Perceived risks of adverse effects and influenza vaccination: a survey of hospital employees.
Identifieur interne : 000342 ( Main/Exploration ); précédent : 000341; suivant : 000343Perceived risks of adverse effects and influenza vaccination: a survey of hospital employees.
Auteurs : Boris P. Ehrenstein [Allemagne] ; Frank Hanses ; Stefan Blaas ; Falitsa Mandraka ; Franz Audebert ; Bernd SalzbergerSource :
- European journal of public health [ 1464-360X ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Allemagne (MeSH), Attitude du personnel soignant (MeSH), Enquêtes et questionnaires (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Grippe humaine (prévention et contrôle), Humains (MeSH), Hôpitaux universitaires (MeSH), Mâle (MeSH), Personnel médical hospitalier (psychologie), Personnel médical hospitalier (statistiques et données numériques), Vaccination (psychologie), Vaccins antigrippaux (effets indésirables).
- MESH :
- effets indésirables : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- psychologie : Personnel médical hospitalier, Vaccination.
- statistiques et données numériques : Personnel médical hospitalier.
- Adulte, Adulte d'âge moyen, Allemagne, Attitude du personnel soignant, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Hôpitaux universitaires, Mâle.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Adult (MeSH), Attitude of Health Personnel (MeSH), Female (MeSH), Germany (MeSH), Hospitals, University (MeSH), Humans (MeSH), Influenza Vaccines (adverse effects), Influenza, Human (prevention & control), Male (MeSH), Medical Staff, Hospital (psychology), Medical Staff, Hospital (statistics & numerical data), Middle Aged (MeSH), Risk Factors (MeSH), Surveys and Questionnaires (MeSH), Vaccination (psychology).
- MESH :
- chemical , adverse effects : Influenza Vaccines.
- geographic : Germany.
- prevention & control : Influenza, Human.
- psychology : Medical Staff, Hospital, Vaccination.
- statistics & numerical data : Medical Staff, Hospital.
- Adult, Attitude of Health Personnel, Female, Hospitals, University, Humans, Male, Middle Aged, Risk Factors, Surveys and Questionnaires.
Abstract
BACKGROUND
Many hospital employees shun influenza immunization because they want to avoid adverse reactions. We surveyed hospital employees to elucidate whether the conception of the adverse effects of vaccination stems from correct or misperceived incidence rates of vaccine adverse effects.
METHODS
We used an anonymous self-administered paper questionnaire at a tertiary-care university hospital in Germany, in 2006. Multiple-choice questions probed respondents' knowledge about influenza, influenza vaccine and about rates of 12 possible vaccine adverse effects. We correlated overestimation of each adverse effect with failure to obtain vaccination in 2005-06, stratified by professional group.
RESULTS
The overall response rate was 34% (652/1898). Of the 304 respondents unvaccinated in 2005-06, 127 (42%) attributed their vaccination status mainly to concerns about adverse effects. Among physicians, failure to obtain influenza vaccination was associated with the overestimation of both non-severe and severe adverse effects. Non-vaccinated nurses were significantly more likely than the vaccinated nurses to overestimate the rates of five of six non-severe adverse effects, but differed significantly in rates of overestimation of merely one of the six severe adverse effects. Overestimation of vaccine-caused absenteeism from work was negatively associated with vaccination rates among all professionals.
CONCLUSIONS
Overestimation of the actual low rates of influenza vaccine adverse effects was associated with non-receipt of the vaccine among hospital employees. Due to our finding of different misconceptions about adverse effects, educational and promotional programmes should be targeted differentially for nurses and physicians.
