Influenza vaccination coverage of healthcare workers and residents and their determinants in nursing homes for elderly people in France: a cross-sectional survey.
Identifieur interne : 000444 ( Main/Exploration ); précédent : 000443; suivant : 000445Influenza vaccination coverage of healthcare workers and residents and their determinants in nursing homes for elderly people in France: a cross-sectional survey.
Auteurs : Sophie Vaux [France] ; Delphine Noël ; Laure Fonteneau ; Jean-Paul Guthmann ; Daniel Lévy-BruhlSource :
- BMC public health [ 1471-2458 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Femelle (MeSH), France (MeSH), Grippe humaine (prévention et contrôle), Humains (MeSH), Maisons de repos (statistiques et données numériques), Maisons de retraite médicalisées (statistiques et données numériques), Mâle (MeSH), Personnel de santé (statistiques et données numériques), Sujet âgé (MeSH), Vaccination (normes), Vaccination (statistiques et données numériques), Vaccins antigrippaux (administration et posologie), Études transversales (MeSH).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- normes : Vaccination.
- prévention et contrôle : Grippe humaine.
- statistiques et données numériques : Maisons de repos, Maisons de retraite médicalisées, Personnel de santé, Vaccination.
- Adulte, Femelle, France, Humains, Mâle, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), France (MeSH), Health Personnel (statistics & numerical data), Homes for the Aged (statistics & numerical data), Humans (MeSH), Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Male (MeSH), Nursing Homes (statistics & numerical data), Vaccination (standards), Vaccination (statistics & numerical data).
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- prevention & control : Influenza, Human.
- standards : Vaccination.
- statistics & numerical data : Health Personnel, Homes for the Aged, Nursing Homes, Vaccination.
- Adult, Aged, Cross-Sectional Studies, Female, France, Humans, Male.
Abstract
BACKGROUND
Nursing home residents bear a substantial burden of influenza morbidity and mortality. Vaccination of residents and healthcare workers (HCWs) is the main strategy for prevention. Despite recommendations, influenza vaccination coverage among HCWs remains generally low.
METHODS
During the 2007-2008 influenza season, we conducted a nationwide survey to estimate influenza vaccination coverage of HCWs and residents in nursing homes for elderly people in France and to identify determinants of vaccination rates. Multivariate analysis were performed with a negative binomial regression.
RESULTS
Influenza vaccination coverage rates were 33.6% (95% CI: 31.9-35.4) for HCWs and 91% (95% CI: 90-92) for residents. Influenza vaccination uptake of HCWs varied by occupational category. Higher vaccination coverage was found in private elderly care residences, when free vaccination was offered (RR: 1.89, 1.35-2.64), in small nursing homes (RR: 1.54, 1.31-1.81) and when training sessions and staff meetings on influenza were organized (RR: 1.20, 1.11-1.29). The analysis by occupational category showed that some determinants were shared by all categories of professionals (type of nursing homes, organization of training and staff meetings on influenza). Higher influenza vaccination coverage was found when free vaccination was offered to recreational, cleaning, administrative staff, nurses and nurse assistants, but not for physicians.
CONCLUSIONS
This nationwide study assessed for the first time the rate of influenza vaccination among residents and HCWs in nursing homes for elderly in France. Better communication on the current recommendations regarding influenza vaccination is needed to increase compliance of HCWs. Vaccination programmes should include free vaccination and education campaigns targeting in priority nurses and nurse assistants.
