Factors influencing seasonal influenza vaccination uptake among health care workers in an adult tertiary care hospital in Singapore: A cross-sectional survey. Kyaw, W. M., Chow, A., Hein, A. A., Lee, L. T., Leo, Y. S., & Ho, H. J. American Journal of Infection Control, 47(2):133–138, 2019.
Factors influencing seasonal influenza vaccination uptake among health care workers in an adult tertiary care hospital in Singapore: A cross-sectional survey [link]Paper  doi  abstract   bibtex   
Highlights • Most healthcare workers believed that influenza was a serious illness. • 74% of participants agreed to mandatory influenza vaccination. • Administrative and nursing groups had more concerns about the risks of vaccination. • Low vaccination coverage among allied health professionals. • Medical group did not translate knowledge into action. Background This study aimed to evaluate the factors influencing seasonal influenza vaccination uptake among different health care professional groups. Methods A single-center, cross-sectional survey using a standardized anonymous, self-administered questionnaire to assess knowledge, attitudes, and uptake of seasonal influenza vaccination was used. Associations between respective health care groups and vaccination acceptance were then assessed. Results In total, 3,873 health care workers completed the questionnaire. Of these, 7% were administrative staff, 17% were allied health staff, 7% were ancillary staff, 11% were medical staff, and 58% were nursing staff. The overall vaccination rate for the Southern Hemisphere 2015 influenza season was 82%. In a multivariate logistic regression model, after controlling for gender and presence of chronic disease, associated factors for accepting influenza vaccination were age, education level of bachelor degree or higher, preference for vaccination provided by mobile teams, having 1-50 patient contacts per week, and belief in the potential severity of influenza and vaccine safety (P \textless.05). In contrast, factors negatively associated with vaccination acceptance included being a medical staff member or allied health staff member, living with family members under the age of 16, fear of adverse reactions, and disbelief in vaccination effectiveness (P \textless.05). Conclusions Although vaccine coverage in Singapore has been high, our findings provide guidance for the development of strategies to further improve vaccine coverage among different groups of health care workers.
@article{kyaw_factors_2019,
	title = {Factors influencing seasonal influenza vaccination uptake among health care workers in an adult tertiary care hospital in {Singapore}: {A} cross-sectional survey},
	volume = {47},
	issn = {0196-6553},
	url = {http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134252846&site=ehost-live},
	doi = {10.1016/j.ajic.2018.08.011},
	abstract = {Highlights • Most healthcare workers believed that influenza was a serious illness. • 74\% of participants agreed to mandatory influenza vaccination. • Administrative and nursing groups had more concerns about the risks of vaccination. • Low vaccination coverage among allied health professionals. • Medical group did not translate knowledge into action. Background This study aimed to evaluate the factors influencing seasonal influenza vaccination uptake among different health care professional groups. Methods A single-center, cross-sectional survey using a standardized anonymous, self-administered questionnaire to assess knowledge, attitudes, and uptake of seasonal influenza vaccination was used. Associations between respective health care groups and vaccination acceptance were then assessed. Results In total, 3,873 health care workers completed the questionnaire. Of these, 7\% were administrative staff, 17\% were allied health staff, 7\% were ancillary staff, 11\% were medical staff, and 58\% were nursing staff. The overall vaccination rate for the Southern Hemisphere 2015 influenza season was 82\%. In a multivariate logistic regression model, after controlling for gender and presence of chronic disease, associated factors for accepting influenza vaccination were age, education level of bachelor degree or higher, preference for vaccination provided by mobile teams, having 1-50 patient contacts per week, and belief in the potential severity of influenza and vaccine safety (P {\textless}.05). In contrast, factors negatively associated with vaccination acceptance included being a medical staff member or allied health staff member, living with family members under the age of 16, fear of adverse reactions, and disbelief in vaccination effectiveness (P {\textless}.05). Conclusions Although vaccine coverage in Singapore has been high, our findings provide guidance for the development of strategies to further improve vaccine coverage among different groups of health care workers.},
	number = {2},
	journal = {American Journal of Infection Control},
	author = {Kyaw, Win Mar and Chow, Angela and Hein, Aung Aung and Lee, Lay Tin and Leo, Yee Sin and Ho, Hanley J.},
	year = {2019},
	keywords = {Adolescence, Adult, Age Factors, Aged, Attitude of Health Personnel, Attitude to Vaccines, Chi Square Test, Confidence Intervals, Cross Sectional Studies, Data Analysis Software, Female, Fisher's Exact Test, Health Belief Model, Health Beliefs, Health Personnel -- Psychosocial Factors, Human, Influenza Vaccine -- Therapeutic Use, Influenza, Seasonal -- Prevention and Control -- Singapore, Male, Middle Age, Multiple Logistic Regression, Occupational Health, Odds Ratio, Professional Knowledge, Questionnaires, Singapore, Socioeconomic Factors, Summated Rating Scaling, Tertiary Health Care, Univariate Statistics},
	pages = {133--138},
}

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