DOI: 10.1093/eurpub/ckp227
PubMed: 20089677
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Ehrenstein</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine I, University Medical Center Regensburg, Regensburg, Germany. boris.ehrenstein@klinik.uni-r.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Internal Medicine I, University Medical Center Regensburg, Regensburg</wicri:regionArea><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion></affiliation></author><author><name sortKey="Hanses, Frank" sort="Hanses, Frank" uniqKey="Hanses F" first="Frank" last="Hanses">Frank Hanses</name></author><author><name sortKey="Blaas, Stefan" sort="Blaas, Stefan" uniqKey="Blaas S" first="Stefan" last="Blaas">Stefan Blaas</name></author><author><name sortKey="Mandraka, Falitsa" sort="Mandraka, Falitsa" uniqKey="Mandraka F" first="Falitsa" last="Mandraka">Falitsa Mandraka</name></author><author><name sortKey="Audebert, Franz" sort="Audebert, Franz" uniqKey="Audebert F" first="Franz" last="Audebert">Franz Audebert</name></author><author><name sortKey="Salzberger, Bernd" sort="Salzberger, Bernd" uniqKey="Salzberger B" first="Bernd" last="Salzberger">Bernd Salzberger</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20089677</idno><idno type="pmid">20089677</idno><idno type="doi">10.1093/eurpub/ckp227</idno><idno type="wicri:Area/Main/Corpus">000355</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000355</idno><idno type="wicri:Area/Main/Curation">000355</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000355</idno><idno type="wicri:Area/Main/Exploration">000355</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Perceived risks of adverse effects and influenza vaccination: a survey of hospital employees.</title><author><name sortKey="Ehrenstein, Boris P" sort="Ehrenstein, Boris P" uniqKey="Ehrenstein B" first="Boris P" last="Ehrenstein">Boris P. Ehrenstein</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine I, University Medical Center Regensburg, Regensburg, Germany. boris.ehrenstein@klinik.uni-r.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Internal Medicine I, University Medical Center Regensburg, Regensburg</wicri:regionArea><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion></affiliation></author><author><name sortKey="Hanses, Frank" sort="Hanses, Frank" uniqKey="Hanses F" first="Frank" last="Hanses">Frank Hanses</name></author><author><name sortKey="Blaas, Stefan" sort="Blaas, Stefan" uniqKey="Blaas S" first="Stefan" last="Blaas">Stefan Blaas</name></author><author><name sortKey="Mandraka, Falitsa" sort="Mandraka, Falitsa" uniqKey="Mandraka F" first="Falitsa" last="Mandraka">Falitsa Mandraka</name></author><author><name sortKey="Audebert, Franz" sort="Audebert, Franz" uniqKey="Audebert F" first="Franz" last="Audebert">Franz Audebert</name></author><author><name sortKey="Salzberger, Bernd" sort="Salzberger, Bernd" uniqKey="Salzberger B" first="Bernd" last="Salzberger">Bernd Salzberger</name></author></analytic><series><title level="j">European journal of public health</title><idno type="eISSN">1464-360X</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Attitude of Health Personnel (MeSH)</term><term>Female (MeSH)</term><term>Germany (MeSH)</term><term>Hospitals, University (MeSH)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (adverse effects)</term><term>Influenza, Human (prevention & control)</term><term>Male (MeSH)</term><term>Medical Staff, Hospital (psychology)</term><term>Medical Staff, Hospital (statistics & numerical data)</term><term>Middle Aged (MeSH)</term><term>Risk Factors (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Vaccination (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Allemagne (MeSH)</term><term>Attitude du personnel soignant (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Humains (MeSH)</term><term>Hôpitaux universitaires (MeSH)</term><term>Mâle (MeSH)</term><term>Personnel médical hospitalier (psychologie)</term><term>Personnel médical hospitalier (statistiques et données numériques)</term><term>Vaccination (psychologie)</term><term>Vaccins antigrippaux (effets indésirables)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnel médical hospitalier</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Medical Staff, Hospital</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Medical Staff, Hospital</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Personnel médical hospitalier</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Female</term><term>Hospitals, University</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Allemagne</term><term>Attitude du personnel soignant</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Hôpitaux universitaires</term><term>Mâle</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Many hospital employees shun influenza immunization because they want to avoid adverse reactions. We surveyed hospital employees to elucidate whether the conception of the adverse effects of vaccination stems from correct or misperceived incidence rates of vaccine adverse effects. </p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We used an anonymous self-administered paper questionnaire at a tertiary-care university hospital in Germany, in 2006. Multiple-choice questions probed respondents' knowledge about influenza, influenza vaccine and about rates of 12 possible vaccine adverse effects. We correlated overestimation of each adverse effect with failure to obtain vaccination in 2005-06, stratified by professional