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Médecine du travail du personnel hospitalier

Personal decision-making criteria related to seasonal and pandemic A(H1N1) influenza-vaccination acceptance among French healthcare workers

Auteur     Lila Bouadma
Auteur     François Barbier
Auteur     Lucie Biard
Auteur     Marina Esposito-Farèse
Auteur     Bertrand Le Corre
Auteur     Annick Macrez
Auteur     Laurence Salomon
Auteur     Christine Bonnal
Auteur     Caroline Zanker
Auteur     Christophe Najem
Auteur     Bruno Mourvillier
Auteur     Jean Christophe Lucet
Auteur     Bernard Régnier
Auteur     Michel Wolff
Auteur     Florence Tubach
Résumé     BACKGROUND: Influenza-vaccination rates among healthcare workers (HCW) remain low worldwide, even during the 2009 A(H1N1) pandemic. In France, this vaccination is free but administered on a voluntary basis. We investigated the factors influencing HCW influenza vaccination. METHODS: In June-July 2010, HCW from wards of five French hospitals completed a cross-sectional survey. A multifaceted campaign aimed at improving vaccination coverage in this hospital group was conducted before and during the 2009 pandemic. Using an anonymous self-administered questionnaire, we assessed the relationships between seasonal (SIV) and pandemic (PIV) influenza vaccinations, and sociodemographic and professional characteristics, previous and current vaccination statuses, and 33 statements investigating 10 sociocognitive domains. The sociocognitive domains describing HCWs’ SIV and PIV profiles were analyzed using the classification-and-regression-tree method. RESULTS: Of the HCWs responding to our survey, 1480 were paramedical and 401 were medical with 2009 vaccination rates of 30% and 58% for SIV and 21% and 71% for PIV, respectively (p<0.0001 for both SIV and PIV vaccinations). Older age, prior SIV, working in emergency departments or intensive care units, being a medical HCW and the hospital they worked in were associated with both vaccinations; while work shift was associated only with PIV. Sociocognitive domains associated with both vaccinations were self-perception of benefits and health motivation for all HCW. For medical HCW, being a role model was an additional domain associated with SIV and PIV. CONCLUSIONS: Both vaccination rates remained low. Vaccination mainly depended on self-determined factors and for medical HCW, being a role model.
Publication     PloS one
Volume     7
Numéro     7
Pages     e38646
Date     2012

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doi:10.1371/journal.pone.0038646

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