title: Effectiveness of worksite interventions to increase influenza vaccination rates among employees and families.
abstract: OBJECTIVE
  To increase influenza vaccination rates among industrial employees and their families through a campaign at a large corporation.
  
  
  METHODS
  This prospective, multisite study used employee surveys and claims data to evaluate an evidence-based worksite vaccination program.
  
  
  RESULTS
  Vaccination rates among insured employees and dependents (N = 13,520) increased significantly after the intervention (P < 0.001). More than 90% of vaccinated employees received vaccine at employer-sponsored events. There was a strong association between employee and family vaccination status. Primary reasons for receiving the vaccine were economic (free 84%; convenient 80%; avoid absenteeism 82%), rather than health-related. Knowledge was associated with vaccination, but customized education did not change beliefs.
  
  
  CONCLUSIONS
  Worksite programs can demonstrably increase vaccination rates among industrial employees and families. Consideration should be given to repositioning vaccination from medical treatment to community initiatives offered with other worksite health promotion programs.
authors.affiliation: Ofstead & Associates, Inc., Saint Paul, MN 55102, USA. cori@ofsteadinsights.com
authors.forename: Cori L
authors.initials: CL
authors.lastname: Ofstead
authors.forename: Bruce W
authors.initials: BW
authors.lastname: Sherman
authors.forename: Harry P
authors.initials: HP
authors.lastname: Wetzler
authors.forename: Alexandra M
authors.initials: AM
authors.lastname: Dirlam Langlay
authors.forename: Natalie J
authors.initials: NJ
authors.lastname: Mueller
authors.forename: Jeremy M
authors.initials: JM
authors.lastname: Ward
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Ritter
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Poland
mesh_terms: D000328:Adult; D003256:Community Participation / Q000523:psychology / Q000706:statistics & numerical data*; D003657:Decision Making; D005190:Family; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007221:Industry; D007251:Influenza, Human / Q000517:prevention & control*; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D014611:Vaccination / Q000523:psychology / Q000706:statistics & numerical data*; D017132:Workplace