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Factors Influencing Influenza Vaccination Intention among Health Personnel in General Hospitals: An Application of the Theory of Planned Behavior

종합병원 보건의료인의 독감 예방접종 의도와 영향요인: 계획된 행위이론의 적용

  • Received : 2021.02.11
  • Accepted : 2021.04.14
  • Published : 2021.06.30

Abstract

Purpose: Influenza immunization among health personnel is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. The purpose of this study is to identify factors associated with the influenza vaccination intention among health personnel based on the theory of planned behavior. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 131 health personnel in five general hospitals in two cities in South Korea. The data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 26.0 program. Results: There were statistically significant differences in influenza vaccination intention according to the high-risk group in the family, occupation, length of employment, and influenza vaccination status within a year. The influenza vaccination intention of these health personnel showed significant positive correlations with attitude, subjective norms, and perceived behavioral control towards influenza vaccination. Multiple regression analysis for influenza vaccination intention revealed that the significant predictors were attitude, subjective norms, influenza vaccination within a year and physician in occupation. These factors explained 41.4% of the variance. Conclusion: The results suggest a need to strengthen attitude and subjective norms. The findings also suggest that their characteristics through influenza vaccination status within a year and occupation should be considered for tailored interventions related to the intention. Furthermore, it is necessary to develop programs strengthening attitude and subjective norms to enhance influenza vaccination intention among health personnel.

Keywords

Acknowledgement

본 연구는 2019년 인제대학교 학술연구조성비 보조에 의한 것임(과제번호: 20190058).

