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Determinants of Influenza Vaccination among Healthcare Workers

Published online by Cambridge University Press:  02 January 2015

Gaston Godin ,
Lydi-Anne Vézina-Im  and
Herminé Naccache
Gaston Godin*
Affiliation:
Faculty of Nursing, Laval University, Quebec City, Quebec, Canada
Lydi-Anne Vézina-Im
Affiliation:
Faculty of Nursing, Laval University, Quebec City, Quebec, Canada
Herminé Naccache
Affiliation:
Faculty of Nursing, Laval University, Quebec City, Quebec, Canada
*
Canada Research Chair on Behavior and Health, FSI-Vandry, 3rd Floor, Laval University, Quebec City, Quebec, CanadaG1V 0A6 (gaston.godin@fsi.ulaval.ca)
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Extract

Objective.

To identify the determinants of influenza vaccination and the moderators of the intention-behavior relationship among healthcare workers (HCWs).

Design.

Prospective survey with 2-month follow-up.

Setting.

Three university-affiliated public hospitals.

Participants.

Random sample of 424 HCWs.

Methods.

The intention of an HCW to get vaccinated against influenza was measured by means of a self-administered questionnaire based on an extended version of the theory of planned behavior. An objective measure of behavior was extracted 2 months later from the vaccination database of the hospitals.

Results.

Controlling for past behavior, we found that the determinants of influenza vaccination were intention (odds ratio [OR], 8.32 [95% confidence interval {CI}, 2.82–24.50]), moral norm (OR, 3.01 [95% CI, 1.17–7.76]), anticipated regret (OR, 2.33 [95% CI, 1.23–4.41]), and work status (ie, full time vs part time; OR, 1.99 [95% CI, 1.92–3.29]). Moral norm also interacted with intention as a significant moderator of the intention-behavior relationship (OR, 0.09 [95% CI, 0.03–0.30]). Again, apart from the influence of past behavior, intention to get vaccinated was predicted by use of the following variables: attitude (ß = .32; P < .001), professional norm (β = .18; P < .001), moral norm (β = .18; P < .001), subjective norm (ß = .09; P < .001), and self-efficacy (ß = .08; P < .001). This latter model explained 89% of the variance in HCWs' intentions to get vaccinated against influenza during the next vaccination campaign.

Conclusions.

Our study suggests that influenza vaccination among HCWs is mainly a motivational issue. In this regard, it can be suggested to reinforce the idea that getting vaccinated can reduce worry and protect family members.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 7 , July 2010 , pp. 689 - 693
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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References

