Knowledge, attitudes, and practices of influenza and pneumococcal vaccines among agricultural workers: results of an Italian a cross-sectional study.
Journal
Acta bio-medica : Atenei Parmensis
ISSN: 2531-6745
Titre abrégé: Acta Biomed
Pays: Italy
ID NLM: 101295064
Informations de publication
Date de publication:
23 12 2019
23 12 2019
Historique:
received:
27
09
2018
accepted:
27
09
2018
entrez:
8
1
2020
pubmed:
8
1
2020
medline:
25
9
2020
Statut:
epublish
Résumé
Working age is increasing across Europe. Seasonal influenza (SID) and pneumococcal disease (PND) immunization programmes might be successfully implemented at the workplace. We conducted a cross-sectional survey among to assess SID and PND vaccine status, as well as knowledge, attitudes and practices (KAP) in a representative sample of agricultural workers (AWs) aged ≥55 years in North-Eastern Italy. A structured questionnaire was administered in person by trained personnel. Bivariate and multivariate logistic regression analyses were carried out to identify behavioral and work-related factors associated with SID and PND vaccine uptake. Among 707 participants, 238 were aged 55 years or more (33.7% of total). Of them, 39.1% had an up-to-date immunization status towards influenza, and 17.6% towards pneumococcus. Factors associated with inadequate immunization were doubts about influenza vaccine safety (40.0%) and the confidence in natural immunity towards pneumococcus (30.8%). Attitude towards vaccinations was somehow favorable in 44.5% of participants for SID, and 37.8% for PND. Overall, 37.4% and 21.8% workers were aware of national recommendations on SID and PND immunization, respectively. This factor was characterized as a significant predictor for SID vaccination (multivariated Odds Ratio, OR 32.688 95%CI 12.015-88.930), as well as the perception of SID as a severe disease (OR 7.539 95%CI 3.312-17.164), and the perceived value of preventing new infections (OR 3.215 95%CI 1.205-8.578). A somehow favorable attitude towards vaccinations was the main predictor (OR 39.214 95%CI 10.179-151.1) for PND vaccination. Our study indicates that older workers lack appropriate knowledge of national recommendations and correct risk perception of SID and PND infections, but also vaccines' side effects. As the latter has been recognized as predictive factor for SID vaccination, our results stress the importance for tailored informative interventions in the workplaces aimed to increase risk perception and vaccine acceptance. (www.actabiomedica.it).
Sections du résumé
BACKGROUND
Working age is increasing across Europe. Seasonal influenza (SID) and pneumococcal disease (PND) immunization programmes might be successfully implemented at the workplace. We conducted a cross-sectional survey among to assess SID and PND vaccine status, as well as knowledge, attitudes and practices (KAP) in a representative sample of agricultural workers (AWs) aged ≥55 years in North-Eastern Italy.
METHODS
A structured questionnaire was administered in person by trained personnel. Bivariate and multivariate logistic regression analyses were carried out to identify behavioral and work-related factors associated with SID and PND vaccine uptake.
RESULTS
Among 707 participants, 238 were aged 55 years or more (33.7% of total). Of them, 39.1% had an up-to-date immunization status towards influenza, and 17.6% towards pneumococcus. Factors associated with inadequate immunization were doubts about influenza vaccine safety (40.0%) and the confidence in natural immunity towards pneumococcus (30.8%). Attitude towards vaccinations was somehow favorable in 44.5% of participants for SID, and 37.8% for PND. Overall, 37.4% and 21.8% workers were aware of national recommendations on SID and PND immunization, respectively. This factor was characterized as a significant predictor for SID vaccination (multivariated Odds Ratio, OR 32.688 95%CI 12.015-88.930), as well as the perception of SID as a severe disease (OR 7.539 95%CI 3.312-17.164), and the perceived value of preventing new infections (OR 3.215 95%CI 1.205-8.578). A somehow favorable attitude towards vaccinations was the main predictor (OR 39.214 95%CI 10.179-151.1) for PND vaccination.
CONCLUSIONS
Our study indicates that older workers lack appropriate knowledge of national recommendations and correct risk perception of SID and PND infections, but also vaccines' side effects. As the latter has been recognized as predictive factor for SID vaccination, our results stress the importance for tailored informative interventions in the workplaces aimed to increase risk perception and vaccine acceptance. (www.actabiomedica.it).
