Exploring determinants of acceptance of the pandemic influenza A (H1N1) 2009 vaccination in nurses

This study investigated the anticipated vaccination rate against pandemic human influenza A (H1N1) 2009 in the health care setting. Self-administered questionnaires were used to assess nurses' acceptance of vaccination against seasonal flu and H1N1. They were sent to nurses by post through vari...

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Bibliographic Details
Published in:American journal of infection control 2010-10, Vol.38 (8), p.623-630
Main Authors: To, Kin-Wang, MBChB, Lee, Sing, MBBS, Chan, Tat-On, MPhil, Lee, Shui-Shan, MD
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Biological and medical sciences
Cohort Studies
Data Collection
Disease control
Epidemiology. Vaccinations
General aspects
health care worker
Health Knowledge, Attitudes, Practice
Health Surveys
Hong Kong
Human viral diseases
Humans
Immunization
Infection Control
Infectious Disease
Infectious diseases
Influenza A Virus, H1N1 Subtype - immunology
Influenza Vaccines - administration & dosage
Influenza, Human - prevention & control
Mass Vaccination
Medical sciences
Nurses
Pandemics
Pandemics - prevention & control
Patient Acceptance of Health Care - statistics & numerical data
Questionnaires
Severe acute respiratory syndrome
Studies
Surveys and Questionnaires
Swine flu
Treatment Refusal - statistics & numerical data
Vaccination - statistics & numerical data
vaccine
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
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Summary:This study investigated the anticipated vaccination rate against pandemic human influenza A (H1N1) 2009 in the health care setting. Self-administered questionnaires were used to assess nurses' acceptance of vaccination against seasonal flu and H1N1. They were sent to nurses by post through various nurses' unions before initiation of the vaccination program. Only 13.3% of the respondents planned to receive the H1N1 vaccine, compared with 37.5% for the seasonal influenza vaccine. Vaccination against seasonal influenza in the preceding season strongly predicted the likelihood of H1N1 vaccination. The main reason cited for H1N1 vaccination was self-protection, and reasons for rejecting vaccination included possible side effects, ineffectiveness of the vaccine, and the mild nature of the disease. Personal contact with patients with H1N1 or severe acute respiratory syndrome at work did not significantly increase the likelihood of receiving the H1N1 vaccine. More than 40% of the respondents were undecided at the time of the survey. The promotion of vaccination against seasonal influenza may play a role in improving H1N1 vaccination coverage. Efforts are needed to address concerns about vaccination risk and to incorporate H1N1 vaccination in standard infection control practice with policy support.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2010.05.015