title: Which determinants should be targeted to increase influenza vaccination uptake among health care workers in nursing homes?
abstract: Although health care workers (HCWs) have been recommended to be immunized against influenza, vaccine uptake remains low. So far, research on determinants of influenza vaccination among HCWs has been limited by design, population or theoretical framework. Therefore we conducted a questionnaire study in Dutch nursing homes to assess which demographical, behavioural and organisational determinants were associated with influenza vaccine uptake among HCWs. We were able to accurately predict vaccine uptake based on a 13-item prediction model including two demographical, nine behavioural and two organisational determinants developed with data from 1,125 respondents (response rate 60%). To further increase influenza vaccine uptake, implementation programs should target these determinants.
authors.affiliation: Julius Center for Health Sciences and Primary Health Care, University Medical Center Utrecht, Utrecht, The Netherlands. i.looijmans@umcutrecht.nl
authors.forename: I
authors.initials: I
authors.lastname: Looijmans-van den Akker
authors.forename: J J M
authors.initials: JJ
authors.lastname: van Delden
authors.forename: Th J M
authors.initials: TJ
authors.lastname: Verheij
authors.forename: G A
authors.initials: GA
authors.lastname: van Essen
authors.forename: M A B
authors.initials: MA
authors.lastname: van der Sande
authors.forename: M E
authors.initials: ME
authors.lastname: Hulscher
authors.forename: E
authors.initials: E
authors.lastname: Hak
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006282:Health Personnel; D006801:Humans; D007252:Influenza Vaccines / Q000276:immunology*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009735:Nursing Homes; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines