Influenza vaccination coverage among medical residents An Italian multicenter survey

Claudio Costantino, Walter Mazzucco, Elena Azzolini, Cesare Baldini, Margherita Bergomi, Alessio Daniele Biafiore, Manuela Bianco, Lucia Borsari, Paolo Cacciari, Chiara Cadeddu, Paola Camia, Eugenia Carluccio, Andrea Conti, Chiara De Waure, Valentina Di Gregori, Leila Fabiani, Roberto Fallico, Barbara Filisetti, MariaE Flacco, Elisabetta FrancoRoberto Furnari, Veronica Galis, MariaR Gallea, MariaF Gallone, Serena Gallone, Umberto Gelatti, Francesco Gilardi, AnnaR Giuliani, OrazioC Grillo, Niccolò Lanati, Silvia Mascaretti, Antonella Mattei, Rocco Micò, Laura Morciano, Nicola Nante, Giuseppe Napoli, Carmelo Nobile, Raffaele Palladino, Salvatore Parisi, Maria Passaro, Gabriele Pelissero, Michele Quarto, Walter Ricciardi, Gabriele Romano, Ennio Rustico, Anita Saponari, FrancescoS Schioppa, Carlo Signorelli, Roberta Siliquini, Valeria Trabacchi, Maria Triassi, Alessia Varetta, Andrea Ziglio, Angela Zoccali, Francesco Vitale, Emanuele Amodio

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1204-1210
Number of pages7
JournalHuman Vaccines and Immunotherapeutics
Volume10
Issue number5
DOIs
Publication statusPublished - 2014

Keywords

  • Coverage rate
  • Influenza vaccination
  • Italy
  • Medical residents
  • Multicentre survey

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pharmacology
  • Medicine(all)

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