title: Trends in influenza vaccine coverage among primary healthcare workers in Spain, 2008-2011.
abstract: OBJECTIVE
  To evaluate trends in seasonal influenza vaccination coverage in primary healthcare workers (PHCWs) in Spain between 2008 and 2011.
  
  
  METHODS
  We made an anonymous web survey of PHCWs in 2012. Information on attitudes towards and knowledge of influenza vaccine, and immunization in previous seasons was collected. Self-reported vaccination coverage and factors related to vaccination continuity were analysed.
  
  
  RESULTS
  Of 5433 workers contacted, 2625 (48.3%) responded to the survey: 47.0% were general practitioners, 10.3% paediatricians and 42.7% nurses. Their reported vaccination rates from seasons 2008-2009 to 2011-2012 decreased over time: 58.4%, 57.4%, 53.2% and 49.3% (linear trend, p < 0.001). Among workers vaccinated in any previous season, 70.2% were vaccinated again in 2011-2012, compared with 5.2% among those not previously vaccinated (p < 0.001). Continuity of vaccination increased with age and with the worker or cohabitant having a major chronic condition. Vaccination was higher in workers who recognized vaccination as effective and those worried about being infected or infecting patients.
  
  
  CONCLUSIONS
  Influenza vaccination coverage in PHCWs has declined, especially after the pandemic. Intensive interventions are needed to change this trend. Knowledge of vaccination should be reinforced by stressing the effectiveness of the vaccine and the risks of influenza for workers and patients.
authors.affiliation: Instituto de Salud Pública de Navarra, Pamplona, Spain. jcastilc@navarra.es
authors.forename: Jesús
authors.initials: J
authors.lastname: Castilla
authors.forename: Iván
authors.initials: I
authors.lastname: Martínez-Baz
authors.forename: Pere
authors.initials: P
authors.lastname: Godoy
authors.forename: Diana
authors.initials: D
authors.lastname: Toledo
authors.forename: Jenaro
authors.initials: J
authors.lastname: Astray
authors.forename: Susana
authors.initials: S
authors.lastname: García
authors.forename: José María
authors.initials: JM
authors.lastname: Mayoral
authors.forename: Vicente
authors.initials: V
authors.lastname: Martín
authors.forename: Fernando
authors.initials: F
authors.lastname: González-Candelas
authors.forename: Marcela
authors.initials: M
authors.lastname: Guevara
authors.forename: José
authors.initials: J
authors.lastname: Diaz-Borrego
authors.forename: Núria
authors.initials: N
authors.lastname: Torner
authors.forename: Maretva
authors.initials: M
authors.lastname: Baricot
authors.forename: Sonia
authors.initials: S
authors.lastname: Tamames
authors.forename: Angela
authors.initials: A
authors.lastname: Domínguez
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D015331:Cohort Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D007252:Influenza Vaccines; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D057566:Self Report; D013030:Spain; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines
keywords: Healthcare workers; Influenza vaccination; Pandemic influenza; Primary health care; Vaccine coverage