47009 Valladolid, Spain; (M.T.-A.); (I.S.-M.); (J.M.E.)
- Microbiology Service, Hospital Universitario Río Hortega, 47012 Valladolid, Spain
| | - Javier Castrodeza-Sanz
- Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain; (V.F.-E.); (C.H.-G.); (J.C.-S.)
- National Influenza Centre, Edificio Rondilla, Hospital Clínico Universitario de Valladolid, 47009 Valladolid, Spain; (M.T.-A.); (I.S.-M.); (J.M.E.)
- Preventive Medicine and Public Health Service, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain
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Acceptance or rejection of vaccination against influenza and SARS-CoV2 viruses among primary care professionals in Central Catalonia. A cross-sectional study. Vaccine X 2023; 14:100290. [PMID: 37008959 PMCID: PMC10040087 DOI: 10.1016/j.jvacx.2023.100290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/17/2023] [Accepted: 03/24/2023] [Indexed: 03/28/2023] Open
Abstract
Background With the outbreak of the SARS-CoV-2 pandemic, the uncertainty about the real impact of coinfection with other viruses, and the increased risk of mortality in the case of coinfection with the influenza virus, health authorities recommended an increase in influenza vaccination coverage among at-risk groups to minimize the possible impact on individuals and the healthcare system. Recommendations for influenza vaccination during the 2020-2021 campaign in Catalonia were focused on increasing vaccination coverage, especially for social and healthcare workers, elderly people and at-risk individuals of any age. The objectives for the 2020-2021 season in Catalonia were to reach 75% for the elderly and for social and healthcare workers, and 60% for pregnant women and at-risk groups. In the case of healthcare professionals and those over 65 years of age, the target was not met. Vaccination coverage reached 65.58% and 66.44%, respectively (in the 2019-2020 campaign it was 39.08%). Analysing and following up on the background and context in which health professionals accept influenza vaccination will help develop strategies for long-term influenza vaccination campaigns. The present study looks at healthcare professionals in a specific territory where the reasons for acceptance or refusal of the influenza vaccine during the 2021-2022 vaccination campaign, as well as the reasons for acceptance or refusal of the COVID-19 vaccine, were analysed by means of an online survey. Methods Calculations suggested that a random sample of 290 individuals would be sufficient to estimate, with 95% confidence and a precision of +/- 5 percentage units, a population percentage that was expected to be around 30%. The required replacement rate was 10%. The R statistical software (version 3.6.3) was used for the statistical analysis. Confidence intervals were 95% and contrasts with a p-value of <0.05 were considered significant. Findings Of the 1921 professionals to whom the survey was sent, 586 (30.5%) responded to all the questions. 95.2% of respondents were vaccinated against COVID-19 and 66.2% against influenza. It was observed that the relationship between sociodemographic characteristics and the decision to get vaccinated was different for influenza and COVID-19. The reasons for accepting the COVID-19 vaccine with the highest percentage were firstly protecting family (82.2%), self-protection (74.9%) and also protecting patients (57.8%). On the other hand, other reasons not described in the survey (50%) and mistrust (42.3%) were the reasons for rejecting the COVID-19 vaccine. With respect to influenza, the most relevant reasons for which professionals got vaccinated were self-protection (70.7%), protecting family (69.7%) and protecting patients (58.4%). Reasons for refusing the influenza vaccine were reasons not mentioned in the survey (29.1%) and the low probability of suffering complications (27.4%). Interpretation Analysing the context, territory, sector, and the reasons for both accepting and refusing a vaccine will help develop effective strategies. Although vaccination coverage against COVID-19 was very high throughout Spain, a marked increase in influenza vaccination in the context of COVID-19 was observed among healthcare professionals in the Central Catalonia region compared to the previous pre-pandemic campaign.
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Muñoz-Miralles R, Bonet-Esteve A, Rufas-Cebollero A, Fuster-Casanovas A, Pelegrin-Cruz X, Vidal-Alaball J. Influenza vaccination in coronavirus times: Primary Care professionals' intention to get vaccinated in Central Catalonia (VAGCOVID). A cross sectional study. Hum Vaccin Immunother 2022; 18:2067442. [PMID: 35776921 PMCID: PMC9302504 DOI: 10.1080/21645515.2022.2067442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Influenza vaccination is the main measure of prevention against epidemic flu. Although recommended, vaccination coverage remains low. The lack of knowledge about the evolution of influenza in the context of the SARS-CoV-2 coronavirus pandemic led to the recommendation of influenza vaccination to people at risk and professionals to avoid a greater burden than the one already posed by SARS-CoV-2. The aim of the study is to determine health professionals' intention to vaccinate against seasonal flu in the 2020-2021 campaign, in the context of the SARS-CoV-2 pandemic, and to analyse the factors that influence it. Cross-sectional study through a structured survey aimed at Primary Care professionals in Central Catalonia. A total of 610 participants responded to the survey, 65.7% of whom intended to get vaccinated against influenza in this campaign, and 11.1% did not know or did not answer. The intention to get vaccinated is associated with the professional category and the number of years of professional practice. The profile of the professionals who intend to get vaccinated against flu includes professionals with a history of vaccination, who participate in on-call duties and perceive that their dependents were at risk of becoming ill. During the SARS-CoV-2 pandemic, although almost two-thirds of the respondents showed a clear intention to get vaccinated against influenza, 11% were doubtful. To improve influenza vaccination uptake among health professionals, strategies need to be devised to target those professionals who are hesitant or reluctant to vaccinate.
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Affiliation(s)
- Raquel Muñoz-Miralles
- Centre d'Atenció Primària Plaça Catalunya, SAP Bages-Berguedà-Solsonès, Gerència Territorial Catalunya Central Institut Català de la Salut, Manresa, Spain
| | - Anna Bonet-Esteve
- Unitat de Farmàcia, GerènciaTerritorial Catalunya Central Institut Català de la Salut, SantFruitós de Bages, Spain.,Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, SantFruitós de Bages, Spain
| | - Anna Rufas-Cebollero
- Centre d'Atenció Primària Manlleu, SAP Osona, Gerència Territorial Catalunya Central, Institut Català de la Salut, Manlleu, Spain
| | - Aïna Fuster-Casanovas
- la Recerca de la Catalunya Central, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i GurinaUnitat de Suport a , Sant Fruitós de Bages, Spain
| | - Xavier Pelegrin-Cruz
- Departament de Matemàtiques, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Josep Vidal-Alaball
- Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, SantFruitós de Bages, Spain.,la Recerca de la Catalunya Central, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i GurinaUnitat de Suport a , Sant Fruitós de Bages, Spain.,Faculty of Medicine, University of Vic - Central University of Catalonia, Vic, Spain
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Parraza-Diez N, Bermudez-Ampudia C, Cobos-Campos R, Garmendia I, Orruño E, Ojeda E, Garitano I, Robledo M, Portu JJ, Apiñaniz A. Knowledge about COVID-19 and vaccine acceptability among priority groups defined for vaccination: a Cross-sectional study in Araba/Alava, Spain, before the vaccination against SARS-CoV-2. Vaccine X 2022; 11:100176. [PMID: 35692459 PMCID: PMC9170284 DOI: 10.1016/j.jvacx.2022.100176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 05/19/2022] [Accepted: 06/02/2022] [Indexed: 11/18/2022] Open
Abstract
Background The acceptability of COVID-19 vaccine varies depending on the time, place, type of vaccine and information available at the time. Knowledge of attitudes and practices towards COVID-19 among the population at high risk of developing the disease would help to tailor the strategy to improve adherence to vaccination recommendations. Aim To analyze the willingness, knowledge and risk perception of patients and health care workers (HCW) to get the vaccines against SARS-CoV-2. Methods Cross-sectional survey in Araba/Álava province (Spain). Subjects who met the criteria for the influenza vaccination in 2019 and HCWS from the Basque Public Health Service were included. The participants answered a questionnaire on the knowledge, attitudes and practices towards COVID-19 before starting vaccination against SARS-CoV-2. The intention to vaccinate was compared using the chi-squared test. Results 316 HCWs and 389 patients responded to the survey. Around 90% of the patients and 80% of HCW would accept vaccination in all scenarios according to the questionnaire (p < 0.001). Only 3–12% hesitated about the COVID-19 vaccines. Compared to 40–70% of patients, 60–80% of HCWs perceived a high risk of COVID-19 (p < 0.001). Statistically significant differences were found in 10 of the 17 questions regarding the mechanism of transmission and symptoms. Conclusion HCWs had a better knowledge and risk perception of COVID-19 than the surveyed patients. They had a higher proportion of hesitancy to get COVID-19 vaccine, probably related to doubts about the effectiveness of the new vaccines and the scientific evidence.
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Affiliation(s)
- Naiara Parraza-Diez
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Madrid, Spain
- Corresponding author at: Methodology and Statistics Department, Bioaraba Health Research Institute, Hospital Universitario Araba planta 4ªC, c/José Achótegui, 01009 – Vitoria-Gasteiz, Spain.
| | | | | | - Ines Garmendia
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- Health Department of Basque Government, Vitoria-Gasteiz, Spain
| | | | - Elena Ojeda
- Health Promotion and Disease Prevention Department. Madrid Salud, Madrid, Spain
| | - Ignacio Garitano
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- School of Human Sciences, University of Deusto, Bilbao, Spain
| | - María Robledo
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Jose Joaquín Portu
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz, Spain
- University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain
| | - Antxon Apiñaniz
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain
- Osakidetza Basque Health Service, Aranbizkarra I Health Centre, Vitoria-Gasteiz, Spain
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Motivation for Vaccination against COVID-19 in Persons Aged between 18 and 60 Years at a Population-Based Vaccination Site in Manresa (Spain). Vaccines (Basel) 2022; 10:vaccines10040597. [PMID: 35455345 PMCID: PMC9027286 DOI: 10.3390/vaccines10040597] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 04/08/2022] [Accepted: 04/08/2022] [Indexed: 02/04/2023] Open
Abstract
Our purpose was to identify the reasons why members of the population, aged 18–60 years, are vaccinated against COVID-19 at the mass vaccination point in Bages, Spain. This is 1 of 42 provisional spaces outside of health centres which have been set up in Catalonia in the context of the COVID-19 pandemic, and where people from all over Catalonia could go to be vaccinated by appointment. Methodology: We performed a cross-sectional study of users attending mass vaccination points in Bages during the months of July, August, and September 2021. Results: A total of 1361 questionnaires were statistically analysed. The most common reasons for vaccination were fear of infecting family (49.52%) and fear of self-infection (39.45%), followed by socialising (31.00%) and travel (30.56%). However, by applying a logistic regression model to each reason for vaccination, it was possible to estimate the associations regarding age, sex, marital status, educational level, production sector, mass vaccination point, previous COVID-19 infection, and COVID-19 infection of a family member. Relevance: The data generated will inform decisions and formulations of appropriate campaigns that will promote vaccination in specific population groups.
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Bonet-Esteve A, Muñoz-Miralles R, Gonzalez-Claramunt C, Rufas AM, Cruz XP, Vidal-Alaball J. Influenza vaccination during the coronavirus pandemic: intention to vaccinate among the at-risk population in the Central Catalonia Health Region (VAGCOVID). BMC FAMILY PRACTICE 2021; 22:84. [PMID: 33931039 PMCID: PMC8087502 DOI: 10.1186/s12875-021-01434-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 03/26/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND Influenza is a major public health issue, with the primary preventive measure being an annual influenza vaccination. Nevertheless, vaccination coverage among the at-risk population is low. Our understanding of the behaviour of the influenza virus during the SARS-CoV-2 coronavirus pandemic is limited, meaning influenza vaccination is still recommended for individuals at risk for severe complications due to influenza infection. The aim of the study is to determine the intention to vaccinate against seasonal influenza among the at-risk population in the 2020-21 campaign during the SARS-CoV-2 pandemic and to analyse the factors which influence such intention. METHODS Cross-sectional telephone survey of adults (aged over 18) with risk factors in central Catalonia where the need for the Seasonal Influenza Vaccine (SIV) was recommended. RESULTS A total of 434 participants responded to the survey, 43.3% of whom intended to be vaccinated against influenza for the 2020-2021 influenza season, 40.8% had no intention to be vaccinated and 15.9% were uncertain or did not express their opinion. The intention to get vaccinated against influenza is associated with having dependents, the individual's perception of the risk of being infected with influenza and the perceived risk of transmission to dependents. It is also associated with age, whether the individual had received influenza vaccine the previous season or any other season before. The best predictors of the intention to vaccinate are the individual's perception of the risk of catching influenza and whether the individual had been vaccinated in the previous season. CONCLUSIONS Intention to vaccinate can be a good predictor of individual behaviour in relation to vaccination. During the current SARS-CoV-2 pandemic many individuals are hesitant to influenza vaccination. In order to improve influenza vaccination coverage in people included in risk groups, it is necessary to promote educational actions, especially among those who express doubts.
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Affiliation(s)
- Anna Bonet-Esteve
- Unitat de Farmàcia, Gerència Territorial Catalunya Central Institut Català de la Salut, Sant Fruitós de Bages, Spain
- Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, Sant Fruitós de Bages, Spain
| | - Raquel Muñoz-Miralles
- Centre d’Atenció Primària Plaça Catalunya, SAP Bages-Berguedà-Solsonès, Gerència Territorial Catalunya Central Institut Català de la Salut, CAP Plaça Catalunya. C/ Soler i March 6, 08242 Manresa, Spain
| | - Carla Gonzalez-Claramunt
- Centre d’Atenció Primària Vilanova del Camí, SAP Anoia, Gerència Territorial Catalunya Central, Institut Català de la Salut, Vilanova del Camí, Spain
| | - Ana M Rufas
- Centre d’Atenció Primària Manlleu, SAP Osona, Gerència Territorial Catalunya Central, Institut Català de la Salut, Manlleu, Spain
| | | | - Josep Vidal-Alaball
- Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, Sant Fruitós de Bages, Spain
- Unitat de Suport a la Recerca de la Catalunya Central, Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, Sant Fruitós de Bages, Spain
- Faculty of Medicine, University of Vic - Central University of Catalonia, Vic, Spain
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Dios-Guerra C, Carmona-Torres JM, López-Soto PJ, Morales-Cané I, Rodríguez-Borrego MA. Prevalence and factors associated with influenza vaccination of persons over 65 years old in Spain (2009-2014). Vaccine 2017; 35:7095-7100. [PMID: 29122385 DOI: 10.1016/j.vaccine.2017.10.086] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2017] [Revised: 10/27/2017] [Accepted: 10/30/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND Influenza is a major public health problem. Achieving 65% coverage in people over 65 years old is a health policy priority in Spain. OBJECTIVE To determine the coverage of influenza vaccination in Spain in 2014 for people over 65 years and to analyze the factors associated with coverage and its progression between 2009 and 2014. METHODS A descriptive cross-sectional study was conducted that included 18,442 non-institutionalized individuals over 65 years who had participated in the National Health Survey in Spain in 2011 and in the European Health Survey in Spain in 2009 and 2014. Socio-demographic variables, health variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with anti-influenza vaccination. RESULTS Influenza vaccination coverage has declined from 2009 (74.5%) to 2014 (57.4%). There are significant differences in the vaccination coverage among the different Spanish autonomous communities in the different years studied. Influenza vaccination was associated with males, low social class, and low level of education. There is greater participation in other preventive measures, such as assessing blood pressure, blood glucose, and cholesterol, than in influenza vaccination. CONCLUSIONS Fewer people over 65 years old than recommended by the WHO participated in the influenza vaccination campaign in Spain in 2014. This coverage declined progressively from 2009 to 2014.
