title: Work-site-based influenza vaccination in healthcare and non-healthcare settings.
abstract: OBJECTIVE
  To better understand work-site-based programs for influenza vaccination.
  
  
  METHODS
  Self-administered, mailed questionnaire.
  
  
  METHODS
  Healthcare and non-healthcare companies.
  
  
  METHODS
  Random sample of 2000 members of the American Association of Occupational Health Nurses.
  
  
  RESULTS
  The response rate was 55%, and 88% of the respondents were employed by companies sponsoring work-site influenza vaccination. Thirty-two percent of respondents worked for healthcare and healthcare-related services companies. Healthcare companies were more likely to sponsor worksite-based vaccination (94% vs 85%; P < .0001) compared with non-healthcare companies. Healthcare companies were also more likely to encourage vaccination of high-risk employees (70% vs 55%; P < .0001) and cover its cost (86% vs 61%; P < .0001). Multivariate logistic regression was used to determine factors associated with highly successful vaccination. Being a healthcare-related company (OR, 2.1; CI95, 1.4-3.2; P < .0001), employers covering the vaccination cost (OR, 3.1; CI95, 1.4-6.6; P = .004), having more experience with work-site vaccination (OR, 1.6; CI95, 1.0-2.4; P = .036), and management encouraging vaccination (OR, 2.6; CI95, 1.4-4.9; P = .002) were associated with highly successful programs.
  
  
  CONCLUSIONS
  Most of the occupational health nurses surveyed work for employers sponsoring work-site vaccination, and 32% were employed by healthcare and related services companies. Healthcare companies were more likely to sponsor worksite-based vaccination and to vaccinate most of their employees; however, only 18% had vaccination rates higher than 50%. Strategies need to be developed to increase vaccination rates so that benefits of vaccination can be realized by employers and employees.
authors.affiliation: Medicine Service and Center for Chronic Disease Outcomes Research, Veterans Affairs Medical Center, Minnesota 55417, USA.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: D'Heilly
authors.forename: Kristin L
authors.initials: KL
authors.lastname: Nichol
mesh_terms: D000293:Adolescent; D000328:Adult; D019538:Health Care Surveys; D006266:Health Education / Q000379:methods / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration* / Q000706:statistics & numerical data*; D007252:Influenza Vaccines / Q000627:therapeutic use*; D007251:Influenza, Human / Q000517:prevention & control*; D016015:Logistic Models; D008875:Middle Aged; D016272:Occupational Health / Q000706:statistics & numerical data*; D009785:Occupational Health Nursing / Q000706:statistics & numerical data; D014481:United States; D017132:Workplace / Q000706:statistics & numerical data
chemical_list: D007252:Influenza Vaccines