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Benedict Kpozehouen E, Raina Macintyre C, Tan TC. Coverage of influenza, pneumococcal and zoster vaccination and determinants of influenza and pneumococcal vaccination among adults with cardiovascular diseases in community. Vaccine 2024; 42:126003. [PMID: 38789372 DOI: 10.1016/j.vaccine.2024.05.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 05/05/2024] [Accepted: 05/21/2024] [Indexed: 05/26/2024]
Abstract
BACKGROUND Cardiovascular disease (CVD) is the leading cause of death and illness globally. Influenza, pneumococcal disease and herpes zoster infection may trigger acute cardiovascular events or cause complications among cardiac patients. Vaccination is recommended for adults with CVD. There is a gap in research evidence around determinants and uptake of influenza, pneumococcal and zoster vaccines in adults with CVD. OBJECTIVE The aim of this study is to examine the rate of the uptake of influenza, zoster and pneumococcal vaccines, factors associated with the uptake of influenza vaccine, and the perceptions of influenza and pneumococcal vaccination among people with CVD in the community. METHOD Cross-sectional survey data was analysed from three separate surveys carried out in Australia between October 2019 and September 2020 of 972 adults with CVD. We used descriptive statistics to describe data. Thematic analysis examined the reasons for taking influenza vaccine. Multivariable analysis was used to identify independent predictors of the influenza vaccine uptake and perceptions associated with the uptake of influenza and pneumococcal vaccines. RESULTS Out of 972 participants, a total of 661 (68 %) people said they had received influenza vaccine in the last 12 months; 361 (37 %) had ever received pneumococcal vaccine; 196 (20 %) had ever received zoster vaccine. Among 661 participants who said they received influenza vaccine within the 12 months prior to the study, 543 (82 %) participants received it from doctors or general practitioners (GPs) offices. Age 65 and older, being born in Australia, being employed or retired and having comorbidity were positive predictors of influenza vaccination. Doctors' recommendations to take the vaccine and awareness of free vaccines positively predicted influenza and pneumococcal vaccine uptake. CONCLUSION The uptake of recommended pneumococcal and zoster vaccines is low in people with CVD. Doctors' recommendations, targeted health promotion programs in general practice, and easy access to vaccination may optimise vaccination uptake in patients with CVD.
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Affiliation(s)
| | - C Raina Macintyre
- Biosecurity Program, The Kirby Institute, Faculty Medicine and Health, University of New South Wales, Australia
| | - Timothy C Tan
- Department of Cardiology, Blacktown Hospital, Sydney, NSW, Australia; Western Sydney University, Australia; School of Medical Sciences, Faculty of Medicine, University of New South Wales, NSW, Australia
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Mohamed Shawqi M, El-Said YM, Behery MB, Abdelaziz A, Ibrahem ES, ElBoraie A, Khattab MA, Ghattas AS, Naeem A, Madany M, Elboraay T, Naguib MM, Allam AR, Allam AH, Bahbah AA, Ewis MI, Elsayed MA, Sherief L, KhallafAllah MT, Gouda MA, Aboshady OA. Knowledge, attitude, and practice of Egyptian medical students towards healthcare workers' recommended vaccines: a nationwide cross-sectional survey. BMC MEDICAL EDUCATION 2024; 24:876. [PMID: 39143628 PMCID: PMC11323588 DOI: 10.1186/s12909-024-05712-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 06/25/2024] [Indexed: 08/16/2024]
Abstract
BACKGROUND Vaccination of healthcare workers (HCWs) is pivotal in decreasing the incidence of contagious infections in hospital settings. In this study, we assessed the knowledge, attitude, and practice regarding HCWs' recommended vaccines among medical students and interns in Egypt. METHODS A multicenter, cross-sectional study was conducted using a structured, pilot-tested, and self-administered questionnaire among Egyptian medical students and interns. We invited 1332 participants to our survey using a systematic random sampling that included participants across nine medical schools in Egypt during the 2021-2022 academic year. RESULTS Out of 1332 participants, 1141 completed our questionnaire with a response rate of 85.7%. Overall, 43% of the participants had intermediate knowledge (knew 2-3 HCWs' recommended vaccines). Furthermore, 36.7% had received a booster dose of at least one of the HCWs' recommended vaccines over the last 10 years, with only 6.1% having received all recommended vaccines. Hepatitis B vaccine was the most widely known (71%) and received (66.7%). Interns were more likely to know, receive, and recommend HCWs' recommended vaccines. The majority (> 90%) agreed that vaccination is beneficial and safe, with a median score of eight (interquartile range [IQR: Q25-Q75]: 7-9) out of ten for vaccine efficacy and eight (IQR: 7-8) for safety. However, the median score for hesitancy was five (IQR: 2-7). The most common influential and limiting factors for vaccination were scientific facts (60.1%) and fear of vaccine side effects (44.9%). CONCLUSION Although medical students in Egypt have good knowledge of and attitudes towards vaccination, there is a gap in their practices. Interventions are needed to improve vaccination uptake among medical students in Egypt.
