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Workplace interventions associated with influenza vaccination coverage among health care personnel in ambulatory care settings during the 2013–14 and 2014–15 influenza seasons
  • Published Date:
    Jul 03 2017
  • Source:
    Am J Infect Control. 45(11):1243-1248.
Filetype[PDF-330.63 KB]

  • Alternative Title:
    Am J Infect Control
  • Description:

    Vaccination of health care personnel (HCP) can reduce influenza-related morbidity and mortality among HCP and their patients. The objective of this study was to investigate workplace policies associated with higher influenza vaccination coverage among HCP who worked in ambulatory care settings without influenza vaccination requirements.


    Data were obtained from non-probability Internet panel surveys of HCP conducted in April 2014 and April 2015. Respondents were asked about vaccination status and workplace vaccination policies and interventions. Logistic regression models were used to assess the independent associations between each workplace intervention and influenza vaccination, controlling for occupation, age, and race/ethnicity. Statistics were calculated under the assumption of simple random sampling.


    Among HCP working in ambulatory care settings without a vaccination requirement (n=866), 65.7% reported receiving influenza vaccination for the previous influenza season. Increased vaccination coverage was independently associated with being offered free onsite vaccination for 1 day (prevalence ratio (PR) = 1.38 [1.07–1.78]) or >1 day (PR = 1.58 [1.29–1.94]) and employers sending personal reminders to be vaccinated (PR=1.20 [0.99–1.46]). Being age ≥ 65 years compared with age 18–49 years (PR=1.30 [1.07–1.56]) and working as a clinical professional or clinical non-professional compared with working as a non-clinical health care worker (PR=1.26[1.06–1.50] and PR=1.28[1.03–1.60], respectively) were also associated with higher coverage. Vaccination coverage increased with increasing numbers of workplace interventions.


    Implementing workplace vaccination interventions in ambulatory care settings, including free onsite influenza vaccination that is actively promoted, could help increase influenza vaccination among HCP.

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