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Kalunga L, Bulut E, Chen Z, Li Y, Ivanek R. Increasing vaccine uptake among employees within the non-health related critical infrastructure sectors: A review. Hum Vaccin Immunother 2023; 19:2135852. [PMID: 36628470 PMCID: PMC9980543 DOI: 10.1080/21645515.2022.2135852] [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] [Indexed: 01/12/2023] Open
Abstract
This review aimed to identify barriers to employee vaccination, motivators for vaccination, and vaccine uptake strategies within the critical infrastructure sectors. We focused on non-healthcare-related sectors, including food and agriculture, manufacturing, and education where employee vaccination is rarely mandated. We conducted a search for literature published from 2012 to 2022 from MEDLINE-PubMed, PsycINFO, and Web of Science Core Collection, which resulted in 22 studies that met the inclusion criteria. We found that 1) barriers to vaccination differ by infectious disease and population; 2) common motivators for vaccination were about protecting self, family, and community; and 3) common uptake strategies for influenza (which accounted for 83% of uptake strategies in reviewed studies) addressed convenience and confidence barriers such as vaccination cost and education. Our review highlights the need for employers, policymakers, and researchers to identify infectious disease and population-specific barriers to vaccination and implement strategies aimed at addressing the identified barriers.
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Affiliation(s)
- Linda Kalunga
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA,CONTACT Linda Kalunga Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
| | - Ece Bulut
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA
| | - Ziqian Chen
- College of Human Ecology, Cornell University, Ithaca, NY, USA
| | - Yihong Li
- Department of Public and Ecosystem Health, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA
| | - Renata Ivanek
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA
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Gu W, Liu Y, Chen Q, Wang J, Che X, Du J, Zhang X, Xu Y, Zhang X, Jiang W, Wang J, Xie Q, Lu Z, Yang Y, Gu L, Chen J. Acceptance of influenza vaccination and associated factors among teachers in China: A cross-sectional study based on health belief model. Hum Vaccin Immunother 2023; 19:2270325. [PMID: 37905951 PMCID: PMC10760392 DOI: 10.1080/21645515.2023.2270325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 10/10/2023] [Indexed: 11/02/2023] Open
Abstract
Teachers played an important role on the transmission of influenza in schools and communities. The study aims to investigate the influenza vaccination coverage and the factors determining flu vaccination acceptance among teachers in Hangzhou, China. A total of 1039 junior high school teachers in Hangzhou were recruited. The self-made questionnaire was used to investigate the influenza vaccine coverage among teachers and the influencing factors of influenza vaccination acceptance. Univariate analysis using the chi-square test and multivariable analysis using binary logistic regression were conducted to determine the relative predictors. The Influenza vaccine coverage among teachers was 5.9% (62/1039). 52.9% of teachers had the intention to receive influenza vaccine, 25.3% (247/977)/21.8% (213/977) of participants was hesitant/did not have the intention to get influenza vaccine. The top three sources for teachers to gain knowledge about influenza were website (72%), TV/radio (66.1%) and social media (58%). Whether get influenza vaccination before, knowledge about influenza and influenza vaccine, the beliefs for the likelihood of catching flu, the severity of getting flu, the effectiveness of influenza vaccine, the possibility of side effects after vaccination, and the troublesome of vaccination, doctors' recommendation, as well as the situation of vaccination among other teachers were the associated factors of influenza vaccination acceptance. The influenza vaccination coverage was low but the intentions were relatively high among junior high school teachers. Future research should focus on the relationship between vaccination acceptance and behavior to increase influenza vaccination rates.