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Affiliation(s)
- Mohamed Mohamed Shawqi
- Department of Emergency Medicine, Faculty of Medicine, Benha University, Benha, Egypt
- Student Research Unit, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Yara Mohamed El-Said
- Student Research Unit, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Mostafa B Behery
- Student Research Unit, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Ali Abdelaziz
- Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | | | - Aly ElBoraie
- Faculty of Medicine, Cairo University, Cairo, Egypt
| | | | | | - Ahmed Naeem
- Faculty of Medicine, Al-Azhar University, Assiut, Egypt
| | - Maysa Madany
- Faculty of Medicine, South Valley University, Qena, Egypt
| | - Toka Elboraay
- Faculty of Medicine, Zagazig University, Zagazig, Egypt
| | | | - Abdallah R Allam
- Student Research Unit, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Ahmed Hafez Allam
- Student Research Unit, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Ammar Ayman Bahbah
- Student Research Unit, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Marwa Ibrahim Ewis
- Student Research Unit, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | | | - Leenah Sherief
- Student Research Unit, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | | | - Mohamed Alaa Gouda
- Department of Clinical Oncology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Omar Ali Aboshady
- Clinical Pharmacology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.
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Leshi E, Pagkozidis I, Exidari M, Gioula G, Chatzidimitriou M, Tirodimos I, Dardavesis T, Tsimtsiou Z. Mapping Adult Vaccine Confidence in Future Health Professionals: A Pilot Study among Undergraduate Students at Two Universities in Greece. Vaccines (Basel) 2024; 12:778. [PMID: 39066416 PMCID: PMC11281574 DOI: 10.3390/vaccines12070778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Revised: 07/11/2024] [Accepted: 07/12/2024] [Indexed: 07/28/2024] Open
Abstract
Health professionals' recommendations increase vaccine uptake. We aimed to document stances, practices regarding adult vaccination, and their predictors among undergraduate medical and biomedical science students, as well as their perspectives on increasing vaccine confidence. Among the 430 participants, third-year students from two universities in Greece, only 25.4% were in favor of all vaccines, while no refuters were detected. Predictors of recommending vaccination were the Attitudes Towards Adult Vaccination (ATAVAC) Value (OR 3.26, p < 0.001) and ATAVAC Safety subscales scores (OR 1.36, p < 0.05), being a medical student (OR 2.45, p < 0.05), and having better self-rated health status (OR 2.27, p < 0.05). The importance of getting vaccinated as health professionals was recognized by participants with a higher ATAVAC value (OR 5.39, p < 0.001), ATAVAC Safety scores (OR 1.46, p < 0.05), and increased knowledge regarding the National Immunization Program (OR 1.31, p < 0.05). The God Locus of Health Control (GLHC) was a predictor only in vaccination against COVID-19 (OR 0.91, p < 0.05). Improving community health literacy and health providers' education, boosting trust in authorities, and adopting a person-centered approach emerged as the main themes regarding how to increase vaccine confidence. Mapping health professionals' confidence in vaccines and providing lifelong training support is pivotal in supporting positive attitudes, enhancing their competence, and promoting vaccination in the post-COVID-19 era.
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Affiliation(s)
- Enada Leshi
- Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (E.L.); (I.P.); (I.T.); (T.D.)
- Department of Microbiology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (M.E.); (G.G.)
| | - Ilias Pagkozidis
- Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (E.L.); (I.P.); (I.T.); (T.D.)
| | - Maria Exidari
- Department of Microbiology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (M.E.); (G.G.)
| | - Georgia Gioula
- Department of Microbiology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (M.E.); (G.G.)
| | - Maria Chatzidimitriou
- Department of Biomedical Sciences, School of Health Sciences, International Hellenic University, 57400 Thessaloniki, Greece;
| | - Ilias Tirodimos
- Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (E.L.); (I.P.); (I.T.); (T.D.)
| | - Theodoros Dardavesis
- Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (E.L.); (I.P.); (I.T.); (T.D.)
| | - Zoi Tsimtsiou
- Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (E.L.); (I.P.); (I.T.); (T.D.)
