Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019
Abstract 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...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13690-023-01069-4 |
| _version_ | 1827970684208283648 |
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| author | Sophie Vaux Laure Fonteneau Muriel Péfau Anne-Gaëlle Venier Arnaud Gautier Sophan Soing Altrach Pierre Parneix Daniel Levy-Bruhl |
| author_facet | Sophie Vaux Laure Fonteneau Muriel Péfau Anne-Gaëlle Venier Arnaud Gautier Sophan Soing Altrach Pierre Parneix Daniel Levy-Bruhl |
| author_sort | Sophie Vaux |
| collection | DOAJ |
| description | Abstract 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 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 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 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. |
| first_indexed | 2024-04-09T18:57:33Z |
| format | Article |
| id | doaj.art-d868e82c2f774ed892eacf9643b44522 |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-04-09T18:57:33Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-d868e82c2f774ed892eacf9643b445222023-04-09T11:08:41ZengBMCArchives of Public Health2049-32582023-04-0181111410.1186/s13690-023-01069-4Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019Sophie Vaux0Laure Fonteneau1Muriel Péfau2Anne-Gaëlle Venier3Arnaud Gautier4Sophan Soing Altrach5Pierre Parneix6Daniel Levy-Bruhl7Santé Publique FranceSanté Publique FranceNouvelle Aquitaine Healthcare-Associated Infection Control Centre, Bordeaux University HospitalNouvelle Aquitaine Healthcare-Associated Infection Control Centre, Bordeaux University HospitalSanté Publique FranceSanté Publique FranceNouvelle Aquitaine Healthcare-Associated Infection Control Centre, Bordeaux University HospitalSanté Publique FranceAbstract 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 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 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 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.https://doi.org/10.1186/s13690-023-01069-4Mandatory vaccinationAcceptabilityMeaslesVaricellaPertussisInfluenza |
| spellingShingle | Sophie Vaux Laure Fonteneau Muriel Péfau Anne-Gaëlle Venier Arnaud Gautier Sophan Soing Altrach Pierre Parneix Daniel Levy-Bruhl Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019 Archives of Public Health Mandatory vaccination Acceptability Measles Varicella Pertussis Influenza |
| title | Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019 |
| title_full | Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019 |
| title_fullStr | Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019 |
| title_full_unstemmed | Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019 |
| title_short | Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019 |
| title_sort | acceptability of mandatory vaccination against influenza measles pertussis and varicella by workers in healthcare facilities a national cross sectional study france 2019 |
| topic | Mandatory vaccination Acceptability Measles Varicella Pertussis Influenza |
| url | https://doi.org/10.1186/s13690-023-01069-4 |
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