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Affiliation(s)
- Wenwen Gu
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Yan Liu
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Qinghua Chen
- Department of Immunization and Prevention, Linping District Center for Disease Control and Prevention, Hangzhou, China
| | - Jun Wang
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Xinren Che
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Jian Du
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Xiaoping Zhang
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Yuyang Xu
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Xuechao Zhang
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Wei Jiang
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Jing Wang
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Qixin Xie
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Zhaojun Lu
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Yingying Yang
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Lintao Gu
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Junfang Chen
- Department of Immunization and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
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Danilescu CM, Radulescu VM, Delureanu AR, Pirlog MC. Understanding Attitudes Toward Influenza Vaccination: Insights from a Romanian Family Medicine Patient Population. CURRENT HEALTH SCIENCES JOURNAL 2023; 49:517-523. [PMID: 38559830 PMCID: PMC10976203 DOI: 10.12865/chsj.49.04.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 10/12/2023] [Indexed: 04/04/2024]
Abstract
INTRODUCTION Influenza represents a global respiratory virus infection with significant individual and societal implications, leading to considerable economic burdens and substantial mortality rates. Vaccine hesitancy, characterized by delays or refusals despite vaccine availability, presents a growing challenge in achieving adequate vaccination rates globally. AIM This study aimed to assess the attitudes of Romanian general practitioners' patients toward influenza vaccination during the recommended immunization period. MATERIALS AND METHODS A prospective multi-centered study involving 319 patients across five Family Medicine Offices in Romania was conducted. Participants completed a 12-item Vaccination Attitudes Examination (VAX) scale, assessing factors influencing vaccine acceptance. Statistical analyses were performed to evaluate the impact of demographic variables and attitudes toward vaccination. RESULTS The study revealed significant variations in attitudes influencing influenza vaccine acceptance. Trust in vaccine benefits and confidence in natural immunity emerged as primary motivators for vaccine acceptance/denial, whereas concerns about commercial profiteering held lesser importance. Gender and residential environment impacted specific attitudes toward vaccination, while factors such as education and employment status did not significantly influence vaccine acceptance. DISCUSSION The study underscores the critical role of trust in vaccine benefits as a primary driver for vaccine acceptance, diverging from prevalent conspiracy theories. While gender and residential environment influenced attitudes toward vaccination, education and employment status did not exhibit significant correlations with vaccine acceptance. CONCLUSIONS Understanding public attitudes toward vaccination is crucial in designing effective public health strategies. This study emphasizes the importance of trust in vaccine benefits in driving vaccine acceptance, offering insights to enhance vaccination initiatives regionally.
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Affiliation(s)
- Claudia Monica Danilescu
- Comunity Nursing Department, Faculty of Midwives and Nursing, University of Medicine and Pharmacy of Craiova, Craiova, Romania
| | - Virginia Maria Radulescu
- Department of Medical Informatics and Biostatistics, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Craiova, Romania
- Department of Automation and Electronics, University of Craiova, Craiova, Romania
| | | | - Mihail Cristian Pirlog
- Department of Medical Sociology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Craiova, Romania
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Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review. Vaccines (Basel) 2023; 11:vaccines11010180. [PMID: 36680024 PMCID: PMC9861815 DOI: 10.3390/vaccines11010180] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 01/03/2023] [Accepted: 01/11/2023] [Indexed: 01/18/2023] Open
Abstract
Influenza is a common respiratory infection associated with a substantial clinical, humanistic, and economic burden globally. Vaccines are essential to prevent and control influenza and are recommended by public-health agencies, such as the WHO and US CDC; however, vaccination rates vary considerably across the globe. This review aimed to investigate the perceived barriers and attitudes to influenza vaccination in the global population, in order to identify strategies that may improve influenza vaccination coverage. A structured literature search was undertaken to identify studies that reported on patient-reported attitudes towards influenza vaccination, focused on the adult general population in 16 prespecified countries. Eighty studies were included in this review. Negative attitude towards healthcare were found to be the most agreed upon barrier to vaccine uptake (31.1% agreement). The most agreed promoter of influenza vaccination was trust in healthcare services (62.0% agreement). Approximately 50% of participants intended to receive the influenza vaccine in the following season. To improve influenza vaccination coverage, healthcare workers must strengthen the foundation of substantial trust in healthcare services and provide educational materials that improve influenza vaccination knowledge among the adult general population.