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Domaradzki J, Jabkowski P, Walkowiak D. Investigating Beliefs in Anti-Vax Conspiracy Theories among Medical Students. Vaccines (Basel) 2024; 12:359. [PMID: 38675741 PMCID: PMC11054095 DOI: 10.3390/vaccines12040359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 03/22/2024] [Accepted: 03/24/2024] [Indexed: 04/28/2024] Open
Abstract
While the doctors' role in immunization is essential, their lack of knowledge or vaccine hesitancy may affect their ability to communicate effectively and educate patients about vaccination, vaccine hesitancy, and vaccine conspiracy theories. This, in turn, may hinder health policy aimed at fighting infectious diseases. Vaccine hesitancy is prevalent not only among the general population but also among healthcare workers; thus, this study is aimed at assessing future doctors' attitudes towards anti-vax conspiracy theories. A total of 441 medical students at Poznan University of Medical Sciences completed a web-based survey designed to explore their attitudes toward the six most prevalent anti-vaccine conspiracy theories. The survey showed that although over 97% of future doctors support vaccinations as an effective form of fighting infectious diseases, and 80% did not believe in any anti-vax conspiracy theory, a significant fraction of 20% of medical students either believed in at least one such theory or were unsure. It has also shown that male and younger students who had not received a flu vaccination and defined themselves as politically right-wing or conservative and religious were more likely to believe in anti-vax conspiracy theories. Our data suggest that, in order to overcome medical students' ambivalent attitudes towards anti-vax conspiracy theories, they should receive more education about the importance of vaccination in preventing disease and about effective ways to combat vaccine hesitancy and anti-vax conspiracy theories.
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Affiliation(s)
- Jan Domaradzki
- Department of Social Sciences and Humanities, Poznan University of Medical Sciences, Rokietnicka 7, 60-806 Poznań, Poland
| | - Piotr Jabkowski
- Faculty of Sociology, Adam Mickiewicz University, 60-568 Poznań, Poland
| | - Dariusz Walkowiak
- Department of Organization and Management in Health Care, Poznan University of Medical Sciences, 60-356 Poznań, Poland
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Wang Y, Wu G, Jiang Y, Zou F, Gan L, Luo Q, Wu X, Tang X. Does COVID-19 have an impact on influenza vaccine knowledge, attitude and practice among medical students: a 2-year prospective cohort study. BMJ Open 2022; 12:e055945. [PMID: 36109037 PMCID: PMC9478856 DOI: 10.1136/bmjopen-2021-055945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES To explore the main factors affecting the knowledge, attitude and practice about influenza and influenza vaccine as well as the intention to receive influenza vaccination among the same group of medical students before (2019) and after (2021) the COVID-19 outbreak. DESIGN A population-based prospective cohort study. SETTING A longitudinal cohort study of a selected medical school in Chongqing, China, which ran from 2019 to 2021. PARTICIPANTS A total of 803 medical students participated in the study in 2019 and only 484 students responded in 2021. The response rate for our survey was only 60.27% due to graduation, emails being abandoned, etc. RESULTS: The influenza vaccination rate of students at this medical school was 6.7% in 2019, compared with 25.8% in 2021. The awareness rate of medical students about influenza and influenza vaccine was 82.8% in 2019 and 86% in 2021, and there was no significantly statistical difference between the 2 years (p=0.134); the number of medical students with supportive attitude towards influenza vaccine was 95.1% in 2019 and 97.1% in 2021, and there was no statistically significant difference between the 2 years (p=0.078); the number of students who actively learnt about knowledge related to influenza vaccine rose from 183 (22.8%) in 2019 to 195 (40.3%) in 2021. CONCLUSIONS The COVID-19 outbreak prompted an increase in influenza vaccination rates among medical students in Chongqing, with almost all students (96.0%) believing that the spread of COVID-19 promoted their knowledge about influenza and influenza vaccine, and the vast majority (74.8%) believing that the spread of COVID-19 promoted their willingness to receive influenza vaccine.
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Affiliation(s)
- Yunlong Wang
- School of basic medicine, Chongqing Medical University, Chongqing, China
| | - