Workplace Interventions and Attitudes Associated with Influenza Vaccination Coverage Among Health Care Personnel in Home Health Care Settings, 2016-17 and 2017-18 Influenza Seasons

• Activity Number: 358 - Contributed Poster Presentations: Section on Statistics in Epidemiology
• Type: Contributed
• Date/Time: Tuesday, July 30, 2019 : 10:30 AM to 12:20 PM
• Sponsor: Section on Statistics in Epidemiology
• Author(s): Xin Yue* and Barbara Bardenheier and Carla Black and Sarah Ball and Marie A. de Perio and Anthony Scott Laney
• Companies: Leiods Inc./Centers for Disease Control and Prevention and Centers for Disease Control and Prevention and Centers for Disease Control and Prevention and Abt Associates Inc and Centers for Disease Control and Prevention and Centers for Disease Control and Prevention
• Keywords: Intervention; influenza vaccination coverage; HCP; home health agency

Abstract

Influenza vaccination of health care personnel (HCP) in home health care settings protects HCP and their vulnerable patients. Our study analyzed data from opt-in national Internet panel surveys conducted in 2017 and 2018 (n=579). Multivariable logistic regression were used to estimate prevalence ratios (PR) of the associations between influenza vaccination and workplace interventions, controlling for demographic and employment characteristics. Attitudes towards vaccination were assessed separately. Overall, influenza vaccination coverage was 65% among home health HCP. Influenza vaccination was statistically associated with an employer vaccination requirement (PR [95% confidence interval] = 1.4 [1.1, 1.7]), employers publicizing risks and benefits of vaccination (PR = 1.3 [1.1, 1.5]), and requiring HCP to sign a declination form if unvaccinated (PR = 1.5 [1.3, 1.7]). Vaccination coverage increased with greater numbers of workplace interventions. Positive attitudes about vaccine safety and effectiveness were associated with higher vaccination coverage. Most vaccination-related factors are similar to other settings and may increase influenza vaccination coverage among home health HCP.