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Evaluation of Knowledge, Attitudes, and Practices Regarding Influenza Vaccination Among Employees in a School District [Revised January 2014]

Filetype[PDF-1.83 MB]


  • English

  • Details:

    • Journal Article:
      NIOSH health hazard evaluation report
    • Description:
      The HHE Program examined influenza (flu) vaccination coverage and attitudes and beliefs about vaccination among school district employees. Investigators surveyed 412 of 841 school district employees. Of the respondents, 58% reported getting the flu vaccine for the 2012-2013 season. Most employees reported getting the vaccine at the central school district office. Investigators found that employees who had positive attitudes and perceptions about the flu vaccine and those who had received the flu vaccine the year before were more likely to have been vaccinated. The most common reasons for not getting the flu vaccine were beliefs that employees did not need the vaccine, that the vaccine did not work, and that employees did not have time to get vaccinated. A total of 120 responding employees reported influenza-like illness symptoms between August 2012 and March 2013. Of these, 92 reported working while feeling sick. The two most common main reasons cited for working while sick were "I have a professional obligation to my students" and "I did not think I was contagious or could make other people sick." HHE Program investigators recommended that the employer work with local vaccine providers to offer the flu vaccine to employees at each of the schools. The employer was encouraged to educate employees about the flu and the flu vaccine, emphasizing employees' risk of infection, vaccine effectiveness, and vaccine safety. Employees were encouraged to get the flu vaccine, stay informed, and get information about the flu and the flu vaccine from reliable sources. Investigators recommended that employees not go to work when ill with flu-like symptoms, which include fever, cough, and sore throat.

      Revision summary: The original final report presented some results in a way that may cause misinterpretation among readers. For statistical analyses, the original report presented odds ratios and their confidence intervals. The revised report presents frequencies with P values. The revised report also contains the result of an additional analysis looking at factors associated with working while ill with influenza-like illness symptoms.

      Recommended citation for this report: NIOSH [2013]. Health hazard evaluation report: evaluation of knowledge, attitudes, and practices regarding influenza vaccination among employees in a school district. By de Perio MA, Wiegand DM, Brueck SE. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, NIOSH HHE Report No. 2013-0064- 3191.

      NIOSHTIC No. 20043727

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