title: Knowledge and attitudes towards influenza vaccination of health care workers in emergency services.
abstract: Annual vaccination rates among French health care workers (HCWs) are in decline even in Emergency Services to which patients at highest risk of influenza complications are admitted, and in which HCWs have the greatest risk of exposure to influenza from patients. We aimed here to identify knowledge and attitudes towards influenza vaccination of HCWs in Emergency Services. We collected 344 self-administered questionnaires of 1060 HCWs. Only 18% of HCWs were vaccinated against influenza. Physicians were vaccinated more often (55%) than nurses (16%) or aid nurses (11%). The most important barriers to vaccination were reported as being a lack of time (33%), lack of safety of the vaccine (31%), fear of contracting influenza due to vaccination (29%), and lack of effectiveness (23%). Being vaccinated was significantly related to a higher knowledge score based on epidemiological influenza items (OR (95% CI)) (1.63 (1.08-2.46)) and vaccine features items (2.36 (1.36-4.10)).
authors.affiliation: Univ. Lille, EA 4483 - IMPECS - IMPact de l'Environnement Chimique sur la Santé humaine, F-59000 Lille, France; CHU Lille, Service des Exploration Fonctionnelles Respiratoires, F-59000 Lille, France. Electronic address: sebastien.hulo@univ-lille2.fr.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Hulo
authors.affiliation: CHU Lille, Service de Médecine du Travail du Personnel Hospitalier, F-59000 Lille, France. Electronic address: alexandra.nuvoli@yahoo.fr.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Nuvoli
authors.affiliation: Univ. Lille, EA 4483 - IMPECS - IMPact de l'Environnement Chimique sur la Santé humaine, F-59000 Lille, France; CHU Lille, Service de Médecine du Travail du Personnel Hospitalier, F-59000 Lille, France. Electronic address: annie.sobaszek@univ-lille2.fr.
authors.forename: Annie
authors.initials: A
authors.lastname: Sobaszek
authors.affiliation: CHU Lille, Service de Médecine du Travail du Personnel Hospitalier, F-59000 Lille, France. Electronic address: alexandra.trichard@chru-lille.fr.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Salembier-Trichard
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services; D005260:Female; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data
chemical_list: D007252:Influenza Vaccines
keywords: Emergency services; Health care worker; Influenza vaccine coverage