Identifiants
pubmed: 31910168
doi: 10.23750/abm.v90i4.7631
pmc: PMC7233756
doi:
Substances chimiques
Influenza Vaccines
0
Pneumococcal Vaccines
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
439-450Références
Vaccine. 2012 May 28;30(25):3771-7
pubmed: 22445808
Int J Mol Sci. 2016 Jul 15;17(7):
pubmed: 27428964
Vaccine. 2014 Jul 31;32(35):4478-84
pubmed: 24962759
Med Pr. 2016;67(5):577-587
pubmed: 27819697
BMC Public Health. 2013 Apr 25;13:388
pubmed: 23617788
BMC Public Health. 2014 Aug 07;14:813
pubmed: 25103091
BMC Public Health. 2016 Feb 04;16:121
pubmed: 26846202
Int J Occup Med Environ Health. 2018 Jan 15;31(3):317-331
pubmed: 29165429
PLoS One. 2016 Jan 29;11(1):e0147931
pubmed: 26824383
Eur J Public Health. 2007 Jun;17(3):272-7
pubmed: 17071634
Vaccine. 2010 Dec 16;29(2):344-56
pubmed: 20937313
Vaccine. 2018 May 3;36(19):2523-2528
pubmed: 29615269
J Occup Med. 1982 Nov;24(11):898-900
pubmed: 7175585
Proc Natl Acad Sci U S A. 2015 Dec 8;112(49):E6725-6
pubmed: 26598650
Public Health. 2018 Mar;156:67-78
pubmed: 29408191
Ind Health. 2016 Dec 7;54(6):554-563
pubmed: 27251030
Geriatr Nurs. 2005 Sep-Oct;26(5):304-8
pubmed: 16213982
Occup Med (Lond). 2001 Mar;51(2):114-7
pubmed: 11307686
Eur J Public Health. 2018 Aug 1;28(4):740-742
pubmed: 29590341
Epidemiol Prev. 2015 Jul-Aug;39(4 Suppl 1):146-58
pubmed: 26499433
Ann Ig. 2016 Sep-Oct;28(5):313-8
pubmed: 27627662
PLoS One. 2014 Dec 09;9(12):e114863
pubmed: 25490092
BMC Geriatr. 2017 Jun 7;17(1):122
pubmed: 28592229
Am J Med. 2008 Jul;121(7 Suppl 2):S28-35
pubmed: 18589065
J Prev Med Hyg. 2017 Jun;58(2):E141-E154
pubmed: 28900354
Ann Ig. 2017 Jul-Aug;29(4):239-255
pubmed: 28569334
Euro Surveill. 2002 Jul;7(7):103-10
pubmed: 12631930
BMC Infect Dis. 2016 Nov 25;16(1):711
pubmed: 27887596
Am J Ind Med. 2009 Mar;52(3):185-94
pubmed: 19016260
Hum Vaccin Immunother. 2016 Jul 2;12(7):1891-9
pubmed: 27064311
BMC Public Health. 2014 May 12;14:442
pubmed: 24884433
PLoS One. 2016 Nov 15;11(11):e0166637
pubmed: 27846277
Scand J Public Health. 2018 Mar;46(2):170-174
pubmed: 29064347
Vaccine. 2017 Jan 5;35(2):205-207
pubmed: 27919630
Hum Vaccin Immunother. 2014;10(10):2994-9
pubmed: 25483646
Hum Vaccin Immunother. 2018 Mar 4;14(3):699-705
pubmed: 29059004
Prev Med. 2004 Oct;39(4):798-803
pubmed: 15351548
Soc Sci Med. 2011 Dec;73(12):1698-706
pubmed: 22075259
Vaccine. 2017 May 15;35(21):2823-2830
pubmed: 28412075
Bull World Health Organ. 1998;76(1):47-54
pubmed: 9615496
Vaccine. 2017 Jul 24;35(33):4057-4059
pubmed: 28651836
J Clin Epidemiol. 2001 Feb;54(2):121-6
pubmed: 11166526
Ann Ig. 2018 Jul-Aug;30(4 Supple 1):16-22
pubmed: 30062375
Ann Fam Med. 2012 Nov-Dec;10(6):538-46
pubmed: 23149531
Hum Vaccin. 2011 Dec;7(12):1317-25
pubmed: 22108034
G Ital Dermatol Venereol. 2020 Feb;155(1):31-40
pubmed: 28895375
J Prev Med Hyg. 2016;57(2):E61-8
pubmed: 27582630
J Prev Med Hyg. 2018 Sep 28;59(3):E200-E211
pubmed: 30397676
PLoS One. 2017 Jan 26;12(1):e0170550
pubmed: 28125629
J Prev Med Hyg. 2011 Sep;52(3):124-6
pubmed: 22010540