DOI: 10.1186/1471-2458-10-159
PubMed: 20338028
PubMed Central: PMC2850345
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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first="Delphine" last="Noël">Delphine Noël</name></author><author><name sortKey="Fonteneau, Laure" sort="Fonteneau, Laure" uniqKey="Fonteneau L" first="Laure" last="Fonteneau">Laure Fonteneau</name></author><author><name sortKey="Guthmann, Jean Paul" sort="Guthmann, Jean Paul" uniqKey="Guthmann J" first="Jean-Paul" last="Guthmann">Jean-Paul Guthmann</name></author><author><name sortKey="Levy Bruhl, Daniel" sort="Levy Bruhl, Daniel" uniqKey="Levy Bruhl D" first="Daniel" last="Lévy-Bruhl">Daniel Lévy-Bruhl</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20338028</idno><idno type="pmid">20338028</idno><idno type="doi">10.1186/1471-2458-10-159</idno><idno type="pmc">PMC2850345</idno><idno type="wicri:Area/Main/Corpus">000434</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000434</idno><idno type="wicri:Area/Main/Curation">000434</idno><idno 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Saint-Maurice</wicri:regionArea><wicri:noRegion>Saint-Maurice</wicri:noRegion><wicri:noRegion>Saint-Maurice</wicri:noRegion></affiliation></author><author><name sortKey="Noel, Delphine" sort="Noel, Delphine" uniqKey="Noel D" first="Delphine" last="Noël">Delphine Noël</name></author><author><name sortKey="Fonteneau, Laure" sort="Fonteneau, Laure" uniqKey="Fonteneau L" first="Laure" last="Fonteneau">Laure Fonteneau</name></author><author><name sortKey="Guthmann, Jean Paul" sort="Guthmann, Jean Paul" uniqKey="Guthmann J" first="Jean-Paul" last="Guthmann">Jean-Paul Guthmann</name></author><author><name sortKey="Levy Bruhl, Daniel" sort="Levy Bruhl, Daniel" uniqKey="Levy Bruhl D" first="Daniel" last="Lévy-Bruhl">Daniel Lévy-Bruhl</name></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</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>Aged (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>France (MeSH)</term><term>Health Personnel (statistics & numerical data)</term><term>Homes for the Aged (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Male (MeSH)</term><term>Nursing Homes (statistics & numerical data)</term><term>Vaccination (standards)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Humains (MeSH)</term><term>Maisons de repos (statistiques et données numériques)</term><term>Maisons de retraite médicalisées (statistiques et données numériques)</term><term>Mâle (MeSH)</term><term>Personnel de santé (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>Vaccination (normes)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (administration et posologie)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Vaccination</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="standards" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Personnel</term><term>Homes for the Aged</term><term>Nursing Homes</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Maisons de repos</term><term>Maisons de retraite médicalisées</term><term>Personnel de santé</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>France</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>France</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Nursing home residents bear a substantial burden of influenza morbidity and mortality. Vaccination of residents and healthcare workers (HCWs) is the main strategy for prevention. Despite recommendations, influenza vaccination coverage among HCWs remains generally low.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>During the 2007-2008 influenza season, we conducted a nationwide survey to estimate influenza vaccination coverage of HCWs and residents in nursing homes for elderly people in France and to identify determinants of vaccination rates. Multivariate analysis were performed with a negative binomial regression.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Influenza vaccination coverage rates were 33.6% (95% CI: 31.9-35.4) for HCWs and 91% (95% CI: 90-92) for residents. Influenza vaccination uptake of HCWs varied by occupational category. Higher vaccination coverage was found in private elderly care residences, when free vaccination was offered (RR: 1.89, 1.35-2.64), in small nursing homes (RR: 1.54, 1.31-1.81) and when training sessions and staff meetings on influenza were organized (RR: 1.20, 1.11-1.29). The analysis by occupational category showed that some determinants were shared by all categories of professionals (type of nursing homes, organization of training and staff meetings on influenza). Higher influenza vaccination coverage was found when free vaccination was offered to recreational, cleaning, administrative staff, nurses and nurse assistants, but not for physicians.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This nationwide study assessed for the first time the rate of influenza vaccination among residents and HCWs in nursing homes for elderly in France. Better communication on the current recommendations regarding influenza vaccination is needed to increase compliance of HCWs. Vaccination programmes should include free vaccination and education campaigns targeting in priority nurses and nurse assistants.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20338028</PMID><DateCompleted><Year>2011</Year><Month>09</Month><Day>14</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>10</Volume><PubDate><Year>2010</Year><Month>Mar</Month><Day>25</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Influenza vaccination coverage of healthcare workers and residents and their determinants in nursing homes for elderly people in France: a cross-sectional survey.</ArticleTitle><Pagination><MedlinePgn>159</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2458-10-159</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Nursing home residents bear a substantial burden of influenza morbidity and mortality. Vaccination of residents and healthcare workers (HCWs) is the main strategy for prevention. Despite recommendations, influenza vaccination coverage among HCWs remains generally low.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">During the 2007-2008 influenza season, we conducted a nationwide survey to estimate influenza vaccination coverage of HCWs and residents in nursing homes for elderly people in France and to identify determinants of vaccination rates. Multivariate analysis were performed with a negative binomial regression.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Influenza vaccination coverage rates were 33.6% (95% CI: 31.9-35.4) for HCWs and 91% (95% CI: 90-92) for residents. Influenza vaccination uptake of HCWs varied by occupational category. Higher vaccination coverage was found in private elderly care residences, when free vaccination was offered (RR: 1.89, 1.35-2.64), in small nursing homes (RR: 1.54, 1.31-1.81) and when training sessions and staff meetings on influenza were organized (RR: 1.20, 1.11-1.29). The analysis by occupational category showed that some determinants were shared by all categories of professionals (type of nursing homes, organization of training and staff meetings on influenza). Higher influenza vaccination coverage was found when free vaccination was offered to recreational, cleaning, administrative staff, nurses and nurse assistants, but not for physicians.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This nationwide study assessed for the first time the rate of influenza vaccination among residents and HCWs in nursing homes for elderly in France. Better communication on the current recommendations regarding influenza vaccination is needed to increase compliance of HCWs. 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