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Huiberts A, van Cleef B, Tjon-A-Tsien A, Dijkstra F, Schreuder I, Fanoy E, van Gageldonk A, van der Hoek W, van Asten L. Influenza vaccination of school teachers: A scoping review and an impact estimation. PLoS One 2022; 17:e0272332. [PMID: 35951517 PMCID: PMC9371289 DOI: 10.1371/journal.pone.0272332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 07/11/2022] [Indexed: 12/02/2022] Open
Abstract
Introduction Influenza vaccination, besides protecting traditional risk groups, can protect employees and reduce illness-related absence, which is especially relevant in sectors with staff shortages. This study describes current knowledge of influenza vaccination in teachers and estimates its potential impact. Methods We conducted a scoping review of the considerations for and impact of influenza vaccination of schoolteachers (grey and scientific literature up to 2020 March, complemented with interviews). We then estimated the potential impact of teacher vaccination in the Netherlands, with different scenarios of vaccine uptake for 3 influenza seasons (2016–2019). Using published data on multiple input parameters, we calculated potentially averted absenteeism notifications, averted absenteeism duration and averted doctor visits for influenza. Results Only one scientific paper reported on impact; it showed lower absenteeism in vaccinated teachers, whereas more knowledge of vaccination impact was deemed crucial by 50% of interviewed experts. The impact for the Netherlands of a hypothetical 50% vaccine uptake was subsequently estimated: 74–293 potentially averted physician visits and 11,178–28,896 potentially averted days of influenza absenteeism (on ≈200,000 total teacher population). An estimated 12–32 vaccinations were required to prevent one teacher sick-leave notification, or 3.5–9.1 vaccinations to prevent one day of teacher absenteeism (2016–2019). Conclusion Scientific publications on influenza vaccination in teachers are few, while public interest has increased to reduce teacher shortages. However, school boards and public health experts indicate requiring knowledge of impact when considering this vaccination. Estimations of 3.5–9.1 vaccinated teachers preventing one day of influenza-related sick leave suggest a possible substantial vaccination impact on absenteeism. Financial incentives, more accessible on-site vaccinations at workplaces, or both, are expected to increase uptake, but more research is needed on teachers’ views and vaccine uptake potential and its cost-effectiveness. Piloting free on-site influenza vaccination in several schools could provide further information on teacher participation.
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Affiliation(s)
- Anne Huiberts
- Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
- * E-mail:
| | - Brigitte van Cleef
- Department for Infectious Disease Control, Public Health Service, Amsterdam, The Netherlands
| | - Aimée Tjon-A-Tsien
- Department for Infectious Disease Control, Public Health Service, Rotterdam-Rijnmond, The Netherlands
| | - Frederika Dijkstra
- Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
| | - Imke Schreuder
- Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
| | - Ewout Fanoy
- Department for Infectious Disease Control, Public Health Service, Rotterdam-Rijnmond, The Netherlands
| | - Arianne van Gageldonk
- Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
| | - Wim van der Hoek
- Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
| | - Liselotte van Asten
- Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
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Ganczak M, Kalinowski P, Drozd-Dąbrowska M, Biesiada D, Dubiel P, Topczewska K, Molas-Biesiada A, Oszutowska-Mazurek D, Korzeń M. School life and influenza immunization: A cross-sectional study on vaccination coverage and influencing determinants among Polish teachers. Vaccine 2019; 38:5548-5555. [PMID: 31706813 DOI: 10.1016/j.vaccine.2019.10.067] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2019] [Revised: 10/08/2019] [Accepted: 10/23/2019] [Indexed: 12/01/2022]
Abstract
