Evidence map›Paper›PMID 40459287›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Sociodemographic and Occupational Factors Associated With COVID-19 Vaccine and Influenza Vaccine Uptake Among Healthcare Workers, in Albania, 2022-2023: A Multicenter Study.

Anisa Xhaferi, Silvia Bino, Rovena Daja, Adela Vasili, Jonilda Sulo, Nana Mebonia, Earta Ndreu, Miljana Nika, Nadire Jani, Ermiona Dabaj and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Anisa XhaferiInstitute of Public Health, Tirana, Albania.
Silvia BinoInstitute of Public Health, Tirana, Albania.ORCID 0000-0003-0565-863X
Rovena DajaInstitute of Public Health, Tirana, Albania.
Adela VasiliInstitute of Public Health, Tirana, Albania.
Jonilda SuloInstitute of Public Health, Tirana, Albania.
Nana MeboniaEuropean Center for Disease Prevention and Control, Stockholm, Sweden.ORCID 0000-0001-7036-4879
Earta NdreuSouth East European Center for Infectious Diseases Surveillance and Control, Tirana, Albania.
Miljana NikaMother Teresa University Hospital Tirana, Albania.
Nadire JaniRegional Hospital of Durres, Albania.
Ermiona DabajRegional Hospital of Durres, Albania.
Nensi SustarovaRegional Hospital of Durres, Albania.
Anila MoçiRegional Hospital of Fier, Albania.
Dorina ToçiInstitute of Public Health, Tirana, Albania.
Albana FicoUniversity of Medicine, Tirana; Tirana, Albania.ORCID 0009-0003-6922-5320
Eugena TominiInstitute of Public Health, Tirana, Albania.
Sara RobinsonMaine Department of Health and Human Services, USA.ORCID 0009-0007-6815-7505
Pernille JorgensenWorld Health Organization, Regional Office for Europe, Copenhagen, Denmark.
Mark A KatzWorld Health Organization, Regional Office for Europe, Copenhagen, Denmark.ORCID 0000-0002-5532-7276

Funding

Task Force for Global HealthU.S. Centers for Disease Control and PreventionWorld Health Organization 001
6 · The paper itself

Abstract

backgroundHealthcare workers (HCWs) are a priority group for coronavirus disease 2019 (COVID-19) and influenza vaccination. We evaluated sociodemographic and occupational factors, attitudes, and knowledge associated with the uptake of primary and booster doses of COVID-19 and seasonal influenza vaccines among HCWs.

methodsBetween February 2022 and February 2023, we administered a structured questionnaire to HCWs in 3 Albanian hospitals who were enrolled in a multiyear cohort study. The questionnaire assessed participants' knowledge, confidence, and attitudes toward COVID-19 and seasonal influenza vaccines, and included questions on COVID-19 and influenza vaccination history, perceptions of vaccine safety and effectiveness, and factors influencing vaccine decision-making.

resultsWe included 1456 HCWs. Their median age was 44 (interquartile range: 33-53) and 77.3% were female. Overall, 20.7% were physicians, 47.0% nurses or midwives, and 21.5% support staff. In all, 93.6% received a COVID-19 primary vaccine series, 20% a COVID-19 booster, and 23.7% received an influenza vaccine in the 2022-2023 season. In the multivariable analysis, male HCWs were more likely to receive COVID-19 boosters (adjusted odds ratio [aOR] 2.08; 95% confidence interval [CI]: 1.55-2.80). However, they were less likely to receive influenza vaccines (aOR 0.69; 95% CI: .51-.95). Medical doctors were more likely to receive COVID-19 vaccine doses, while nurses had higher uptake of the influenza vaccine (aOR 1.87; 95% CI: 1.30-2.68). Confidence in the safety and effectivity of both vaccines was positively associated with vaccine uptake.

conclusionsAmong HCWs, primary series COVID-19 vaccine coverage was high, but COVID-19 booster doses and seasonal influenza vaccines were low. Findings related to age and sex differences among HCW groups with low vaccine uptake, as well as their knowledge and attitudes toward vaccines, should inform targeted strategies to improve COVID-19 and influenza vaccine uptake, particularly among younger HCWs, female HCWs, and nonphysicians.

Indexed as

COVID-19COVID-19 VaccinesHealth PersonnelInfluenza, HumanInfluenza VaccinesVaccinationAdultAlbaniaFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedSARS-CoV-2Sociodemographic FactorsSurveys and QuestionnairesCOVID-19 VaccinesInfluenza VaccinesAlbaniaCOVID-19health care workersinfluenzavaccination

Identifiers

PMID40459287
PMCPMC12314487

What OpenQuestion holds

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LicenceCC BY
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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.