Influenza vaccination coverage among medical residents: An Italian multicenter survey

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants...

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Veröffentlicht in:Human vaccines & immunotherapeutics 2014, Vol.10 (5), p.1204-1210
Hauptverfasser: Costantino, Claudio, Mazzucco, Walter, Azzolini, Elena, Baldini, Cesare, Bergomi, Margherita, Biafiore, Alessio Daniele, Bianco, Manuela, Borsari, Lucia, Cacciari, Paolo, Cadeddu, Chiara, Camia, Paola, Carluccio, Eugenia, Conti, Andrea, De Waure, Chiara, Di Gregori, Valentina, Fabiani, Leila, Fallico, Roberto, Filisetti, Barbara, Flacco, Maria E, Franco, Elisabetta, Furnari, Roberto, Galis, Veronica, Gallea, Maria R, Gallone, Maria F, Gallone, Serena, Gelatti, Umberto, Gilardi, Francesco, Giuliani, Anna R, Grillo, Orazio C, Lanati, Niccolò, Mascaretti, Silvia, Mattei, Antonella, Micò, Rocco, Morciano, Laura, Nante, Nicola, Napoli, Giuseppe, Nobile, Carmelo, Palladino, Raffaele, Parisi, Salvatore, Passaro, Maria, Pelissero, Gabriele, Quarto, Michele, Ricciardi, Walter, Romano, Gabriele, Rustico, Ennio, Saponari, Anita, Schioppa, Francesco S, Signorelli, Carlo, Siliquini, Roberta, Trabacchi, Valeria, Triassi, Maria, Varetta, Alessia, Ziglio, Andrea, Zoccali, Angela, Vitale, Francesco, Amodio, Emanuele
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container_end_page 1210
container_issue 5
container_start_page 1204
container_title Human vaccines & immunotherapeutics
container_volume 10
creator Costantino, Claudio
Mazzucco, Walter
Azzolini, Elena
Baldini, Cesare
Bergomi, Margherita
Biafiore, Alessio Daniele
Bianco, Manuela
Borsari, Lucia
Cacciari, Paolo
Cadeddu, Chiara
Camia, Paola
Carluccio, Eugenia
Conti, Andrea
De Waure, Chiara
Di Gregori, Valentina
Fabiani, Leila
Fallico, Roberto
Filisetti, Barbara
Flacco, Maria E
Franco, Elisabetta
Furnari, Roberto
Galis, Veronica
Gallea, Maria R
Gallone, Maria F
Gallone, Serena
Gelatti, Umberto
Gilardi, Francesco
Giuliani, Anna R
Grillo, Orazio C
Lanati, Niccolò
Mascaretti, Silvia
Mattei, Antonella
Micò, Rocco
Morciano, Laura
Nante, Nicola
Napoli, Giuseppe
Nobile, Carmelo
Palladino, Raffaele
Parisi, Salvatore
Passaro, Maria
Pelissero, Gabriele
Quarto, Michele
Ricciardi, Walter
Romano, Gabriele
Rustico, Ennio
Saponari, Anita
Schioppa, Francesco S
Signorelli, Carlo
Siliquini, Roberta
Trabacchi, Valeria
Triassi, Maria
Varetta, Alessia
Ziglio, Andrea
Zoccali, Angela
Vitale, Francesco
Amodio, Emanuele
description Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P < 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.