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Affiliation(s)
- Caridad Dios-Guerra
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; UGC Occidente, Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain
| | - Juan Manuel Carmona-Torres
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Universidad de Castilla-La Mancha (UCLM), E. U. Enfermería y Fisioterapia de Toledo, Toledo, Spain.
| | - Pablo Jesús López-Soto
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain
| | - Ignacio Morales-Cané
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain
| | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain
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López-Picado A, Apiñaniz A, Ramos AL, Miranda-Serrano E, Cobos R, Parraza-Díez N, Amezua P, Martinez-Cengotitabengoa M, Aizpuru F. Knowledge, attitudes and perceptions of health professionals in relation to A/H1N1 influenza and its vaccine. EMERGING HEALTH THREATS JOURNAL 2012; 5:EHTJ-5-7266. [PMID: 22461846 PMCID: PMC3257874 DOI: 10.3402/ehtj.v5i0.7266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/04/2011] [Revised: 10/25/2011] [Accepted: 11/16/2011] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To determine the intention of health professionals, doctors and nurses, concerning whether or not to be vaccinated against A/H1N1 influenza virus, and their perception of the severity of this pandemic compared with seasonal flu. MATERIAL AND METHODS A cross-sectional study was carried out based on an questionnaire e-mailed to health professionals in public healthcare centres in Vitoria between 6 and 16 November 2009; the percentage of respondents who wanted to be vaccinated and who perceived the pandemic flu to carry a high risk of death were calculated. RESULTS A total of 115 people completed the questionnaire of whom 61.7% (n=71) were doctors and 38.3% (n=44) were nurses. Of these, 33.3% (n=23) of doctors and 13.6% (n=6) of nurses intended to be vaccinated (p=0.019). Even among those who considered themselves to be at a high risk, 70.6% (n=48) of doctors and 31.7% (n=13) of nurses participating in the study (p=0.001) planned to have the vaccination. CONCLUSIONS Most health professionals, and in particular nurses, had no intention to be vaccinated against A/H1N1 influenza virus at the beginning of the vaccination campaign.
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Affiliation(s)
| | | | | | | | - Raquel Cobos
- Araba Research Unit, Araba University Hospital, Vitoria-Gasteiz, Spain
| | | | - Patricia Amezua
- Araba Research Unit, Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Mónica Martinez-Cengotitabengoa
- CIBERSAM, Centro de Investigación Biomédica en Red de Salud Mental, Madrid, Spain
- Department of Psychiatry, Araba Universitary Hospital, Vitoria-Gasteiz, Spain
| | - Felipe Aizpuru
- Araba Research Unit, Araba University Hospital, Vitoria-Gasteiz, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
- Faculty of Medicine, University of the Basque Country, Vitoria-Gasteiz, Spain
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Sánchez-Payá J, Hernández-García I, Barrenengoa Sañudo J, Rolando Martínez H, Camargo Ángeles R, Cartagena Llopis L, Villanueva Ruiz C, González Hernández M. [Determinants of influenza vaccination in health staff: 2009-2010 season]. GACETA SANITARIA 2011; 25:29-34. [PMID: 21333406 DOI: 10.1016/j.gaceta.2010.09.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2010] [Revised: 08/03/2010] [Accepted: 09/19/2010] [Indexed: 10/18/2022]
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.
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Affiliation(s)
- José Sánchez-Payá
- Servicio de Medicina Preventiva, Hospital General Universitario de Alicante, Alicante, España. sanchez
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