471. Influence of Promandate Attitude on Influenza Vaccination Rate of Health Care Workers
Session: Poster Abstract Session: Prevention and Treatment of Viral Infections
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
  • IDSA_Flu_Awali.pdf (425.5 kB)
  • Background:

    Investigating the reasons for adherence to influenza vaccination is one of the key factors that can help defuse arguments about mandating influenza vaccination.  However, scant information exists on health-care workers’ (HCWs) knowledge and beliefs on mandating influenza vaccination.


    A web –based survey was delivered in June 2012 via email to 3054 HCWs employed at an urban tertiary-care hospital in metropolitan Detroit.  The 33-item questionnaire organized into three sections was anonymously completed by HCWs. We gathered cross-sectional data on demographics (section 1); history of influenza vaccination and subsequent side effects (section 2); and knowledge about mandatory influenza vaccination, barriers to compliance, and beliefs on mandatory influenza vaccination (section 3).  Of note the hospital switched to a mandatory influenza vaccination policy from the year 2010 – 2011 to 2011 – 2012. The data was analyzed at the univariate, bivariate (Chi-square) and multivariate (logistic regression) levels using IBM SPSS Statistics version 20.0.


    The rate of influenza vaccination increased significantly from 80% in the year 2010 – 2011 to 93% in the year 2011 – 2012 (p<0.0001). More than half of the respondents (62%) agreed that taking the vaccine is an ethical responsibility.  A promandatory attitude towards influenza vaccination (even without  having the knowledge of the nature of hospital’s mandatory vaccination policy) was a significant predictor of taking the vaccine even after controlling for potential confounders such as availability of the vaccine, being previously vaccinated and having jobs that require direct contact with patients [OR=2.67, 95% CI (2.01 – 3.56), p<.0001].


    The increased rates of influenza vaccination amongst HCWs was driven by their own promandate attitude towards vaccination. The findings of this study call for the need to educate HCWs about influenza vaccine during enforcement of mandatory vaccination policy.

    Reda Awali, MD, MPH1, Preethy Samuel, PhD2, Muhammad Bilal Asghar, MD1, Bharat Marwaha, MD1, Nazir Ahmad, MD1, Puneet Gupta, MBBS1, Vinod Kumar, MBBS1, Joseph Ellsworth3, Elaine Flanagan, BSN, MSA1, Mark Upfal, MD4, Jim Russel, MD4, Carol Kaplan3, Keith Kaye, MD, MPH, FIDSA, FSHEA1 and Teena Chopra, MD, MPH1, (1)Infectious Diseases, Detroit Medical Center/ Wayne State University, Detroit, MI, (2)Wayne State University, Detroit, MI, (3)Detroit Medical Center, Detroit, MI, (4)Detroit Medical Center/ Wayne State University, Detroit, MI


    R. Awali, None

    P. Samuel, None

    M. B. Asghar, None

    B. Marwaha, None

    N. Ahmad, None

    P. Gupta, None

    V. Kumar, None

    J. Ellsworth, None

    E. Flanagan, None

    M. Upfal, None

    J. Russel, None

    C. Kaplan, None

    K. Kaye, None

    T. Chopra, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.