Factors influencing take-up rate of influenza vaccine amongst healthcare workers in a cancer centre in Singapore. Han, M. Z. P., Ong, W. S., & Wong, S. H. Antimicrobial Resistance and Infection Control, 2017.
Factors influencing take-up rate of influenza vaccine amongst healthcare workers in a cancer centre in Singapore [link]Paper  doi  abstract   bibtex   
Introduction: In Singapore, all healthcare workers who come in contact with patients and patient specimens are recommended for annual seasonal influenza vaccination. Although the seasonal influenza vaccination is free and offered at our Ambulatory Cancer Centre, the uptake among HCW has seen a gradual decline from 41% in 2007 to 28% in 2015. Objective(s): The objectives of this study were to examine motivators and barriers influencing healthcare worker's compliance with influenza vaccination; and identify modifiable factors that can improve vaccine take-up rate. Method(s): A cross-sectional anonymous survey was distributed to 906 healthcare workers (HCW) at Cancer Centre with a response rate of 56% in 2016. The survey consisted of 3 sections; demographic data, vaccination history and Health Belief Model Categories Scale. Result(s): A total of 205 HCW (41%) were vaccinated in 2015. About half of HCW had \textgreater= 5 years working experience, and 74% had patient contact. HCW who received seasonal influenza vaccines in the past 5 years (p \textless 0.001) and those with patient contact (p = 0.05) were more likely to be vaccinated. Nineteen of the 21 HBM factors were also associated with influenza vaccine uptake (p \textless 0.05). On multivariate analysis, independent factors associated with vaccination uptake were (1) history of receiving influenza vaccine in the past 5 years (OR = 28.75; 95% CI, 12.01-68.83); (2) perceived protection after the influenza vaccination (OR = 2.77; 1.64-4.69); (3) concur the use of talks/ poster as reminder for influenza vaccination (OR = 2.01; 1.18-3.43); and (4) concerns about the serious adverse reactions after receiving influenza vaccine (OR = 0.41; 0.22-0.76). Conclusion(s): This study allowed an in-depth insight into the fundamental reasons of healthcare workers' reluctance to receive influenza vaccination. With the identification of factors influencing vaccination, tailoring promotion programmes targeted at addressing HWC's concerns; giving positive motivations thereby leading to increase uptake of vaccinations is invaluable.
@article{han_factors_2017,
	title = {Factors influencing take-up rate of influenza vaccine amongst healthcare workers in a cancer centre in {Singapore}},
	volume = {6},
	issn = {2047-2994},
	url = {http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed18&NEWS=N&AN=619544929},
	doi = {10.1186/s13756-017-0201-4},
	abstract = {Introduction: In Singapore, all healthcare workers who come in contact with patients and patient specimens are recommended for annual seasonal influenza vaccination. Although the seasonal influenza vaccination is free and offered at our Ambulatory Cancer Centre, the uptake among HCW has seen a gradual decline from 41\% in 2007 to 28\% in 2015. Objective(s): The objectives of this study were to examine motivators and barriers influencing healthcare worker's compliance with influenza vaccination; and identify modifiable factors that can improve vaccine take-up rate. Method(s): A cross-sectional anonymous survey was distributed to 906 healthcare workers (HCW) at Cancer Centre with a response rate of 56\% in 2016. The survey consisted of 3 sections; demographic data, vaccination history and Health Belief Model Categories Scale. Result(s): A total of 205 HCW (41\%) were vaccinated in 2015. About half of HCW had {\textgreater}= 5 years working experience, and 74\% had patient contact. HCW who received seasonal influenza vaccines in the past 5 years (p {\textless} 0.001) and those with patient contact (p = 0.05) were more likely to be vaccinated. Nineteen of the 21 HBM factors were also associated with influenza vaccine uptake (p {\textless} 0.05). On multivariate analysis, independent factors associated with vaccination uptake were (1) history of receiving influenza vaccine in the past 5 years (OR = 28.75; 95\% CI, 12.01-68.83); (2) perceived protection after the influenza vaccination (OR = 2.77; 1.64-4.69); (3) concur the use of talks/ poster as reminder for influenza vaccination (OR = 2.01; 1.18-3.43); and (4) concerns about the serious adverse reactions after receiving influenza vaccine (OR = 0.41; 0.22-0.76). Conclusion(s): This study allowed an in-depth insight into the fundamental reasons of healthcare workers' reluctance to receive influenza vaccination. With the identification of factors influencing vaccination, tailoring promotion programmes targeted at addressing HWC's concerns; giving positive motivations thereby leading to increase uptake of vaccinations is invaluable.},
	language = {English},
	number = {Supplement 3},
	journal = {Antimicrobial Resistance and Infection Control},
	author = {Han, M. Z. P. and Ong, W. S. and Wong, S. H.},
	year = {2017},
	keywords = {*Singapore, *cancer center, *health care personnel, *influenza vaccine, Health Belief Model, adult, demography, drug therapy, human, influenza vaccination, motivation, multivariate analysis, seasonal influenza},
}

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