title: Healthcare workers' knowledge and attitudes about pertussis and pertussis vaccination.
abstract: OBJECTIVE
  To determine knowledge and attitudes about pertussis and pertussis vaccination among healthcare workers (HCWs).
  
  
  METHODS
  Self-administered, Web-based survey.
  
  
  METHODS
  Tertiary-care academic medical center.
  
  
  METHODS
  Medical center employees who participated in direct patient care were recruited to complete the survey through institutional e-mail.
  
  
  RESULTS
  Of 14,893 potentially eligible employees, 1,819 (12%) completed the survey. Most respondents (87%) did not plan to receive the pertussis vaccine. Intent to receive vaccination (which included recent history of vaccination) was associated with the following 4 factors: receipt of a physician recommendation for vaccination (odds ratio [OR], 9.01), awareness of Centers for Disease Control and Prevention recommendations for pertussis vaccination for HCWs (OR, 6.89), receipt of encouragement to be vaccinated from a coworker (OR, 4.72), the belief that HCWs may spread pertussis to patients and family (OR, 1.80). Two factors were negatively associated with intent to receive vaccination: the presence of children in the HCW's home (OR, 0.69) and employment as a nurse (OR, 0.59). Reasons cited by those who did not intend to receive vaccination included lack of a personal recommendation for vaccination (78%), receipt of vaccination as a child (51%), and perception that there was no significant risk for contracting pertussis (38%).
  
  
  CONCLUSIONS
  Of the HCWs surveyed, only 13% intended to receive the pertussis vaccine. A perceived lack of recommendation for vaccination and inaccurate conceptions about pertussis and pertussis vaccination were cited as reasons HCWs did not intend to be vaccinated. Institutional pertussis vaccination campaigns should focus on the risks of healthcare-associated pertussis and new recommendations for pertussis vaccination.
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Vanderbilt University, Nashville, TN 37232, USA. william.goins@vanderbilt.edu
authors.forename: William P
authors.initials: WP
authors.lastname: Goins
authors.forename: William
authors.initials: W
authors.lastname: Schaffner
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Edwards
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Talbot
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D000488:Allied Health Personnel / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010567:Pertussis Vaccine; D045808:Refusal to Participate / Q000523:psychology*; D013714:Tennessee; D014611:Vaccination / Q000523:psychology*; D014917:Whooping Cough / Q000517:prevention & control*
chemical_list: D010567:Pertussis Vaccine