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Tuesday, March 18, 2008
215

“Doctor, Did You Have Your Flu Shot? Results from 2006 and 2007 Healthcare Worker Surveys, San Diego County,”

Wendy Wang1, Christina Hawley1, Michelle Picardal1, Naomi Katzir2, Mark H. Sawyer1, Michelle De Guire1, Kathleen Worthing Gustafson3, and Adrienne Collins-Yancey4. (1) San Diego Immunization Partnership, a UCSD contract with the SD County Immunization Branch, UC San Diego, 9500 Gilman Drive, #0720, La Jolla, CA, USA, (2) San Diego Immunization Partnership, a UCSD contract with the SD County Immunization Branch, 9500 Gilman Drive, #0720, La Jolla, CA, USA, (3) Immunization Program, County of San Diego Health and Human Services Agency, Immunization Program (P511B), P.O. Box 85222, San Diego, CA, USA, (4) San Diego Immunization Branch, County Of San Diego Health and Human Services Agency, 3851 Rosecrans Street, Suite 704, MS P573, San Diego, CA, USA


Learning Objectives for this Presentation:
By the end of this presentation participants will be able to describe the survey methods, identify the commonalities and differences in influenza vaccination coverage rates and knowledge, attitudes, and behaviors between hospital-based health care worker (HB-HCW) and non hospital-based health care workers (NHB-HCW).

Background:
Despite the ACIP recommendation that all eligible HCWs be vaccinated annually against influenza, nationwide influenza coverage rates among HCWs remain below 50%. The impact of the HCWs' job duties and the workplace settings on receiving vaccines is important to explore.

Objectives:
Assess and compare the influenza immunization coverage rates and knowledge, attitudes, and behaviors towards influenza vaccination between HB-HCW and NHB-HCW. Identify intervention strategies for improving influenza immunization coverage among HCWs.

Methods:
1,155 and 1,411 HCWs residing in San Diego County were interviewed using a random digit dialing telephone survey in 2006 and 2007, respectively. HCWs were eligible to participate in the survey if they had direct face-to-face contact with patients as part of their routine work. The type of health care facility that respondents principally worked in was used to classify the HB-HCW and NHB-HCW.

Results:
In San Diego County, HB-HCW had 15% higher influenza vaccination coverage than NHB-HCW for both 2005-2006 and 2006 – 2007 influenza seasons. Over 87% HB-HCW received their flu vaccines at their workplaces. While only 46%-57% NHB-HCW were able to get the vaccines at their practices. Among the respondents who didn't receive an influenza vaccine in the previous 12 months, the top three reasons were the same for both HB-HCW and NHB-HCW.

Conclusions:
Influenza vaccination rates in HB-HCW were higher than NHB-HCW, but similar barriers to flu vaccine acceptance were identified among HB-HCW and NHB-HCW. The results of this study could assist in developing effective interventions for increasing vaccination coverage rates in HCW.

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