group. </p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The overall response rate was 34% (652/1898). Of the 304 respondents unvaccinated in 2005-06, 127 (42%) attributed their vaccination status mainly to concerns about adverse effects. Among physicians, failure to obtain influenza vaccination was associated with the overestimation of both non-severe and severe adverse effects. Non-vaccinated nurses were significantly more likely than the vaccinated nurses to overestimate the rates of five of six non-severe adverse effects, but differed significantly in rates of overestimation of merely one of the six severe adverse effects. Overestimation of vaccine-caused absenteeism from work was negatively associated with vaccination rates among all professionals. </p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Overestimation of the actual low rates of influenza vaccine adverse effects was associated with non-receipt of the vaccine among hospital employees. Due to our finding of different misconceptions about adverse effects, educational and promotional programmes should be targeted differentially for nurses and physicians.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20089677</PMID><DateCompleted><Year>2012</Year><Month>01</Month><Day>06</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1464-360X</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>5</Issue><PubDate><Year>2010</Year><Month>Oct</Month></PubDate></JournalIssue><Title>European journal of public health</Title><ISOAbbreviation>Eur J Public Health</ISOAbbreviation></Journal><ArticleTitle>Perceived risks of adverse effects and influenza vaccination: a survey of hospital employees.</ArticleTitle><Pagination><MedlinePgn>495-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/eurpub/ckp227</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Many hospital employees shun influenza immunization because they want to avoid adverse reactions. We surveyed hospital employees to elucidate whether the conception of the adverse effects of vaccination stems from correct or misperceived incidence rates of vaccine adverse effects. </AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We used an anonymous self-administered paper questionnaire at a tertiary-care university hospital in Germany, in 2006. Multiple-choice questions probed respondents' knowledge about influenza, influenza vaccine and about rates of 12 possible vaccine adverse effects. We correlated overestimation of each adverse effect with failure to obtain vaccination in 2005-06, stratified by professional group. </AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The overall response rate was 34% (652/1898). Of the 304 respondents unvaccinated in 2005-06, 127 (42%) attributed their vaccination status mainly to concerns about adverse effects. Among physicians, failure to obtain influenza vaccination was associated with the overestimation of both non-severe and severe adverse effects. Non-vaccinated nurses were significantly more likely than the vaccinated nurses to overestimate the rates of five of six non-severe adverse effects, but differed significantly in rates of overestimation of merely one of the six severe adverse effects. Overestimation of vaccine-caused absenteeism from work was negatively associated with vaccination rates among all professionals. </AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Overestimation of the actual low rates of influenza vaccine adverse effects was associated with non-receipt of the vaccine among hospital employees. Due to our finding of different misconceptions about adverse effects, educational and promotional programmes should be targeted differentially for nurses and physicians.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ehrenstein</LastName><ForeName>Boris P</ForeName><Initials>BP</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine I, University Medical Center Regensburg, Regensburg, Germany. boris.ehrenstein@klinik.uni-r.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanses</LastName><ForeName>Frank</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Blaas</LastName><ForeName>Stefan</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Mandraka</LastName><ForeName>Falitsa</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Audebert</LastName><ForeName>Franz</ForeName><Initials>F</Initials></Author><Author 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PubStatus="pubmed"><Year>2010</Year><Month>1</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>1</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20089677</ArticleId><ArticleId IdType="pii">ckp227</ArticleId><ArticleId IdType="doi">10.1093/eurpub/ckp227</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="Audebert, Franz" sort="Audebert, Franz" uniqKey="Audebert F" first="Franz" last="Audebert">Franz Audebert</name><name sortKey="Blaas, Stefan" sort="Blaas, Stefan" uniqKey="Blaas S" first="Stefan" last="Blaas">Stefan Blaas</name><name sortKey="Hanses, Frank" sort="Hanses, Frank" uniqKey="Hanses F" first="Frank" last="Hanses">Frank Hanses</name><name sortKey="Mandraka, Falitsa" sort="Mandraka, Falitsa" uniqKey="Mandraka F" first="Falitsa" last="Mandraka">Falitsa Mandraka</name><name sortKey="Salzberger, Bernd" sort="Salzberger, Bernd" uniqKey="Salzberger B" first="Bernd" last="Salzberger">Bernd Salzberger</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Ehrenstein, Boris P" sort="Ehrenstein, Boris P" uniqKey="Ehrenstein B" first="Boris P" last="Ehrenstein">Boris P. 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