doi_str_mv 10.4161/hv.28081
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Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P &lt; 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P &lt; 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. 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Nobile, Carmelo ; Palladino, Raffaele ; Parisi, Salvatore ; Passaro, Maria ; Pelissero, Gabriele ; Quarto, Michele ; Ricciardi, Walter ; Romano, Gabriele ; Rustico, Ennio ; Saponari, Anita ; Schioppa, Francesco S ; Signorelli, Carlo ; Siliquini, Roberta ; Trabacchi, Valeria ; Triassi, Maria ; Varetta, Alessia ; Ziglio, Andrea ; Zoccali, Angela ; Vitale, Francesco ; Amodio, Emanuele</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-70f1d8cd7a4c8fc90196229893c9a063d4448808887afa3ac935f3225e4152093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>coverage rate</topic><topic>Data Collection - methods</topic><topic>Female</topic><topic>Humans</topic><topic>influenza vaccination</topic><topic>Influenza Vaccines - therapeutic use</topic><topic>Influenza, Human - epidemiology</topic><topic>Influenza, Human - prevention &amp; control</topic><topic>Internship and Residency - trends</topic><topic>Italy</topic><topic>Italy - epidemiology</topic><topic>Male</topic><topic>medical residents</topic><topic>multicentre survey</topic><topic>Physicians - trends</topic><topic>Research Paper</topic><topic>Vaccination - trends</topic><topic>Vaccination - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costantino, Claudio</creatorcontrib><creatorcontrib>Mazzucco, Walter</creatorcontrib><creatorcontrib>Azzolini, Elena</creatorcontrib><creatorcontrib>Baldini, Cesare</creatorcontrib><creatorcontrib>Bergomi, Margherita</creatorcontrib><creatorcontrib>Biafiore, Alessio Daniele</creatorcontrib><creatorcontrib>Bianco, Manuela</creatorcontrib><creatorcontrib>Borsari, Lucia</creatorcontrib><creatorcontrib>Cacciari, Paolo</creatorcontrib><creatorcontrib>Cadeddu, Chiara</creatorcontrib><creatorcontrib>Camia, Paola</creatorcontrib><creatorcontrib>Carluccio, Eugenia</creatorcontrib><creatorcontrib>Conti, Andrea</creatorcontrib><creatorcontrib>De Waure, Chiara</creatorcontrib><creatorcontrib>Di Gregori, Valentina</creatorcontrib><creatorcontrib>Fabiani, Leila</creatorcontrib><creatorcontrib>Fallico, Roberto</creatorcontrib><creatorcontrib>Filisetti, Barbara</creatorcontrib><creatorcontrib>Flacco, Maria E</creatorcontrib><creatorcontrib>Franco, Elisabetta</creatorcontrib><creatorcontrib>Furnari, Roberto</creatorcontrib><creatorcontrib>Galis, Veronica</creatorcontrib><creatorcontrib>Gallea, Maria R</creatorcontrib><creatorcontrib>Gallone, Maria F</creatorcontrib><creatorcontrib>Gallone, Serena</creatorcontrib><creatorcontrib>Gelatti, Umberto</creatorcontrib><creatorcontrib>Gilardi, Francesco</creatorcontrib><creatorcontrib>Giuliani, Anna R</creatorcontrib><creatorcontrib>Grillo, Orazio C</creatorcontrib><creatorcontrib>Lanati, Niccolò</creatorcontrib><creatorcontrib>Mascaretti, Silvia</creatorcontrib><creatorcontrib>Mattei, Antonella</creatorcontrib><creatorcontrib>Micò, Rocco</creatorcontrib><creatorcontrib>Morciano, Laura</creatorcontrib><creatorcontrib>Nante, Nicola</creatorcontrib><creatorcontrib>Napoli, Giuseppe</creatorcontrib><creatorcontrib>Nobile, Carmelo</creatorcontrib><creatorcontrib>Palladino, Raffaele</creatorcontrib><creatorcontrib>Parisi, Salvatore</creatorcontrib><creatorcontrib>Passaro, Maria</creatorcontrib><creatorcontrib>Pelissero, Gabriele</creatorcontrib><creatorcontrib>Quarto, Michele</creatorcontrib><creatorcontrib>Ricciardi, Walter</creatorcontrib><creatorcontrib>Romano, Gabriele</creatorcontrib><creatorcontrib>Rustico, Ennio</creatorcontrib><creatorcontrib>Saponari, Anita</creatorcontrib><creatorcontrib>Schioppa, Francesco