title: Factors affecting uptake of recommended immunizations among health care workers in South Australia.
abstract: Despite the benefits of vaccination for health care workers (HCWs), uptake of recommended vaccinations is low, particularly for seasonal influenza and pertussis. In addition, there is variation in uptake within hospitals. While all vaccinations recommended for HCWs are important, vaccination against influenza and pertussis are particularly imperative, given HCWs are at risk of occupationally acquired influenza and pertussis, and may be asymptomatic, acting as a reservoir to vulnerable patients in their care. This study aimed to determine predictors of uptake of these vaccinations and explore the reasons for variation in uptake by HCWs working in different hospital wards. HCWs from wards with high and low influenza vaccine uptake in a tertiary pediatric and obstetric hospital completed a questionnaire to assess knowledge of HCW recommended immunizations. Multiple logistic regression was used to determine predictors of influenza and pertussis vaccination uptake. Of 92 HCWs who responded, 9.8% were able to identify correctly the vaccines recommended for HCWs. Overall 80% of respondents reported they had previously received influenza vaccine and 50.5% had received pertussis vaccine. Independent predictors of pertussis vaccination included length of time employed in health sector (P < 0.001), previously receiving hepatitis B/MMR (measles, mumps, rubella) vaccine (P < 0.001), and a respondent being aware influenza infections could be severe in infants (p = 0.023). Independent predictors of seasonal influenza vaccination included younger age (P < 0.001), English as first language (P < 0.001), considering it important to be vaccinated to protect themselves (P < 0.001), protect patients (p = 0.012) or awareness influenza could be serious in immunocompromised patients (p = 0.030). Independent predictors for receiving both influenza and pertussis vaccinations included younger age (P < 0.001), time in area of work (P = 0.020), previously receiving hepatitis B vaccine (P = 0.006) and awareness influenza could be severe in infants (P < 0.001). A knowledge gap exists around HCW awareness of vaccination recommendations. Assessment of the risk/benefit value for HCWs and their patients, determines uptake of HCW immunization programs and should be considered in promotional HCW vaccination programs.
authors.affiliation: a Vaccinology and Immunology Research Trials Unit; Women's and Children's Hospital ; North Adelaide , South Australia , Australia.
authors.forename: Jane L
authors.initials: JL
authors.lastname: Tuckerman
authors.forename: Joanne E
authors.initials: JE
authors.lastname: Collins
authors.forename: Helen S
authors.initials: HS
authors.lastname: Marshall
mesh_terms: D000328:Adult; D003428:Cross Infection / Q000517:prevention & control; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence; D006282:Health Personnel; D006801:Humans; D007114:Immunization; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control; D010342:Patient Acceptance of Health Care; D013021:South Australia; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: HCW, health care worker; HUW, high uptake ward; LUW, low uptake ward; MMR, Measles Mumps Rubella; healthcare workers; hospitals; influenza; pertussis; vaccination