Influenza vaccination coverage among us nursing home nursing assistants: the role of working conditions

Details

• Personal Author:
  Allred N ; Baron, Sherry L. ; Groenewold, Matthew ; Tak S
• Description:
  OBJECTIVES: To estimate influenza vaccination coverage among nursing assistants (NAs) working in US nursing homes, and to identify demographic and occupational predictors of vaccination status among NAs. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional analysis of data on 2873 NAs from the 2004 National Nursing Assistant Survey. Multivariable-adjusted vaccination coverage (prevalence) ratios for demographic and occupational characteristics were calculated using Poisson regression. MEASUREMENTS: Outcome variable was NAs' influenza vaccination status, yes or no, based on the question, "During the past 12 months, did you receive a flu shot?" RESULTS: Coverage for all NAs working in US nursing homes was estimated to be 37.1%. NAs 45 or older were more likely to be vaccinated than younger NAs (prevalence ratio [PR] = 1.23, 95% confidence interval [CI]: 1.07-1.41). Significant negative associations with vaccination status were found for NAs who were non-Hispanic blacks (PR = 0.82, 95% CI: 0.70-0.97), disagreed that they were respected/rewarded for their work (PR = 0.85, 95% CI: 0.71-1.00), worked at for-profit facilities (PR = 0.83, 95% CI: 0.72-0.95), and reported receiving fewer than 7 of 15 nonwage job benefits (PR = 0.77, 95% CI: 0.67-0.90). CONCLUSION: Influenza coverage among nursing home NAs appears to be similar to nationally reported coverage estimates among health care providers in the United States in general. In addition to individual characteristics, occupational characteristics reflective of working conditions are associated with vaccination status among NAs, suggesting that further research into these types of associations may be useful in identifying which institutions may benefit from outreach efforts and types of interventions to increase vaccination coverage. [Description provided by NIOSH]
• Subjects:
  Aging Health Care Facilities Workforce And Services Health Personnel Occupational Health Safety
• Keywords:
  Age Groups Author Keywords: Nursing Assistants Health Care Personnel Influenza Vaccination Medical Facilities Medical Personnel Nurses Nursing Nursing Homes Organizational Climate Surveillance-programs Vaccines

  More +
• ISSN:
  1525-8610
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; Ohio ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  13
• Issue:
  1
• NIOSHTIC Number:
  nn:20040180
• Citation:
  J Am Med Dir Assoc 2012 Jan; 13(1):85.e17-85.e23
• Contact Point Address:
  Matthew Groenewold, PhD, MSPH, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Alice Hamilton Laboratory, 4676 Columbia Parkway MS R-17, Cincinnati, OH 45226
• Email:
  gyr5@cdc.gov
• Federal Fiscal Year:
  2012
• Peer Reviewed:
  True
• Source Full Name:
  Journal of the American Medical Directors Association
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:67f4f568e397c05e14b0a0f4d7565ef40f743a3efc512c9c0ce0f65305b5e358ca868cf790d6cdaae451e6eb7011df3c21c1a88da813ae3ceeccb11abcf1eed1
• Download URL:
  https://stacks.cdc.gov/view/cdc/193131/cdc_193131_DS1.pdf
• File Type:
  [PDF - 156.15 KB ]