Influenza vaccination coverage among medical residents An Italian multicenter survey

被引：29

作者：

Costantino, Claudio ^{[1
]}

Mazzucco, Walter ^{[1
]}

Azzolini, Elena ^{[2
]}

Baldini, Cesare ^{[3
]}

Bergomi, Margherita ^{[4
]}

Biafiore, Alessio Daniele ^{[5
]}

Bianco, Manuela ^{[6
]}

Borsari, Lucia ^{[4
]}

Cacciari, Paolo ^{[7
]}

Cadeddu, Chiara ^{[8
]}

Camia, Paola ^{[9
]}

Carluccio, Eugenia ^{[4
]}

Conti, Andrea ^{[10
]}

De Waure, Chiara ^{[8
]}

Di Gregori, Valentina ^{[7
]}

Fabiani, Leila ^{[11
]}

Fallico, Roberto ^{[12
]}

Filisetti, Barbara ^{[13
]}

Flacco, Maria E. ^{[14
]}

Franco, Elisabetta ^{[15
]}

Furnari, Roberto ^{[12
]}

Galis, Veronica ^{[6
]}

Gallea, Maria R. ^{[12
]}

Gallone, Maria F. ^{[16
]}

Gallone, Serena ^{[16
]}

Gelatti, Umberto ^{[13
]}

Gilardi, Francesco ^{[15
]}

Giuliani, Anna R. ^{[11
]}

Grillo, Orazio C. ^{[10
]}

Lanati, Niccolo ^{[17
]}

Mascaretti, Silvia ^{[13
]}

Mattei, Antonella ^{[11
]}

Mico, Rocco ^{[5
]}

Morciano, Laura ^{[15
]}

Nante, Nicola ^{[2
]}

Napoli, Giuseppe ^{[1
]}

Nobile, Carmelo ^{[5
]}

Palladino, Raffaele ^{[18
]}

Parisi, Salvatore ^{[1
]}

Passaro, Maria ^{[18
]}

Pelissero, Gabriele ^{[17
]}

Quarto, Michele ^{[16
]}

Ricciardi, Walter ^{[8
]}

Romano, Gabriele ^{[3
]}

Rustico, Ennio ^{[7
]}

Saponari, Anita ^{[14
]}

Schioppa, Francesco S. ^{[14
]}

Signorelli, Carlo ^{[9
]}

Siliquini, Roberta ^{[6
]}

Trabacchi, Valeria ^{[9
]}

机构：

[1] Univ Palermo, Dept Sci Hlth Promot & Mother Child Care G DAless, Palermo, Italy

[2] Univ Siena, Dept Publ Hlth, I-53100 Siena, Italy

[3] Univ Verona, Dept Med & Publ Hlth, I-37100 Verona, Italy

[4] Univ Modena & Reggio Emilia, Dept Publ Hlth Sci, Modena, Italy

[5] Univ Catanzaro Magna Graecia, Dept Hlth Sci, Catanzaro, Italy

[6] Univ Turin, Dept Publ Hlth & Microbiol, Turin, Italy

[7] Univ Bologna, Dept Med & Publ Hlth, Bologna, Italy

[8] Univ Sacred Heart Roma, Dept Publ Hlth, Rome, Italy

[9] Univ Parma, Dept Publ Hlth, I-43100 Parma, Italy

[10] Univ Messina, Dept Hyg Prevent Med & Publ Hlth, Messina, Italy

[11] Univ Aquila, Dept Internal Med & Publ Hlth, I-67100 Laquila, Italy

[12] Univ Catania, Dept Hyg & Publ Hlth GF Ingrassia, Catania, Italy

[13] Univ Brescia, Inst Hyg Epidemiol & Publ Hlth, Brescia, Italy

[14] Univ G DAnnunzio, Dept Med & Sci Aging, Chieti, Italy

[15] Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy

[16] Univ Bari Aldo Moro, Dept Biomed Sci, Bari, Italy

[17] Univ Pavia, Dept Publ Hlth Neurosci Expt & Legal Med, I-27100 Pavia, Lombardi, Italy

[18] Univ Hosp Federico II Naples, Dept Publ Hlth, Naples, Italy

来源：

HUMAN VACCINES & IMMUNOTHERAPEUTICS | 2014年 / 10卷 / 05期

关键词：

influenza vaccination; medical residents; multicentre survey; coverage rate; Italy; HEALTH-CARE WORKERS; IMMUNIZATION; UNIVERSITY; ATTITUDES;

D O I：

10.4161/hv.28081

中图分类号：

Q81 [生物工程学（生物技术）]; Q93 [微生物学];

学科分类号：

071005 ; 0836 ; 090102 ; 100705 ;

摘要：

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P < 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

引用

页码：1204 / 1210

页数：7

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