References

  1. Korea Disease Control and Prevention Agency. Influenza vac- cination [Internet]. Cheongju: Korea Disease Control and Prevention Agency. 2017 [cited 2021 January 20]. Available from: https://nip.cdc.go.kr/irgd/index.html
  2. Korea Disease Control and Prevention Agency. Influenza epidemic outbreak advisory issue recommendations [Internet]. Cheongju: Korea Disease Control and Prevention Agency. 2020 [cited 2021 January 25] Available from: https://www.cdc.go.kr/board.es?mid=a20501000000&bid=0015&act=view&list_no=367610
  3. Kim YH, Huh EJ, Lim HS, Park EJ A study on the impact of health belief model on the prevalence of influenza vaccination intention, The Journal of Humanities and Social Sciences 21. 2017;8(5):149-166. https://doi.org/10.22143/HSS21.8.5.9
  4. Dini G, Toletone A, Sticci L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature. Human Vaccines & Immunotherapeutics. 2018;14(3):772-789. https://doi.org/10.1080/21645515.2017.1348442
  5. Al-Tawfiq JA, Tambyah PA. Healthcare associated infections (HAI) perspectives. Journal of Infection and Public Health. 2014;7(4):339-334. https://doi.org/10.1016/j.jiph.2014.04.003
  6. World Health Organization. How to implement seasonal influenza vaccination of health workers: an introduction manual for national immunization programme managers and policy makers [Internet]. Geneva: World Health Organization. 2019 [cited 2020 December 28] Available from: https://www.who.int/immunization/documents/ISBN_9789241515597/en/
  7. Jones RM, Xia Y. Occupational exposures to influenza among healthcare workers in the United States. Journal of Occupational and Environmental Hygiene. 2016;13(3):213-222. https://doi.org/10.1080/15459624.2015.1096363
  8. Salgado CD, Farr BM, Hall KK, Hayden FG. Influenza in the acute hospital setting. The Lancet Infectious Diseases. 2002;2 (3):145-155. https://doi.org/10.1016/s1473-3099(02)00221-9
  9. Korea Disease Control and Prevention Agency, Coronavirus Disease-19. Central Disaster Management Headquarters regular briefing April 5, 2020 [Internet]. Cheongju: Korea Disease Control and Prevention Agency, Coronavirus Disease-19; 2020 [cited 2020 December 20]. Available from: http://ncov.mohw.go.kr/tcmBoardView.do?brdId=&brdGubun=&dataGubun=&ncvContSeq=353931&contSeq=353931&board_id=140&gubun=BDJ
  10. Restivo V, Costantino C, Bono S, Maniglia M, Marchese V, Ventura G, et al. Influenza vaccine effectiveness among highrisk groups: A systematic literature review and meta-analysis of case-control and cohort studies. Human Vaccines & Immunotherapeutics. 2018;14(3):724-735. https://doi.org/10.1080/21645515.2017.1321722
  11. Center for Disease Control and Prevention. Influenza ACIP vaccine recommendations [Internet]. Washington, D.C.: Center for Disease Control and Prevention. 2020 [cited 20211 January 5]. Available from: https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/flu.html
  12. Jung Y, Kwon MH, Song J. Stepwise intervention including 1-0n-1 counseling is highly effective in increasing influenza vaccination among health care workers. American Journal of Infection Control. 2017;45(6):635-641. https://doi.org/10.1016/j.ajic.2016.11.012
  13. Prematunge C, Corace K, Mccathy A, Nair RC, Roth V, Suh KN, et al. Qualitative motivators and barriers to pandemic vs. seasonal influenza vaccination among healthcare workers: A content analysis. Vaccine. 2014;32(52):7128-7134. https://doi.org/10.1016/j.vaccine.2014.10.023
  14. Ning, TW, Cowling BJ. So HC, IP DKM, Liao Q. Testing an integrative theory of health behavioral change for predicting seasonal influenza vaccination uptake among healthcare workers. Vaccine. 2020;38(3):690-698. https://doi.org/10.1016/j.vaccine.2019.10.041
  15. Godin G, Vezina A, Naccache H. Determinants of influenza vaccination among healthcare workers. Infection Control and Hospital Epidemiology. 2010;31(7):689-693. https://doi.org/10.1086/653614
  16. Dominguez A, Godoy P, Castilla J, Mayoral JM, Sldevila N, Toner N, et al. Knowledge of and attitudes influenza in unvaccinated primary care physicians and nurses. Human Vaccines & Immunotherapeutics. 2014;10(8):2378-2386. https://doi.org/10.4161/hv.29142
  17. Lipovetski O, Delbar V, Bar-Yosef E, Riesenberg K, Saidel-Odes L, Livshiz-Riven I. The intentions of israeli nurses university programs to receive seasonal influenza vaccination. Journal of Infection Prevention. 2018;19(5):220-227. https://doi.org/10.1177/1757177418767762
  18. Lee KE. Factors associated with intention to receive human papillomavirus vaccine in undergraduate women: An application of the theory of planned behavior. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(4):457-465. https://doi.org/10.7739/jkafn.2014.21.4.457
  19. Sung MH, Sung MH. Factors influencing the human papillomavirus vaccination intention in female high school students: Application of planned behavior theory. 2018;24(1):71-79. https://doi.org/10.4069/kjwhn.2018.24.1.71
  20. Ajzen, I. Constructing a theory of planned behavior questionnaire [Internet]. Ireland: Measurement Instrument Database for the Social Sciences Ireland. 2013 [cited 2020 January 2]. Available from: http://people.umass.edu/aizen/pdf/tpb.measurement.pdf
  21. Korea Ministry of Government Legislation. Health and medical personnel support law. [internet]. Sejong; Korea Ministry of Government Legislation. 2017 [cited 2020 May 20]. Available from: https://www.law.go.kr/LSW/lsSc.do#undefined
  22. Yu J, Ren X, Ye C, Tian K, Feng L, Song Y, et al. Influenza vaccination coverage among registered nurses in China during 2017-2018: An Internet panel survey. Vaccines. 2019;7(4):1-12. https://doi.org/10.3390/vaccines7040134
  23. Kang JM, Lee J, Park YS, Park Y, Kwak YG, Song JE, et al. Non-mandatory influenza vaccination rates among healthcare workers during the 2017-2018 influenza season: A multicenter study in Korea. Pediatric Infection and Vaccine. 2019;26(3): 170-178. https://doi.org/10.14776/piv.2019.26.e21
  24. Black CL, Yue X, Ball SW, Donahue SMA, Izrael D, de Perio MA, et al. Influenza vaccination coverage among health care personnel-United States, 2013-14 influenza season [Internet]. Washington, D.C.: Center for Disease Control and Prevention Morbidity and Mortality Weekly Report. 2014 [cited 2020 May 19]. Available from: http://www.cdc.gov/mmwr/pdf/wk/mm6337.pdf
  25. Buchan SA, Kwong JC. Influenza immunization among Canadian health care personnel: A cross-sectional study. Canadian Medical Association Journal Open. 2016;4(3):E479-E488. https://doi.org/10.9778/cmajo.20160018
  26. Kassianos G. Willingness of European healthcare workers to undergo vaccination against seasonal influenza: Current situation and suggestions for improvement. Drugs in Context. 2015;4:1-9. https://doi.org/10.7573/dic.212268
  27. Hwang HJ. Psychosocial factors influencing influenza vaccinatio intention in early childhood teachers [master's thesis]. [Suwon]: Ajou University; 2019. 57 p.
  28. Kang JS, Yang LS. Health behavior intention related with influenza vaccination among nursing students. Journal of the Korean Society for Wellness. 2014;9(4):101-110.
  29. Durovic A, Widnar AF, Dangel M, Ulrich A, Battegay M, Tschudin-Sutter S. Low rates of influenza vaccination uptake among healthcare workers: Distinguishing barriers between occupational groups. American Journal of Infection Control. 2020;48(10):1139-1143. https://doi.org/10.1016/j.ajic.2020.02.004
  30. Nutman A, Yoel N. Influenza vaccination motivators among health personnel in a large acute care hoapital in Israel. Israel Journal of Health Policy Research. 2016;5:1-7. https://doi.org/10.1186/s13584-016-0112-5

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