OBJECTIVE The general public influenza vaccination coverage in Poland is one of the lowest in the EU (3.7% in 2017/2018). Teachers have the potential to be a target group for immunization programs against influenza infection, however, there is yet to be a study in Poland, or even in the EU that has assessed influenza vaccine uptake among this group. The study objective was to evaluate influenza vaccination coverage and to assess influencing determinants amongst Polish teachers. METHOD A cross-sectional questionnaire-based study was conducted among 277 teachers from 9 primary schools of two regional capitals of two Polish regions: Szczecin and Lublin. RESULTS A quarter of teachers have ever received influenza vaccine; 4.5% reported receiving vaccination in the 2018/2019 season. The main reasons for not being vaccinated were a lack of confidence in its effectiveness (56.9%) and concerns related to adverse effects (30.6%). Forty four percent (43.8%) of teachers believed that they are at risk of influenza infection, only 62.5% indicated vaccination as an effective method of preventing influenza. Previous information about influenza (OR = 15.70), high knowledge level about influenza (OR = 2.56), family physician recommendation (OR = 2.39), belief that influenza vaccination should be mandatory for teachers (OR = 3.29), and having a vaccinated family member (OR = 2.68) were each associated with higher odds of immunization. Willingness to be vaccinated against influenza in the next season was strongly associated with current vaccination status (OR = 7.16). CONCLUSIONS Influenza vaccination coverage among Polish teachers is alarmingly low; vaccine receipt was associated with teacher attitudes and beliefs. Future interventions related to maximizing vaccination coverage in this group should take advantage of the involvement of family physicians and specifically focus on teachers who have never been vaccinated before. As knowledge about influenza positively influences vaccination decisions, education strategies should focus on reducing knowledge gaps to alter attitudes and increase uptake.
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Affiliation(s)
- Maria Ganczak
- Department of Infectious Diseases, University of Zielona Góra, Zyty 28, 65-046 Zielona Góra, Poland.
| | - Paweł Kalinowski
- Department of Epidemiology, Medical University of Lublin, Staszica 4-6, 20-081 Lublin, Poland
| | - Marzena Drozd-Dąbrowska
- Department of Epidemiology and Management, Pomeranian Medical University, Zolnierska 48, 71-210 Szczecin, Poland
| | - Daniel Biesiada
- Primary Medicine Clinic "Lancet", Szkolna 9, 73-240 Bierzwnik, Poland
| | - Paulina Dubiel
- Department of Epidemiology and Management, Pomeranian Medical University, Zolnierska 48, 71-210 Szczecin, Poland
| | - Katarzyna Topczewska
- Department of Epidemiology and Management, Pomeranian Medical University, Zolnierska 48, 71-210 Szczecin, Poland
| | | | - Dorota Oszutowska-Mazurek
- Department of Epidemiology and Management, Pomeranian Medical University, Zolnierska 48, 71-210 Szczecin, Poland
| | - Marcin Korzeń
- Department of Methods of Artificial Intelligence and Applied Mathematics, West Pomeranian University of Technology, Zolnierska 46, 71-210 Szczecin, Poland
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Vaughn AR, Johnson ML. Communicating and enhancing teachers' attitudes and understanding of influenza using refutational text. Vaccine 2018; 36:7306-7315. [PMID: 30342900 DOI: 10.1016/j.vaccine.2018.10.040] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 10/08/2018] [Accepted: 10/09/2018] [Indexed: 11/26/2022]
Abstract
Influenza is an important public health issue and schools play an important part in preventing influenza outbreaks. However, little is known about teachers' knowledge and attitudes toward influenza and vaccination. The purposes of this project were to assess preservice and early career teachers' knowledge and attitudes of influenza, evaluate the effectiveness of a refutational text on increasing teachers' attitudes towards and knowledge of influenza and vaccination, and evaluate the effects of participant epistemology, motivation, and cognitive engagement on influenza attitudes and knowledge. We implemented an experimental intervention with 64 pre-service and early career teachers on the effects of a refutational text in remedying influenza misconceptions. Teachers in this sample have vaccination rates (36% received five vaccines in a five-year period) consistent with other US adults. Pre-intervention knowledge scores were moderate and attitudes were slightly positive. Positive attitudes were correlated with increased vaccination. We found refutational texts are effective in eliciting more positive attitudes toward influenza vaccination. We found cognitive engagement was positively correlated to change in attitude. Refutational texts provide an effective mode of influenza and vaccination education.
