Introduction: The aim of this study was to highlight the perceived risks, behavioural changes and the rate
of acceptance of seasonal and pandemic (H1N1) 2009 influenza vaccines by healthcare workers (HCWs)
in a French Teaching Hospital.
Methods: We sampled HCWs from the Angers French Teaching Hospital (France) using a cross-sectional
intercept design during phase 5A of the 2009 French National Plan for the Prevention and Control of
‘Pandemic Influenza’. From November 2009 to February 2010, HCWs were approached in the workplace
to undertake the survey. The primary endpoint assessed immunization coverage among HCWs who had
contact with at-risk-patients.
Results: Of the 532 HCWs who answered the questionnaire, 119 (22.4%) had received a seasonal vaccine
and 194 (36.5%) the H1N1 pandemic vaccine. Coverage rate was significantly higher among physicians
(45% for the seasonal vaccine, 61% for the H1N1 vaccine). The main reasons given for acceptance of
the seasonal vaccine were “protection of the patient” and “self-protection”, whereas the main arguments
against were “low risk of being infected” and “doubts about vaccine safety”. For the H1N1 vaccine, reasons
for vaccination were to “protect the patient” and “protect the family”. The main arguments against were
“fear of side effects” and “doubts about vaccine safety”.
Conclusion: This study emphasizes the lack of perception by HCWs of the importance of being immunized
against seasonal and pandemic A (H1N1) 2009 Influenza. In the future, particular efforts are needed,
during vaccination campaigns, to provide more information to HCWs regarding development process
and safety of such vaccines.
Results: We included 25 studies relevant to self-reported reasons for rejecting or accepting vaccination.
These studies identified two major reasons for lack of vaccine uptake by HCW: firstly, a wide range of
misconceptions or lack of knowledge about influenza infection; and secondly, a lack of convenient access
to vaccine. In contrast, among studies reporting on reasons for vaccination acceptance, all but two found
that HCW stated self-protection was the most important reason. In the area of “predictive factors for
influenza vaccination”,we included 13 studies. At least five of them identified the following three factors:
previous receipt of influenza vaccine, belief in the vaccine’s effectiveness, and older age.
Conclusion: Our findings indicate that if HCW get immunized against influenza, they do so primarily for
their own benefit and not for the benefit to their patients. Misconceptions about influenza and influenza
vaccine could be improved by education, and organizational barriers could be bridged with sustainable,
structural changes to allow flexible and workplace vaccine delivery.
Introduction: The aim of this study was to highlight the perceived risks, behavioural changes and the rate
of acceptance of seasonal and pandemic (H1N1) 2009 influenza vaccines by healthcare workers (HCWs)
in a French Teaching Hospital.
Methods: We sampled HCWs from the Angers French Teaching Hospital (France) using a cross-sectional
intercept design during phase 5A of the 2009 French National Plan for the Prevention and Control of
‘Pandemic Influenza’. From November 2009 to February 2010, HCWs were approached in the workplace
to undertake the survey. The primary endpoint assessed immunization coverage among HCWs who had
contact with at-risk-patients.
Results: Of the 532 HCWs who answered the questionnaire, 119 (22.4%) had received a seasonal vaccine
and 194 (36.5%) the H1N1 pandemic vaccine. Coverage rate was significantly higher among physicians
(45% for the seasonal vaccine, 61% for the H1N1 vaccine). The main reasons given for acceptance of
the seasonal vaccine were “protection of the patient” and “self-protection”, whereas the main arguments
against were “low risk of being infected” and “doubts about vaccine safety”. For the H1N1 vaccine, reasons
for vaccination were to “protect the patient” and “protect the family”. The main arguments against were
“fear of side effects” and “doubts about vaccine safety”.
Conclusion: This study emphasizes the lack of perception by HCWs of the importance of being immunized
against seasonal and pandemic A (H1N1) 2009 Influenza. In the future, particular efforts are needed,
during vaccination campaigns, to provide more information to HCWs regarding development process
and safety of such vaccines.
Results: We included 25 studies relevant to self-reported reasons for rejecting or accepting vaccination.
These studies identified two major reasons for lack of vaccine uptake by HCW: firstly, a wide range of
misconceptions or lack of knowledge about influenza infection; and secondly, a lack of convenient access
to vaccine. In contrast, among studies reporting on reasons for vaccination acceptance, all but two found
that HCW stated self-protection was the most important reason. In the area of “predictive factors for
influenza vaccination”,we included 13 studies. At least five of them identified the following three factors:
previous receipt of influenza vaccine, belief in the vaccine’s effectiveness, and older age.
Conclusion: Our findings indicate that if HCW get immunized against influenza, they do so primarily for
their own benefit and not for the benefit to their patients. Misconceptions about influenza and influenza
vaccine could be improved by education, and organizational barriers could be bridged with sustainable,
structural changes to allow flexible and workplace vaccine delivery.
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