Attitudinal variables and a possible mediating mechanism for vaccination practice in health care workers of a local hospital in L'Aquila (Italy)

Autor: Flavio Santilli, Giovanna Micolucci, Pasquale Mormile, M Scatigna, Leila Fabiani, Anna Rita Giuliani
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Adult
Male
0301 basic medicine
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Mediation (statistics)
Attitude of Health Personnel
Health Personnel
health care facilities
manpower
and services
education
030106 microbiology
Immunology
vaccine preventable diseases
Disease
Active immunization
health care workers
03 medical and health sciences
0302 clinical medicine
Nursing
Surveys and Questionnaires
Health care
medicine
Animals
Humans
Immunology and Allergy
030212 general & internal medicine
mediation analysis
Pharmacology
Cross Infection
Chickenpox
business.industry
immunization coverage
Vaccination
virus diseases
Middle Aged
medicine.disease
Research Papers
attitudinal predictors
Hospitals
Cross-Sectional Studies
Italy
Immunization
Family medicine
Female
Vaccine-preventable diseases
business
Zdroj: Human Vaccines & Immunotherapeutics
Popis: Active immunization is an important concern for health care workers (HCWs) susceptible subjects and potential sources of infection for patients. However, the vaccine coverage for vaccine preventable diseases (VPDs) is below recommended standards. The aims of the study were to estimate the hospitals' HCWs' susceptibility and vaccination coverage rates for VPDs and to analyze the role of HCWs' attitudes and knowledge as determinants of the immunization practices. A cross-sectional study enrolled 334 HCWs (physicians, nurses, others) at local hospital in L'Aquila (Italy). By means of an anonymous questionnaire, self-report data about history of disease and active vaccination for seasonal influenza, chickenpox, measles-mumps-rubella and hepatitis B were collected, as well as attitudes and knowledge about vaccination in HCWs. The employees showed high levels of susceptibility and insufficient vaccination coverage rates, particularly for influenza. Specific trends were detected for different VPDs across age strata and professional categories, not always consistent with literature. Overall, the level of knowledge about recommended vaccination for HCWs was low, in all categories. The active immunization status against influenza was found the most clearly associated with difference levels in 3 psychometric variables: personal responsibility, beliefs on usefulness and beliefs on risk of vaccination. A mediation mechanism was analyzed between these constructs, and an interesting indirect effect was highlighted for beliefs that could enhance the advantage of increased responsibility for HCWs. Further effort in research is needed to evaluate the black-box of longitudinal intervention studies (education, environmental changes, policies), to improve HCWs immunization.
Databáze: OpenAIRE
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