title: Personal decision-making criteria related to seasonal and pandemic A(H1N1) influenza-vaccination acceptance among French healthcare workers.
abstract: BACKGROUND
  Influenza-vaccination rates among healthcare workers (HCW) remain low worldwide, even during the 2009 A(H1N1) pandemic. In France, this vaccination is free but administered on a voluntary basis. We investigated the factors influencing HCW influenza vaccination.
  
  
  METHODS
  In June-July 2010, HCW from wards of five French hospitals completed a cross-sectional survey. A multifaceted campaign aimed at improving vaccination coverage in this hospital group was conducted before and during the 2009 pandemic. Using an anonymous self-administered questionnaire, we assessed the relationships between seasonal (SIV) and pandemic (PIV) influenza vaccinations, and sociodemographic and professional characteristics, previous and current vaccination statuses, and 33 statements investigating 10 sociocognitive domains. The sociocognitive domains describing HCWs' SIV and PIV profiles were analyzed using the classification-and-regression-tree method.
  
  
  RESULTS
  Of the HCWs responding to our survey, 1480 were paramedical and 401 were medical with 2009 vaccination rates of 30% and 58% for SIV and 21% and 71% for PIV, respectively (p<0.0001 for both SIV and PIV vaccinations). Older age, prior SIV, working in emergency departments or intensive care units, being a medical HCW and the hospital they worked in were associated with both vaccinations; while work shift was associated only with PIV. Sociocognitive domains associated with both vaccinations were self-perception of benefits and health motivation for all HCW. For medical HCW, being a role model was an additional domain associated with SIV and PIV.
  
  
  CONCLUSIONS
  Both vaccination rates remained low. Vaccination mainly depended on self-determined factors and for medical HCW, being a role model.
authors: Réanimation Médicale et des Maladies Infectieuses, Hôpital Bichat-Claude-Bernard Hôpitaux Universitaires Paris Nord-Val de Seine, Assistance Publique-Hôpitaux de Paris, Paris, France. lila.bouadma@bch.aphp.fr
authors: Lila
authors: L
authors: Bouadma
authors: François
authors: F
authors: Barbier
authors: Lucie
authors: L
authors: Biard
authors: Marina
authors: M
authors: Esposito-Farèse
authors: Bertrand
authors: B
authors: Le Corre
authors: Annick
authors: A
authors: Macrez
authors: Laurence
authors: L
authors: Salomon
authors: Christine
authors: C
authors: Bonnal
authors: Caroline
authors: C
authors: Zanker
authors: Christophe
authors: C
authors: Najem
authors: Bruno
authors: B
authors: Mourvillier
authors: Jean Christophe
authors: JC
authors: Lucet
authors: Bernard
authors: B
authors: Régnier
authors: Michel
authors: M
authors: Wolff
authors: Florence
authors: F
authors: Tubach
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003625:Data Collection; D003657:Decision Making; D005260:Female; D005602:France; D006282:Health Personnel; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D058873:Pandemics / Q000517:prevention & control*; D014611:Vaccination