Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Influenza vaccination coverage among us nursing home nursing assistants: the role of working conditions.

Authors
Groenewold-M; Baron-S; Tak-S; Allred-N
Source
J Am Med Dir Assoc 2012 Jan; 13(1):85.e17-85.e23
NIOSHTIC No.
20040180
Abstract
OBJECTIVES: To estimate influenza vaccination coverage among nursing assistants (NAs) working in US nursing homes, and to identify demographic and occupational predictors of vaccination status among NAs. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional analysis of data on 2873 NAs from the 2004 National Nursing Assistant Survey. Multivariable-adjusted vaccination coverage (prevalence) ratios for demographic and occupational characteristics were calculated using Poisson regression. MEASUREMENTS: Outcome variable was NAs' influenza vaccination status, yes or no, based on the question, "During the past 12 months, did you receive a flu shot?" RESULTS: Coverage for all NAs working in US nursing homes was estimated to be 37.1%. NAs 45 or older were more likely to be vaccinated than younger NAs (prevalence ratio [PR] = 1.23, 95% confidence interval [CI]: 1.07-1.41). Significant negative associations with vaccination status were found for NAs who were non-Hispanic blacks (PR = 0.82, 95% CI: 0.70-0.97), disagreed that they were respected/rewarded for their work (PR = 0.85, 95% CI: 0.71-1.00), worked at for-profit facilities (PR = 0.83, 95% CI: 0.72-0.95), and reported receiving fewer than 7 of 15 nonwage job benefits (PR = 0.77, 95% CI: 0.67-0.90). CONCLUSION: Influenza coverage among nursing home NAs appears to be similar to nationally reported coverage estimates among health care providers in the United States in general. In addition to individual characteristics, occupational characteristics reflective of working conditions are associated with vaccination status among NAs, suggesting that further research into these types of associations may be useful in identifying which institutions may benefit from outreach efforts and types of interventions to increase vaccination coverage.
Keywords
Humans; Men; Women; Nurses; Nursing; Medical-personnel; Medical-facilities; Vaccines; Age-groups; Author Keywords: Nursing assistants; nursing homes; organizational climate; health care personnel; influenza vaccination; Surveillance-programs
Contact
Matthew Groenewold, PhD, MSPH, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Alice Hamilton Laboratory, 4676 Columbia Parkway MS R-17, Cincinnati, OH 45226
CODEN
JAMDC2
Publication Date
20120101
Document Type
Journal Article
Email Address
gyr5@cdc.gov
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
B02012012
Issue of Publication
1
ISSN
1525-8610
NIOSH Division
DSHEFS
Source Name
Journal of the American Medical Directors Association
State
GA; OH
TOP