S</creatorcontrib><creatorcontrib>Signorelli, Carlo</creatorcontrib><creatorcontrib>Siliquini, Roberta</creatorcontrib><creatorcontrib>Trabacchi, Valeria</creatorcontrib><creatorcontrib>Triassi, Maria</creatorcontrib><creatorcontrib>Varetta, Alessia</creatorcontrib><creatorcontrib>Ziglio, Andrea</creatorcontrib><creatorcontrib>Zoccali, Angela</creatorcontrib><creatorcontrib>Vitale, Francesco</creatorcontrib><creatorcontrib>Amodio, Emanuele</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Human vaccines &amp; immunotherapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costantino, Claudio</au><au>Mazzucco, Walter</au><au>Azzolini, Elena</au><au>Baldini, Cesare</au><au>Bergomi, Margherita</au><au>Biafiore, Alessio Daniele</au><au>Bianco, Manuela</au><au>Borsari, Lucia</au><au>Cacciari, Paolo</au><au>Cadeddu, Chiara</au><au>Camia, Paola</au><au>Carluccio, Eugenia</au><au>Conti, Andrea</au><au>De Waure, Chiara</au><au>Di Gregori, Valentina</au><au>Fabiani, Leila</au><au>Fallico, Roberto</au><au>Filisetti, Barbara</au><au>Flacco, Maria E</au><au>Franco, Elisabetta</au><au>Furnari, Roberto</au><au>Galis, Veronica</au><au>Gallea, Maria R</au><au>Gallone, Maria F</au><au>Gallone, Serena</au><au>Gelatti, Umberto</au><au>Gilardi, Francesco</au><au>Giuliani, Anna R</au><au>Grillo, Orazio C</au><au>Lanati, Niccolò</au><au>Mascaretti, Silvia</au><au>Mattei, Antonella</au><au>Micò, Rocco</au><au>Morciano, Laura</au><au>Nante, Nicola</au><au>Napoli, Giuseppe</au><au>Nobile, Carmelo</au><au>Palladino, Raffaele</au><au>Parisi, Salvatore</au><au>Passaro, Maria</au><au>Pelissero, Gabriele</au><au>Quarto, Michele</au><au>Ricciardi, Walter</au><au>Romano, Gabriele</au><au>Rustico, Ennio</au><au>Saponari, Anita</au><au>Schioppa, Francesco S</au><au>Signorelli, Carlo</au><au>Siliquini, Roberta</au><au>Trabacchi, Valeria</au><au>Triassi, Maria</au><au>Varetta, Alessia</au><au>Ziglio, Andrea</au><au>Zoccali, Angela</au><au>Vitale, Francesco</au><au>Amodio, Emanuele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influenza vaccination coverage among medical residents: An Italian multicenter survey</atitle><jtitle>Human vaccines &amp; immunotherapeutics</jtitle><addtitle>Hum Vaccin Immunother</addtitle><date>2014</date><risdate>2014</risdate><volume>10</volume><issue>5</issue><spage>1204</spage><epage>1210</epage><pages>1204-1210</pages><issn>2164-5515</issn><eissn>2164-554X</eissn><abstract>Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P &lt; 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P &lt; 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.</abstract><cop>United States</cop><pub>Taylor &amp; Francis</pub><pmid>24603089</pmid><doi>10.4161/hv.28081</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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issn 2164-5515
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language eng
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source MEDLINE; PubMed Central; Alma/SFX Local Collection
subjects Adult
Attitude of Health Personnel
coverage rate
Data Collection - methods
Female
Humans
influenza vaccination
Influenza Vaccines - therapeutic use
Influenza, Human - epidemiology
Influenza, Human - prevention & control
Internship and Residency - trends
Italy
Italy - epidemiology
Male
medical residents
multicentre survey
Physicians - trends
Research Paper
Vaccination - trends
Vaccination - utilization
title Influenza vaccination coverage among medical residents: An Italian multicenter survey
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