Evidence map›Paper›PMID 27188810›Full record

ArticleBMJ open2016

Determinants of adherence to seasonal influenza vaccination among healthcare workers from an Italian region: results from a cross-sectional study.

P Durando, C Alicino, G Dini, I Barberis, A M Bagnasco, R Iudici, M Zanini, M Martini, A Toletone, C Paganino and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Understanding Primary Care Physician Vaccination Behaviour: A Systematic Review.International journal of environmental research and public health · 2022
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  14. Revue d'epidemiologie et de sante publique · 2022
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  17. COVID-19 and Influenza Vaccination Campaign in a Research and University Hospital in Milan, Italy.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 3 countries.

P DurandoDepartment of Health Sciences, University of Genoa, Genoa, Italy Occupational Medicine Unit, IRCCS University Hospital San Martino-IST National Institute for Cancer Research, Genoa, Italy.
C AlicinoDepartment of Health Sciences, University of Genoa, Genoa, Italy.ORCID 0000-0002-6473-9870
G DiniDepartment of Health Sciences, University of Genoa, Genoa, Italy Occupational Medicine Unit, IRCCS University Hospital San Martino-IST National Institute for Cancer Research, Genoa, Italy.
I BarberisDepartment of Health Sciences, University of Genoa, Genoa, Italy Hygiene Unit, IRCCS University Hospital San Martino-IST National Institute for Cancer Research, Genoa, Italy.
A M BagnascoDepartment of Health Sciences, University of Genoa, Genoa, Italy.
R IudiciDepartment of Health Sciences, University of Genoa, Genoa, Italy.
M ZaniniDepartment of Health Sciences, University of Genoa, Genoa, Italy.
M MartiniDepartment of Health Sciences, University of Genoa, Genoa, Italy.
A ToletoneDepartment of Health Sciences, University of Genoa, Genoa, Italy Occupational Medicine Unit, IRCCS University Hospital San Martino-IST National Institute for Cancer Research, Genoa, Italy.
C PaganinoDepartment of Health Sciences, University of Genoa, Genoa, Italy Hygiene Unit, IRCCS University Hospital San Martino-IST National Institute for Cancer Research, Genoa, Italy.
E MassaDepartment of Health Sciences, University of Genoa, Genoa, Italy Occupational Medicine Unit, IRCCS University Hospital San Martino-IST National Institute for Cancer Research, Genoa, Italy.
A OrsiDepartment of Health Sciences, University of Genoa, Genoa, Italy Hygiene Unit, IRCCS University Hospital San Martino-IST National Institute for Cancer Research, Genoa, Italy.ORCID 0000-0002-2433-9610
L SassoDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Martin University · USUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNotwithstanding decades of efforts to increase the uptake of seasonal influenza (flu) vaccination among European healthcare workers (HCWs), the immunisation rates are still unsatisfactory. In order to understand the reasons for the low adherence to flu vaccination, a study was carried out among HCWs of two healthcare organisations in Liguria, a region in northwest Italy.

methodsA cross-sectional study based on anonymous self-administered web questionnaires was carried out between October 2013 and February 2014. Through univariate and multivariate regression analysis, the study investigated the association between demographic and professional characteristics, knowledge, beliefs and attitudes of the study participants and (i) the seasonal flu vaccination uptake in the 2013/2014 season and (ii) the self-reported number of flu vaccination uptakes in the six consecutive seasons from 2008/2009 to 2013/2014.

resultsA total of 830 HCWs completed the survey. Factors statistically associated with flu vaccination uptake in the 2013/2014 season were: being a medical doctor and agreeing with the statements 'flu vaccine is safe', 'HCWs have a higher risk of getting flu' and 'HCWs should receive flu vaccination every year'. A barrier to vaccination was the belief that pharmaceutical companies influence decisions about vaccination strategies. DISCUSSION: All the above-mentioned factors, except the last one, were (significantly) associated with the number of flu vaccination uptakes self-reported by the respondents between season 2008/2009 and season 2013/2014. Other significantly associated factors appeared to be level of education, being affected by at least one chronic disease, and agreeing with mandatory flu vaccination in healthcare settings.

conclusionsThis survey allows us to better understand the determinants of adherence to vaccination as a fundamental preventive strategy against flu among Italian HCWs. These findings should be used to improve and customise any future promotion campaigns to overcome identified barriers to immunisation.

Indexed as

Guideline AdherenceHealth PersonnelAdultAge FactorsAttitude of Health PersonnelCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesItalyMaleMandatory ProgramsMiddle AgedInfluenza Vaccinesadherencehealthcare workersInfluenza vaccineItaly

Identifiers

PMID27188810
PMCPMC4874132
OpenAlexW2403187028

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.