Determinants of change in intention to receive influenza vaccination among health-care workers in Singapore. Lim, D. W., Ho, H. J., Lee, L. T., Chow, A., & Kyaw, W. M. Human Vaccines & Immunotherapeutics.
Determinants of change in intention to receive influenza vaccination among health-care workers in Singapore [link]Paper  doi  abstract   bibtex   
Understanding the change in intention for influenza vaccine among health-care workers (HCWs) is important to increase influenza vaccination uptake. We aimed to investigate the psychosocial beliefs associated with a change in the intention for influenza vaccine. An anonymous cross-sectional survey was distributed to tertiary hospital HCWs in 2016. Of 3007 HCWs, 70% were compliant (vaccinated, with an intention to revaccinate), 8% were resistant (unvaccinated, without intention to vaccinate), 10% had positive change (unvaccinated, but with intention) and 12% had negative change (vaccinated, but without intention). Across HCW groups, medical staff had both the highest proportion receiving all influenza vaccinations in the last 5 years (101, 28.4%), as well as the highest proportion who had never received vaccination (41, 11.5%). With increasing age, HCWs were less likely to have a negative (p = .02) or positive change (p = .06) in intention, compared to the vaccine-resistant group. HCWs were more likely to be compliant or have a positive change in intention to receive influenza vaccine, if they perceived the vaccine as effective, safe, or had a higher frequency of influenza vaccination in the last 5 years (all with p \textless .05). HCWs who were medical staff, who believed that side effects of the vaccine were common, or had worked for 6 to 10 years (vs 5 years or less) were less likely to be compliant (all with p \textless .05). In conclusion, older HCWs were more likely to maintain the status quo in their behavior toward influenza vaccination. Influenza vaccination strategies should place emphasis on vaccine effectiveness and safety.
@article{lim_determinants_nodate,
	title = {Determinants of change in intention to receive influenza vaccination among health-care workers in {Singapore}},
	issn = {2164-5515},
	url = {://WOS:000496579400001},
	doi = {10.1080/21645515.2019.1688037},
	abstract = {Understanding the change in intention for influenza vaccine among health-care workers (HCWs) is important to increase influenza vaccination uptake. We aimed to investigate the psychosocial beliefs associated with a change in the intention for influenza vaccine. An anonymous cross-sectional survey was distributed to tertiary hospital HCWs in 2016. Of 3007 HCWs, 70\% were compliant (vaccinated, with an intention to revaccinate), 8\% were resistant (unvaccinated, without intention to vaccinate), 10\% had positive change (unvaccinated, but with intention) and 12\% had negative change (vaccinated, but without intention). Across HCW groups, medical staff had both the highest proportion receiving all influenza vaccinations in the last 5 years (101, 28.4\%), as well as the highest proportion who had never received vaccination (41, 11.5\%). With increasing age, HCWs were less likely to have a negative (p = .02) or positive change (p = .06) in intention, compared to the vaccine-resistant group. HCWs were more likely to be compliant or have a positive change in intention to receive influenza vaccine, if they perceived the vaccine as effective, safe, or had a higher frequency of influenza vaccination in the last 5 years (all with p {\textless} .05). HCWs who were medical staff, who believed that side effects of the vaccine were common, or had worked for 6 to 10 years (vs 5 years or less) were less likely to be compliant (all with p {\textless} .05). In conclusion, older HCWs were more likely to maintain the status quo in their behavior toward influenza vaccination. Influenza vaccination strategies should place emphasis on vaccine effectiveness and safety.},
	language = {English},
	journal = {Human Vaccines \& Immunotherapeutics},
	author = {Lim, D. W. and Ho, H. J. and Lee, L. T. and Chow, A. and Kyaw, W. M.},
	keywords = {Biotechnology \& Applied Microbiology, Healthcare personnel, Immunology, attitudes, beliefs, communication, decision, health, health behavior, hospital, influenza vaccination, knowledge, message fatigue, nurses, predictors, risk perception},
	pages = {7},
}

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