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Vaccine
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doi:10.1016/j.vaccine.2011.07.079 | How to Cite or Link Using DOI
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Seasonal influenza vaccination predicts pandemic H1N1 vaccination uptake among healthcare workers in three countries
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Josette S.Y. Chora, Surinder K. Padab, Iain Stephensonc, William B. Gogginsa, Paul A. Tambyahb, Tristan William Clarkec, Mariejo Medinac, Nelson Leed, Ting Fun Leunge, Karry L.K. Ngaif, Shu Kei Lawa, Timothy H. Rainerg, Sian Griffithsa and Paul K.S. Chanf, Corresponding Author Contact Information, E-mail The Corresponding Author
a School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
b Division of Infectious Diseases, Department of Medicine, National University Hospital, Singapore
c Infectious Diseases Unit, University Hospitals of Leicester NHS Trust, United Kingdom
d Division of Infectious Diseases, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
e Department of Paediatrics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
f Department of Microbiology, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
g Accident and Emergency Medicine Academic Unit, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
Received 29 March 2011;
revised 6 July 2011;
accepted 18 July 2011.
Available online 30 July 2011.
Abstract
The aim of this study was to identify the common barriers and facilitators for acceptance of pandemic influenza vaccination across different countries. This study utilized a standardized, anonymous, self-completed questionnaire-based survey recording the demographics and professional practice, previous experience and perceived risk and severity of influenza, infection control practices, information of H1N1 vaccination, acceptance of the H1N1 vaccination and reasons of their choices and opinions on mandatory vaccinations. Hospital-based doctors, nurses and allied healthcare workers in Hong Kong (HK), Singapore (SG) and Leicester, United Kingdom (UK) were recruited. A total of 6318 (HK: 5743, SG: 300, UK: 275) questionnaires were distributed, with response rates of 27.1% (HK), 94.7% (SG) and 94.5% (UK). The uptake rates for monovalent 2009 pandemic H1N1 vaccine were 13.5% (HK), 36.2% (SG) and 41.3% (UK). The single common factor associated with vaccine acceptance across all sites was having seasonal influenza vaccination in 2009. In UK and HK, overestimation of side effect reduced vaccination acceptance; and fear of side effect was a significant barrier in all sites. In HK, healthcare workers with more patient contact were more reluctant to accept vaccination. Drivers for vaccination in UK and HK were concern about catching the infection and following advice from health authority. Only a small proportion of respondents agreed with mandatory pandemic influenza vaccination (HK: 25% and UK: 42%), except in Singapore where 75.3% were in agreement. Few respondents (<5%) chose scientific publications as their primary source of information, but this group was more likely to receive vaccination.
The acceptance of pandemic vaccine among healthcare workers was poor (13?41% of respondents). Breaking barriers to accept seasonal influenza vaccination should be part of the influenza pandemic preparedness plan. Mandatory vaccination even during pandemic is likely to arouse substantial discontent.
Highlights
► The uptake of 2009 pandemic influenza vaccine among healthcare workers is poor. ► Previous seasonal vaccination is a strong predictor for accepting pandemic vaccine. ► Overestimation of side effect is a key barrier to vaccination. ► Mass media rather than scientific publication is the primary of vaccine information. ► Only a small proportion of healthcare workers agree with mandatory vaccination.
http://www.sciencedirect.com/science/article/pii/S0264410X11011297
Article in Press, Uncorrected Proof - Note to users
doi:10.1016/j.vaccine.2011.07.079 | How to Cite or Link Using DOI
Permissions & Reprints
Seasonal influenza vaccination predicts pandemic H1N1 vaccination uptake among healthcare workers in three countries
Purchase
$ 31.50
Josette S.Y. Chora, Surinder K. Padab, Iain Stephensonc, William B. Gogginsa, Paul A. Tambyahb, Tristan William Clarkec, Mariejo Medinac, Nelson Leed, Ting Fun Leunge, Karry L.K. Ngaif, Shu Kei Lawa, Timothy H. Rainerg, Sian Griffithsa and Paul K.S. Chanf, Corresponding Author Contact Information, E-mail The Corresponding Author
a School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
b Division of Infectious Diseases, Department of Medicine, National University Hospital, Singapore
c Infectious Diseases Unit, University Hospitals of Leicester NHS Trust, United Kingdom
d Division of Infectious Diseases, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
e Department of Paediatrics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
f Department of Microbiology, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
g Accident and Emergency Medicine Academic Unit, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
Received 29 March 2011;
revised 6 July 2011;
accepted 18 July 2011.
Available online 30 July 2011.
Abstract
The aim of this study was to identify the common barriers and facilitators for acceptance of pandemic influenza vaccination across different countries. This study utilized a standardized, anonymous, self-completed questionnaire-based survey recording the demographics and professional practice, previous experience and perceived risk and severity of influenza, infection control practices, information of H1N1 vaccination, acceptance of the H1N1 vaccination and reasons of their choices and opinions on mandatory vaccinations. Hospital-based doctors, nurses and allied healthcare workers in Hong Kong (HK), Singapore (SG) and Leicester, United Kingdom (UK) were recruited. A total of 6318 (HK: 5743, SG: 300, UK: 275) questionnaires were distributed, with response rates of 27.1% (HK), 94.7% (SG) and 94.5% (UK). The uptake rates for monovalent 2009 pandemic H1N1 vaccine were 13.5% (HK), 36.2% (SG) and 41.3% (UK). The single common factor associated with vaccine acceptance across all sites was having seasonal influenza vaccination in 2009. In UK and HK, overestimation of side effect reduced vaccination acceptance; and fear of side effect was a significant barrier in all sites. In HK, healthcare workers with more patient contact were more reluctant to accept vaccination. Drivers for vaccination in UK and HK were concern about catching the infection and following advice from health authority. Only a small proportion of respondents agreed with mandatory pandemic influenza vaccination (HK: 25% and UK: 42%), except in Singapore where 75.3% were in agreement. Few respondents (<5%) chose scientific publications as their primary source of information, but this group was more likely to receive vaccination.
The acceptance of pandemic vaccine among healthcare workers was poor (13?41% of respondents). Breaking barriers to accept seasonal influenza vaccination should be part of the influenza pandemic preparedness plan. Mandatory vaccination even during pandemic is likely to arouse substantial discontent.
Highlights
► The uptake of 2009 pandemic influenza vaccine among healthcare workers is poor. ► Previous seasonal vaccination is a strong predictor for accepting pandemic vaccine. ► Overestimation of side effect is a key barrier to vaccination. ► Mass media rather than scientific publication is the primary of vaccine information. ► Only a small proportion of healthcare workers agree with mandatory vaccination.
http://www.sciencedirect.com/science/article/pii/S0264410X11011297