title: Promoting Influenza Vaccination to Restaurant Employees.
abstract: To evaluate an evidence-based workplace approach to increasing adult influenza vaccination levels applied in the restaurant setting
  
  
  
  We implemented an intervention and conducted a pre/post analysis to determine effect on vaccination.
  
  
  
  Eleven Seattle-area restaurants.
  
  
  
  Restaurants with 25+ employees speaking English or Spanish and over 18 years.
  
  
  
  Restaurants received influenza vaccination promotion materials, assistance arranging on-site vaccination events, and free influenza vaccinations for employees.
  
  
  
  Pre/post employee surveys of vaccination status with direct observation and employer interviews to evaluate implementation.
  
  
  
  We conducted descriptive analysis of employee survey data and performed qualitative analysis of implementation data. To assess intervention effect, we used a mixed-effects logistic regression model with a restaurant-specific random effect.
  
  
  
  Vaccination levels increased from 26% to 46% (adjusted odds ratio 2.33, 95% confidence interval 1.69, 3.22), with 428 employees surveyed preintervention, 305 surveyed postintervention, and response rates of 73% and 55%, respectively. The intervention was effective across subgroups, but there were restaurant-level differences.
  
  
  
  An access-based workplace intervention can increase influenza vaccination levels in restaurant employees, but restaurant-level factors may influence success.
authors: VA Puget Sound Health Care System, Seattle, WA.
authors: Meredith C
authors: MC
authors: Graves
authors: Department of Health Services, University of Washington School of Public Health, Seattle, Washington Health Promotion Research Center, a Centers for Disease Control and Prevention Research Center, Seattle, Washington jh7@uw.edu.
authors: Jeffrey R
authors: JR
authors: Harris
authors: Department of Health Services, University of Washington School of Public Health, Seattle, Washington Health Promotion Research Center, a Centers for Disease Control and Prevention Research Center, Seattle, Washington.
authors: Peggy A
authors: PA
authors: Hannon
authors: Department of Health Services, University of Washington School of Public Health, Seattle, Washington Health Promotion Research Center, a Centers for Disease Control and Prevention Research Center, Seattle, Washington.
authors: Kristen
authors: K
authors: Hammerback
authors: Department of Health Services, University of Washington School of Public Health, Seattle, Washington Health Promotion Research Center, a Centers for Disease Control and Prevention Research Center, Seattle, Washington.
authors: Amanda T
authors: AT
authors: Parrish
authors: Immunization Services Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors: Faruque
authors: F
authors: Ahmed
authors: Department of Health Services, University of Washington School of Public Health, Seattle, Washington Seattle Children's Research Institute, Seattle, Washington.
authors: Chuan
authors: C
authors: Zhou
authors: Department of Health Services, University of Washington School of Public Health, Seattle, Washington Health Promotion Research Center, a Centers for Disease Control and Prevention Research Center, Seattle, Washington.
authors: Claire L
authors: CL
authors: Allen
mesh_terms: D000328:Adult; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007252:Influenza Vaccines / Q000627:therapeutic use*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D012147:Restaurants / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data*; D014861:Washington; D017132:Workplace / Q000523:psychology* / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines
keywords: Employee; Health focus: medical self care; Hispanic/Latino; Immunization; Influenza; Manuscript format: research; Outcome measure: behavioral; Prevention Research; Promotion; Research purpose: intervention testing; Setting: workplace; Strategy: behavior change; Study design: pre/post analysis; Target population age: adults; Target population circumstances: low-income; Vaccination; Workplace