Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019.
Acceptability
Healthcare workers
Influenza
Mandatory vaccination
Measles
Pertussis
Varicella
Journal
Archives of public health = Archives belges de sante publique
ISSN: 0778-7367
Titre abrégé: Arch Public Health
Pays: England
ID NLM: 9208826
Informations de publication
Date de publication:
05 Apr 2023
05 Apr 2023
Historique:
received:
22
11
2022
accepted:
23
03
2023
medline:
6
4
2023
entrez:
5
4
2023
pubmed:
6
4
2023
Statut:
epublish
Résumé
Vaccination of healthcare workers (HCW) aims to protect them and to reduce transmission to susceptible patients. Influenza, measles, pertussis, and varicella vaccinations are recommended but not mandatory for HCW in France. Insufficient vaccine coverage for these diseases in HCW has raised the question of introducing mandatory vaccination. We conducted a survey to estimate acceptability of mandatory vaccination for these four vaccines by HCW working in healthcare facilities (HCF) in France, and to identify associated determinants. In 2019, we performed a cross-sectional survey of physicians, nurses, midwives and nursing assistants working in HCF in France using a randomised stratified three-stage sampling design (HCF type, ward category, HCW category). Data were collected in face-to-face interviews using a tablet computer. We investigated the possible determinants of acceptability of mandatory vaccination using univariate and multivariate Poisson regressions, and estimated prevalence ratios (PR). A total of 8594 HCW in 167 HCF were included. For measles, pertussis, and varicella, self-reported acceptability of mandatory vaccination (very or quite favourable) was 73.1% [CI95%: 70.9-75.1], 72.1% [69.8-74.3], and 57.5% [54.5-57.7], respectively. Acceptability varied according to i) HCW and ward category for these three vaccinations, ii) age group for measles and pertussis, and iii) sex for varicella. For mandatory influenza vaccination, acceptability was lower (42.7% [40.6-44.9]), and varied greatly between HCW categories (from 77.2% for physicians to 32.0% for nursing assistants). HCW acceptability of mandatory vaccination was high for measles, pertussis and varicella but not as high for influenza. Vaccination for COVID-19 is mandatory for HCW in France. Replication of this study after the end of the COVID-19 crisis would help assess whether the pandemic had an impact on their acceptability of mandatory vaccination, in particular for influenza.
Sections du résumé
BACKGROUND
BACKGROUND
Vaccination of healthcare workers (HCW) aims to protect them and to reduce transmission to susceptible patients. Influenza, measles, pertussis, and varicella vaccinations are recommended but not mandatory for HCW in France. Insufficient vaccine coverage for these diseases in HCW has raised the question of introducing mandatory vaccination. We conducted a survey to estimate acceptability of mandatory vaccination for these four vaccines by HCW working in healthcare facilities (HCF) in France, and to identify associated determinants.
METHODS
METHODS
In 2019, we performed a cross-sectional survey of physicians, nurses, midwives and nursing assistants working in HCF in France using a randomised stratified three-stage sampling design (HCF type, ward category, HCW category). Data were collected in face-to-face interviews using a tablet computer. We investigated the possible determinants of acceptability of mandatory vaccination using univariate and multivariate Poisson regressions, and estimated prevalence ratios (PR).
RESULTS
RESULTS
A total of 8594 HCW in 167 HCF were included. For measles, pertussis, and varicella, self-reported acceptability of mandatory vaccination (very or quite favourable) was 73.1% [CI95%: 70.9-75.1], 72.1% [69.8-74.3], and 57.5% [54.5-57.7], respectively. Acceptability varied according to i) HCW and ward category for these three vaccinations, ii) age group for measles and pertussis, and iii) sex for varicella. For mandatory influenza vaccination, acceptability was lower (42.7% [40.6-44.9]), and varied greatly between HCW categories (from 77.2% for physicians to 32.0% for nursing assistants).
CONCLUSION
CONCLUSIONS
HCW acceptability of mandatory vaccination was high for measles, pertussis and varicella but not as high for influenza. Vaccination for COVID-19 is mandatory for HCW in France. Replication of this study after the end of the COVID-19 crisis would help assess whether the pandemic had an impact on their acceptability of mandatory vaccination, in particular for influenza.
Identifiants
pubmed: 37020228
doi: 10.1186/s13690-023-01069-4
pii: 10.1186/s13690-023-01069-4
pmc: PMC10076374
doi:
Types de publication
Journal Article
Langues
eng
Pagination
51Informations de copyright
© 2023. The Author(s).
Références
PLoS One. 2019 Oct 31;14(10):e0224330
pubmed: 31671115
Vaccine. 2014 Sep 3;32(39):5083-6
pubmed: 24992715
Vaccine. 2011 May 12;29(21):3734-7
pubmed: 21458607
Euro Surveill. 2013 Nov 07;18(45):20627
pubmed: 24229791
Vaccine. 2019 Dec 10;37(52):7576-7584
pubmed: 31623916
J Infect. 2012 Mar;64(3):319-24
pubmed: 22198739
BMC Public Health. 2010 Mar 25;10:159
pubmed: 20338028
Euro Surveill. 2019 Jun;24(25):
pubmed: 31241041
Clin Infect Dis. 2010 Feb 15;50(4):459-64
pubmed: 20064039
Vaccine. 2023 Jan 16;41(3):812-820
pubmed: 36528442
Ir Med J. 2018 May 10;111(5):749
pubmed: 30489044
Vaccine. 2008 Oct 9;26(43):5484-93
pubmed: 18703109
Expert Rev Vaccines. 2019 Jan;18(1):5-13
pubmed: 30501454
Hum Vaccin Immunother. 2019;15(4):918-931
pubmed: 30633626
J Clin Virol. 2019 Jul;116:29-33
pubmed: 31082729
Euro Surveill. 2019 Jun;24(26):
pubmed: 31266592
Emerg Infect Dis. 2013 Mar;19(3):357-64
pubmed: 23618523
Vaccine. 2011 Oct 6;29(43):7364-9
pubmed: 21807048
Vaccine. 2018 May 31;36(23):3351-3358
pubmed: 29716777
BMC Public Health. 2022 May 25;22(1):1049
pubmed: 35614428
Euro Surveill. 2018 Jul;23(30):
pubmed: 30064543
Am J Infect Control. 2013 Jan;41(1):66-70
pubmed: 22709989
Hum Vaccin Immunother. 2015;11(11):2522-37
pubmed: 26291642
Healthcare (Basel). 2017 Mar 07;5(1):
pubmed: 28272332
Public Health. 2015 Jun;129(6):755-62
pubmed: 25834928
Vaccine. 2012 Jun 29;30(31):4648-54
pubmed: 22579863
Vaccine. 2011 Apr 5;29(16):2895-901
pubmed: 21338677