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BMC Public Health. 2017 Jul 7;17(1):634. doi: 10.1186/s12889-017-4556-5.
Seasonal influenza vaccination coverage and its determinants among nursing homes personnel in western France.
Elias C1,2, Fournier A1,2, Vasiliu A1,2, Beix N1,2, Demillac R1,3, Tillaut H4, Guillois Y4, Eyebe S1,2, Mollo B1,2, Cr?pey P5,6,7.
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Abstract
BACKGROUND:
Influenza-associated deaths is an important risk for the elderly in nursing homes (NHs) worldwide. Vaccination coverage among residents is high but poorly effective due to immunosenescence. Hence, vaccination of personnel is an efficient way to protect residents. Our objective was to quantify the seasonal influenza vaccination (IV) coverage among NH for elderly workers and identify its determinants in France.
METHODS:
We conducted a cross-sectional study in March 2016 in a randomized sample of NHs of the Ille-et-Vilaine department of Brittany, in western France. A standardized questionnaire was administered to a randomized sample of NH workers for face-to-face interviews. General data about the establishment was also collected.
RESULTS:
Among the 33 NHs surveyed, IV coverage for the 2015-2016 season among permanent workers was estimated at 20% (95% Confidence Interval (CI) 15.3%-26.4%) ranging from 0% to 69% depending on the establishments surveyed. Moreover, IV was associated with having previously experienced a "severe" influenza episode in the past (Prevalence Ratio 1.48, 95% CI 1.01-2.17), and varied by professional categories (p < 0.004) with better coverage among administrative staff. Better knowledge about influenza prevention tools was also correlated (p < 0.001) with a higher IV coverage. Individual perceptions of vaccination benefits had a significant influence on the IV coverage (p < 0.001). Although IV coverage did not reach a high rate, our study showed that personnel considered themselves sufficiently informed about IV.
CONCLUSIONS:
IV coverage remains low in the NH worker population in Ille-et-Vilaine and also possibly in France. Strong variations of IV coverage among NHs suggest that management and working environment play an important role. To overcome vaccine "hesitancy", specific communication tools may be required to be adapted to the various NH professionals to improve influenza prevention.
KEYWORDS:
Cross-sectional study; France; Influenza vaccination; Nursing homes; Vaccination coverage
PMID: 28687075 DOI: 10.1186/s12889-017-4556-5
Free PMC Article
Seasonal influenza vaccination coverage and its determinants among nursing homes personnel in western France.
Elias C1,2, Fournier A1,2, Vasiliu A1,2, Beix N1,2, Demillac R1,3, Tillaut H4, Guillois Y4, Eyebe S1,2, Mollo B1,2, Cr?pey P5,6,7.
Author information
Abstract
BACKGROUND:
Influenza-associated deaths is an important risk for the elderly in nursing homes (NHs) worldwide. Vaccination coverage among residents is high but poorly effective due to immunosenescence. Hence, vaccination of personnel is an efficient way to protect residents. Our objective was to quantify the seasonal influenza vaccination (IV) coverage among NH for elderly workers and identify its determinants in France.
METHODS:
We conducted a cross-sectional study in March 2016 in a randomized sample of NHs of the Ille-et-Vilaine department of Brittany, in western France. A standardized questionnaire was administered to a randomized sample of NH workers for face-to-face interviews. General data about the establishment was also collected.
RESULTS:
Among the 33 NHs surveyed, IV coverage for the 2015-2016 season among permanent workers was estimated at 20% (95% Confidence Interval (CI) 15.3%-26.4%) ranging from 0% to 69% depending on the establishments surveyed. Moreover, IV was associated with having previously experienced a "severe" influenza episode in the past (Prevalence Ratio 1.48, 95% CI 1.01-2.17), and varied by professional categories (p < 0.004) with better coverage among administrative staff. Better knowledge about influenza prevention tools was also correlated (p < 0.001) with a higher IV coverage. Individual perceptions of vaccination benefits had a significant influence on the IV coverage (p < 0.001). Although IV coverage did not reach a high rate, our study showed that personnel considered themselves sufficiently informed about IV.
CONCLUSIONS:
IV coverage remains low in the NH worker population in Ille-et-Vilaine and also possibly in France. Strong variations of IV coverage among NHs suggest that management and working environment play an important role. To overcome vaccine "hesitancy", specific communication tools may be required to be adapted to the various NH professionals to improve influenza prevention.
KEYWORDS:
Cross-sectional study; France; Influenza vaccination; Nursing homes; Vaccination coverage
PMID: 28687075 DOI: 10.1186/s12889-017-4556-5
Free PMC Article