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Affiliation(s)
- Ashley R Vaughn
- Department of Social and Behavioral Sciences, Miami University, Hamilton, USA; Department of Educational Studies, University of Cincinnati, Cincinnati, USA.
| | - Marcus L Johnson
- Department of Educational Studies, University of Cincinnati, Cincinnati, USA
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RICCÒ M, VEZZOSI L, GUALERZI G, SIGNORELLI C. Knowledge, attitudes and practices (KAP) towards vaccinations in the school settings: an explorative survey. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2017; 58:E266-E278. [PMID: 29707657 PMCID: PMC5912794 DOI: 10.15167/2421-4248/jpmh2017.58.4.673] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Accepted: 11/16/2017] [Indexed: 01/05/2023]
Abstract
Background Past researches have shown that schoolteachers’ (STs) interventions maximize the consent for vaccination programs. European data regarding knowledge, attitudes and practices of STs towards vaccination are otherwise lacking. Objectives The aim of this study was therefore to evaluate knowledge and attitudes of STs regarding vaccinations in a sample from North Italy. Material and methods In this cross sectional study, 154 STs from Lombardy region (Northern Italy) responded to a specific questionnaire assessing their attitude towards vaccination and vaccine related knowledge. Results In general, 88.3% of subjects were somehow favourable to vaccinations. The main reason for declining vaccination was the risk of side effects whereas the main reason to be vaccinated was to avoid to be infected by VPDs (67.6%). Main information sources were health professionals (75.3%), and new media (13.1%), and the latter were STs more frequently associated with a negative attitude towards vaccinations (p < 0.001). Eventually, regression analysis identified risk perception as positively associated with propensity towards vaccinations, both for Students- and STs-recommended vaccinations (B = 0.372, 95% CI 0.247 to 0.496 and B = 0.005, 95%CI 0.004 to 0.006, respectively). Conclusions Our results are consistent with previous reports suggesting a significant knowledge gap in STs, with the risk perception of infectious diseases as the main predictor for vaccine propensity. Moreover, the better knowledge of official vaccination recommendations and policies among STs identifying Health Professionals as information source enlightens the role of the School Physicians and Occupational Physicians, whose intervention may ultimately increase the vaccination acceptance and vaccination rates.
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Affiliation(s)
- M. RICCÒ
- Provincial Agency for Health Services of the Autonomous Province of Trento, Department of Prevention, Occupational Health and Safety Unit (UOPSAL)
- Local Health Unit of Reggio Emilia, Department of Public Health; Occupational Health and Safety Service
- * Correspondence: Matteo Riccò, Department of Public Health, Local Health Unit of Reggio Emilia, via Amendola2, 42122 Reggio Emilia, Italyì - E-mail:
| | - L. VEZZOSI
- University of Parma, Department Medicine and Surgery, School of Medicine and Surgery
| | - G. GUALERZI
- University of Parma, Department Medicine and Surgery, Section of Hygiene and Public Health
| | - C. SIGNORELLI
- University of Parma, Department Medicine and Surgery, Section of Hygiene and Public Health
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Schmid P, Rauber D, Betsch C, Lidolt G, Denker ML. Barriers of Influenza Vaccination Intention and Behavior - A Systematic Review of Influenza Vaccine Hesitancy, 2005 - 2016. PLoS One 2017; 12:e0170550. [PMID: 28125629 PMCID: PMC5268454 DOI: 10.1371/journal.pone.0170550] [Citation(s) in RCA: 736] [Impact Index Per Article: 105.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Accepted: 01/06/2017] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Influenza vaccine hesitancy is a significant threat to global efforts to reduce the burden of seasonal and pandemic influenza. Potential barriers of influenza vaccination need to be identified to inform interventions to raise awareness, influenza vaccine acceptance and uptake. OBJECTIVE This review aims to (1) identify relevant studies and extract individual barriers of seasonal and pandemic influenza vaccination for risk groups and the general public; and (2) map knowledge gaps in understanding influenza vaccine hesitancy to derive directions for further research and inform interventions in this area. METHODS Thirteen databases covering the areas of Medicine, Bioscience, Psychology, Sociology and Public Health were searched for peer-reviewed articles published between the years 2005 and 2016. Following the PRISMA approach, 470 articles were selected and analyzed for significant barriers to influenza vaccine uptake or intention. The barriers for different risk groups and flu types were clustered according to a conceptual framework based on the Theory of Planned Behavior and discussed using the 4C model of reasons for non-vaccination. RESULTS Most studies were conducted in the American and European region. Health care personnel (HCP) and the general public were the most studied populations, while parental decisions for children at high risk were under-represented. This study also identifies understudied concepts. A lack of confidence, inconvenience, calculation and complacency were identified to different extents as barriers to influenza vaccine uptake in risk groups. CONCLUSION Many different psychological, contextual, sociodemographic and physical barriers that are specific to certain risk groups were identified. While most sociodemographic and physical variables may be significantly related to influenza vaccine hesitancy, they cannot be used to explain its emergence or intensity. Psychological determinants were meaningfully related to uptake and should therefore be measured in a valid and comparable way. A compendium of measurements for future use is suggested as supporting information.
