Factors affecting uptake of influenza vaccination among family physicians |
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| Affiliation: | 1. Department of Family Medicine, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey;2. Public Health Institution of Turkey, 1st Family Health Center, Family Medicine Clinic Samsun Training and Research Hospital Kadıköy Samsun, Rize, Turkey;3. Turkey Public Health Office, Saricam Mehmet Akif Ersoy Family Medicine Center, Ministery of Health, Adana, Turkey;4. Turkey Public Health Office, Zumrutevler Number 1 Family Medicine Clinic, Istanbul, Turkey;5. Department of Biostatistics and Medical Informatics, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey;6. Department of Psychiatry, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Kadıköy, İstanbul, Turkey;7. Department of Virology, Istabul University Faculty of Medicine 34093Fatih/Çapa, İstanbul, Turkey;1. Division of Neurology, Department of Medicine, University of Toronto, 1 King''s College Cir, Toronto, ON M5S 1A8, Canada;2. Department of Genetics and Development, Toronto Western Research Institute, 399 Bathurst St, McL 12-407 Toronto, ON M5T 2S8, Canada;3. Lyndhurst Centre, Toronto Rehabilitation Institute, 520 Sutherland Dr, Toronto, ON M4G 3V9, Canada;4. Division of Neurosurgery, Department of Surgery, University of Toronto, 1 King''s College Cir, Toronto, ON M5S 1A8, Canada;5. Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, 600 University Ave, Suite 600, Toronto, ON M5G 1X5, Canada;6. Department of Laboratory Medicine and Pathobiology, University of Toronto, 1 King''s College Cir, Toronto, ON M5S 1A8, Canada;7. Division of Neuropathology, Department of Laboratory Medicine and Pathobiology, Toronto General Hospital, University Health Network, 200 Elizabeth St, Eaton South Wing, 11th Floor, Toronto, ON M5G 2C4, Canada;1. Istanbul University, Cerrahpasa Faculty of Medicine, Department of Nuclear Medicine, Istanbul, Turkey;2. Istanbul Bağcılar Training and Education Hospital, Department of Nuclear Medicine, Istanbul, Turkey;3. Yıldırım Beyazıt University Hospital, Department of Nuclear Medicine, Ankara, Turkey;1. Yale School of Public Health, Department of Epidemiology of Microbial Diseases, 60 College Street, New Haven, CT, 06520, USA;2. Yale School of Medicine, Department of Obstetrics and Gynecology, 333 Cedar Street, PO Box 208063, Suite 302 FMB, New Haven, CT, 06520, USA;3. Yale School of Medicine, Department of Pediatrics, P.O. Box 208064, New Haven, CT, 06520-8064, USA |
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| Abstract: | AimThe aim of this study was to determine the factors that influenced the decisions of family physicians working in primary care health services to receive influenza vaccines.MethodsThis cross-sectional study was performed between June 2014 and September 2014. Physicians were reached electronically via e-mail. A self-reported questionnaire consisting of 50 items covering potential factors that may have influenced their decision to receive vaccination, including perceived risk, severity of the perceived risk, perceived benefit, perceived barriers, cues to action, attitudes, social influences and personal efficacy, was administered to the study participants. Cronbach's alpha for the questionnaire was determined to be 0.92 in the pilot study.ResultsThe response rate was 27.5% (n = 596). Regularly vaccinated physicians accounted for 27.3% of the responses. The median age was 41.84 ± 7.80, and the median working duration of the group was 17.0 ± 7.8 years. The factors that led to increased vaccination compliance (p < 0.05) included working duration, age, chronic disease history and living with a person over 65 years. Nearly all major domains, i.e., perceived risk, severity of the perceived risk, perceived benefit, perceived barriers, attitudes, social influences and personal efficacy, there were differences between the compliant and noncompliant groups. Multi-regression analyses revealed that risk perception, organizational factors such as time and convenient vaccination increased vaccine compliance. However, the perceived necessity to be vaccinated annually had a negative effect on vaccination behaviour (p < 0.05).ConclusionStrategies aimed to increase the flu vaccination ratio among physicians that do not take different factors into account are more likely to be unsuccessful. In the planning and implementation of strategies aiming to increase the vaccination ratio among physicians, it is both necessary and important to take into account behavioural and organizational factors. |
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| Keywords: | Influenza vaccination Health care workers Family physicians |
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