External cues to action and influenza vaccination among post-graduate trainee physicians in Toronto, Canada

被引:13
作者
Nowrouzi-Kia, Behnam [1 ]
McGeer, Allison [1 ,2 ]
机构
[1] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON M5S 1A1, Canada
[2] Mt Sinai Hosp, Dept Microbiol, Toronto, ON M5G 1X5, Canada
关键词
Influenza; Vaccine; Healthcare worker; HEALTH-CARE WORKERS; MEDICAL RESIDENTS; ATTITUDES; ACCEPTANCE; IMMUNIZATION; WILLINGNESS; KNOWLEDGE; COVERAGE; DECISION; PROGRAM;
D O I
10.1016/j.vaccine.2014.04.067
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: Understanding factors affecting trainee physician choices about vaccination may permit the design of more effective vaccination programmes. Methods: To identify factors associated with seasonal and pandemic influenza vaccination, an online questionnaire based on the health belief model was sent to trainee physicians registered at the postgraduate medical education office at the University of Toronto in September 2011. Results: 963 complete responses were received from 1884 trainee physicians (51%); 28 (2.9%) reported an allergy to vaccine components and were excluded from further analysis. Reported seasonal influenza vaccination rates in 2008, 2009 and 2010 were 69% (648/935), 75% (708/935) and 76% (703/935), respectively; 788 (84%) reported receiving the A(H1N1)pdm09 vaccine. In multivariable analysis, number of years of post-graduate training (OR for 4+ versus 1-3 post-graduate years 2.2 (95% CL 1.3, 3.8)) was associated with receipt of the 2009 pandemic vaccine, as were four components of the health belief model: odds ratios were 4.7 (95% CL 3.0, 7.5) for perceived severity, 1.9 (95% CL 1.2, 2.9) for perceived benefits, .35 (95% CL .21, .59) for perceived barriers, and 5.8 (95% CLI 3.6, 9.1) for external cues to action. Both vaccinated and unvaccinated respondents reported that their decisions were significantly influenced by encouragement from their colleagues, families and employers. Conclusion: Self-reported vaccination coverage among trainee physicians was high. External cues to action appear to be particularly important in trainee physician vaccination decisions: active institutional promotion may increase influenza vaccination rates in trainees. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:3830 / 3834
页数:5
相关论文
共 40 条
[21]   Impact of the 2009 influenza A (H1N1) pandemic on Canadian health care workers: A survey on vaccination, illness, absenteeism, and personal protective equipment [J].
Mitchell, Robyn ;
Ogunremi, Toju ;
Astrakianakis, George ;
Bryce, Elizabeth ;
Gervais, Robert ;
Gravel, Denise ;
Johnston, Lynn ;
Leduc, Stephanie ;
Roth, Virginia ;
Taylor, Geoffrey ;
Vearncombe, Mary ;
Weir, Christine .
AMERICAN JOURNAL OF INFECTION CONTROL, 2012, 40 (07) :611-616
[22]   High vaccination rates for seasonal and pandemic (A/H1N1) influenza among healthcare workers in Dutch general practice [J].
Opstelten, Wim ;
van Essen, Gerrit A. ;
Heijnen, Marie-Louise ;
Ballieux, Mireille J. P. ;
Goudswaard, Alexander N. .
VACCINE, 2010, 28 (38) :6164-6168
[23]   Willingness of healthcare workers to accept voluntary stockpiled H5N1 vaccine in advance of pandemic activity [J].
Pareek, Manish ;
Clark, Tristan ;
Dillon, Helen ;
Kurnar, Rajesh ;
Stephenson, Iain .
VACCINE, 2009, 27 (08) :1242-1247
[24]   Factors influencing pandemic influenza vaccination of healthcare workers-A systematic review [J].
Prematunge, Chatura ;
Corace, Kimberly ;
McCarthy, Anne ;
Nair, Rama C. ;
Pugsley, Renee ;
Garber, Gary .
VACCINE, 2012, 30 (32) :4733-4743
[25]  
Public Health Agency of Canada, GUID DOC US PAND INF
[26]  
Public Health Agency of Canada, STAT SEAS TRIV IN IN
[27]   Factors influencing uptake of influenza vaccination among hospital-based health care workers [J].
Qureshi, AM ;
Hughes, NJM ;
Murphy, E ;
Primrose, WR .
OCCUPATIONAL MEDICINE-OXFORD, 2004, 54 (03) :197-201
[28]   Hospital-based cluster randomised controlled trial to assess effects of a multi-faceted programme on influenza vaccine coverage among hospital healthcare workers and nosocomial influenza in the Netherlands, 2009 to 2011 [J].
Riphagen-Dalhuisen, J. ;
Burgerhof, J. G. ;
Frijstein, G. ;
van der Geest-Blankert, A. D. ;
Danhof-Pont, M. B. ;
de Jager, H. J. ;
Bos, A. A. ;
Smeets, E. E. ;
de Vries, M. J. ;
Gallee, P. M. ;
Hak, E. .
EUROSURVEILLANCE, 2013, 18 (26) :10-19
[29]   SOCIAL-LEARNING THEORY AND THE HEALTH BELIEF MODEL [J].
ROSENSTOCK, IM ;
STRECHER, VJ ;
BECKER, MH .
HEALTH EDUCATION QUARTERLY, 1988, 15 (02) :175-183
[30]  
Rosenstock IM, 1974, HLTH ED MONOGR, V2, P27