1.Manuel, DG, Henry, B, Hockin, J, Naus, M. Health behavior associated with influenza vaccination among healthcare workers in long-term-care facilities. Infect Control Hosp Epidemiol 2002;23(10): 609–614.CrossRefGoogle ScholarPubMed
2.DiBonaventura, MC, Chapman, GB. Moderators of the intention-behavior relationship in influenza vaccinations: intention stability and unforeseen barriers. Psychol Health 2005;20(6): 761–774.Google Scholar
3.Baron, RM, Kenny, DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51(6): 1173–1182.Google Scholar
4.Sheeran, P. Intention-behavior relations: a conceptual and empirical review. Eur Rev Soc Psychol 2002;12:1–36.Google Scholar
5.Ajzen, I. The theory of planned behavior. Organ Behav Hum Decis Processes 1991;50:179–211.Google Scholar
6.Godin, G, Kok, G. The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot 1996;11(2): 87–98.CrossRefGoogle ScholarPubMed
7.Armitage, CJ, Conner, M. Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol 2001;40(4): 471–479.Google Scholar
8.Sheeran, P, Orbell, S. Augmenting the theory of planned behavior: roles for anticipated regret and descriptive norms. J Appi Soc Psychol 2006;29(10): 2107–2142.Google Scholar
9.Godin, G, Belanger-Gravel, A, Eccles, M, Grimshaw, J. Healthcare professionals' intentions and behaviours: a systematic review of studies based on social cognitive theories. Implement Sci 2008;3:36.Google Scholar
10.Rivis, A, Sheeran, P. Descriptive norms as an additional predictor in the theory of planned behaviour: a meta-analysis. Curr Psychol 2003;22(3): 218–233.CrossRefGoogle Scholar
11.Godin, G, Conner, M, Sheeran, P. Bridging the intention-behaviour ‘gap’: the role of moral norm. Br J Soc Psychol 2005;44(4): 497–512.Google Scholar
12.Reno, RR, Cialdini, RB, Kallgren, CA. The transsituational influence of social norms. J Pers Soc Psychol 1993;64(1): 104–112.Google Scholar
13.Daneault, S, Beaudry, M, Godin, G. Psychosocial determinants of the intention of nurses and dietitians to recommend breastfeeding. Can } Public Health 2004;95(2): 151–154.Google Scholar
14.Bandura, A, Adams, NE, Beyer, J. Cognitive processes mediating behavioral change. J Pers Soc Psychol 1977;35(3): 125–139.Google Scholar
15.Ajzen, I. Constructing a TpB questionnaire: conceptual and methodological considerations. September 2002 (revised January 2006). http://www-unix.oit.umass.edu/~aizen/pdf/tpb.measurement.pdf. Accessed January 15, 2008.Google Scholar
16.Ajzen, I. From intentions to actions: a theory of planned behavior. In: Kuhl, J, Beckmann, J, eds. Action-Control: From Cognition to Behavior. Heidelberg, Germany: Springer, 1985:11–39.Google Scholar
17.Fishbein, M, Triandis, HC, Kanfer, FH, et al. Factors influencing behavior and behavior change. In: Baum, A, Revenson, T, Singer, J, eds. Handbook of Health Psychology. Mahwah, NJ: Lawrence Erlbaum Associates, 2001: 3–17.Google Scholar
18.Shrout, PE, Fleiss, JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull 1979;86(2): 420–428.Google Scholar
19.Cronbach, LJ. Coefficient alpha and the internal structure of tests. Psychometrika 1951;16(3): 297–334.Google Scholar
20.Trivalle, C, Okenge, E, Hamon, B, Taillandier, J, Falissard, B. Factors that influence .influenza vaccination among healthcare workers in a French geriatric hospital. Infect Control Hosp Epidemiol 2006;27(11): 1278–1280.Google Scholar
21.Falomir-Pichastor, JM, Toscani, L, Despointes, SH. Determinants of flu vaccination among nurses: the effects of group identification and professional responsibility. Appl Psychol: Int Rev 2009;58(1):42–58.Google Scholar
22.Stephenson, I, Roper, JP, Nicholson, KG. Healthcare workers and their attitudes to influenza vaccination. Commun Dis Public Health 2002;5(3): 247–252.Google Scholar
23.Mok, E, Yeung, SH, Chan, MF. Prevalence of influenza vaccination and correlates of intention to be vaccinated among Hong Kong Chinese. Public Health Nurs 2006;23(6): 506–515.Google Scholar
24.Nichol, KL, Hauge, M. Influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 1997;18(3): 189–194.Google Scholar
25.Piccirillo, B, Gaeta, T. Survey on use of and attitudes toward influenza vaccination among emergency department staff in a New York metropolitain hospital. Infect Control Hosp Epidemiol 2006;27(6): 618–622.CrossRefGoogle Scholar
26.Chapman, GB, Coups, EJ. Emotions and preventive health behavior: worry, regret, and influenza vaccination. Health Psychol 2006;25(1):82–90.Google Scholar
27.Blondeau, D, Godin, G, Gagne, C, Martineau, I. Do ethical principles explain moral norm? A test for consent to organ donation. J Appi Biobehav Res 2004; 9(4):230–243.Google Scholar
28.Smedley, J, Palmer, C, Baird, J, Barker, M. A survey of the delivery and uptake of influenza vaccine among health care workers. Occup Med (bond) 2002; 52(5):271–276.Google Scholar
29.Song, JY, Park, CW, Jeong, HW, Cheong, HJ, Kim, WJ, Kim, SR. Effect of a hospital campaign for influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 2006;27(6): 612–617.Google Scholar
30.Abramson, ZH, Levi, O. Influenza vaccination among primary healthcare workers. Vaccine 2008;26:2482–2489.Google Scholar
31.LaVela, SL, Smith, B, Weaver, FM, Legro, MW, Goldstein, B, Nichol, K. Attitudes and practices regarding influenza vaccination among healthcare workers providing services to individuals with spinal cord injuries and disorders. Infect Control Hosp Epidemiol 2004;25(11): 933–940.Google Scholar
32.Baron, G, De Wals, P, Milord, F. Vaccination practices of Quebec family physicians: influenza vaccination status and professional practices for influenza vaccination. Can Fam Physician 2001;47:2261–2266.Google Scholar
33.Bailada, D, Biasio, LR, Cascio, G, et al. Attitudes and behavior of health care personnel regarding influenza vaccination. Eur J Epidemiol 1994;10: 63–68.Google Scholar
34.Canning, HS, Phillips, J, Allsup, S. Health care worker beliefs about influenza vaccine and reasons for non-vaccination—a cross-sectional survey. J Clin Nurs 2005;14:922–925.Google Scholar
35.Ofstead, CL, Tucker, SJ, Beebe, TJ, Poland, GA. Influenza vaccination among registered nurses: information receipt, knowledge, and decisionmaking at an institution with a multifaceted educational program. Infect Control Hosp Epidemiol 2008;29(2): 99–106.Google Scholar
36.Weingarten, S, Riedinger, M, Burnes Bolton, L, Miles, P, Ault, M. Barriers to influenza vaccine acceptance: a survey of physicians and nurses. Am J Infect Control 1989;17:202–207.Google Scholar