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Affiliation(s)
- Philipp Schmid
- Center for Empirical Research in Economics and Behavioral Sciences, University of Erfurt, Erfurt, Germany
- Department of Media and Communication Sciences, University of Erfurt, Erfurt, Germany
| | - Dorothee Rauber
- Center for Empirical Research in Economics and Behavioral Sciences, University of Erfurt, Erfurt, Germany
- Department of Media and Communication Sciences, University of Erfurt, Erfurt, Germany
| | - Cornelia Betsch
- Center for Empirical Research in Economics and Behavioral Sciences, University of Erfurt, Erfurt, Germany
- Department of Media and Communication Sciences, University of Erfurt, Erfurt, Germany
| | - Gianni Lidolt
- Department of Media and Communication Sciences, University of Erfurt, Erfurt, Germany
| | - Marie-Luisa Denker
- Department of Media and Communication Sciences, University of Erfurt, Erfurt, Germany
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Macintosh JL, Luthy KE, Merrill KC, Beckstrand RL, Eden LM, Wright EL. Vaccination Perceptions of Urban School Employees. J Nurse Pract 2016. [DOI: 10.1016/j.nurpra.2016.05.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Gicquelais RE, Safi H, Butler S, Smith N, Haselow DT. Association of School-Based Influenza Vaccination Clinics and School Absenteeism--Arkansas, 2012-2013. THE JOURNAL OF SCHOOL HEALTH 2016; 86:235-241. [PMID: 26930234 DOI: 10.1111/josh.12372] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Revised: 06/18/2015] [Accepted: 04/09/2015] [Indexed: 06/05/2023]
Abstract
BACKGROUND Influenza is a major cause of seasonal viral respiratory illness among school-aged children. Accordingly, the Arkansas Department of Health (ADH) coordinates >800 school-based influenza immunization clinics before each influenza season. We quantified the relationship between student influenza vaccination in Arkansas public schools and school absenteeism during the 2012-2013 influenza season. METHODS The relationship between the percent of students vaccinated in Arkansas public schools during ADH-facilitated clinics and the average daily percent of students absent from school during the 2012-2013 influenza season was quantified using linear regression modeling. The effect of increasing vaccination coverage among students on absentee days in the Arkansas public school system was estimated. RESULTS For every 1% higher vaccination coverage, 0.027% fewer absenteeism days were predicted. Larger school size was associated with higher absenteeism and predicted decreases in absenteeism were larger in magnitude for larger schools compared with smaller schools. Extrapolation of the model showed that a 10% higher vaccination level was associated with a reduction of 16-163 student absentee days per school over a 12-week influenza season. CONCLUSIONS Influenza vaccination is an effective tool to reduce school absenteeism. School-based clinics are a feasible way to target influenza vaccinations to school-aged children.
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Affiliation(s)
| | - Haytham Safi
- Arkansas Department of Health, 4815W Markham St, Little Rock, AR 72205.
| | - Sandra Butler
- Arkansas Department of Health, Little Rock, AR 72205.
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