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Low influenza vaccination rates among child care workers in the United States: assessing knowledge, attitudes, and behaviors.

Authors
de Perio-MA; Wiegand-DM; Evans-SM
Source
J Community Health 2012 Apr; 37(2):272-281
NIOSHTIC No.
20040203
Abstract
Influenza can spread quickly among children and caregivers in child day care settings. Vaccination is the most effective method to prevent influenza. We determined 2009 pandemic influenza A (H1N1) (pH1N1) and seasonal influenza vaccination rates during the 2009-2010 influenza season among child care center employees, assessed knowledge and attitudes regarding the vaccines, and determined factors associated with vaccine receipt. Using a cross-sectional study design, from January 30-March 1, 2010, we surveyed 384 (95%) of 403 employees at 32 licensed child centers in the United States about personal and work characteristics, vaccine receipt, and knowledge and attitudes regarding each vaccine. Forty-five (11%) and eighty five (22%) respondents reported receiving the pH1N1 and seasonal influenza vaccines, respectively. The most common reasons cited for not getting either vaccine were "I don't think I need the vaccine," "I don't think the vaccine will keep me from getting the flu," and "the vaccine is not safe." Factors independently associated with receipt of either vaccine included belief in its efficacy, having positive attitudes towards it, and feeling external pressure to get it. Child care center employees had low rates of pH1N1 and seasonal influenza vaccination largely due to misconceptions about the need for and efficacy of the vaccine. Public health messages should address misconceptions about vaccines, and employers should consider methods to maximize influenza vaccination of employees as part of a comprehensive influenza prevention program.
Keywords
Vaccines; Health-care; Viral-infections; Infection-control; Infectious-diseases; Disease-control; Disease-prevention; Child-care-workers; Children; Public-health; Seasonal-factors; Attitude; Behavior; Education; Employee-health; Author Keywords: Influenza; Vaccination; Child care; Occupational health; Immunization; Workers; HETA 2010-0025-3121
Contact
M.A. de Perio, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, 4676 Columbia Parkway, R-10, Cincinnati, OH, 45226, USA
CODEN
JCMHBR
Publication Date
20120401
Document Type
Journal Article
Email Address
mdeperio@cdc.gov
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Issue of Publication
2
ISSN
0094-5145
NIOSH Division
DSHEFS
Priority Area
Services
Source Name
Journal of Community Health
State
OH
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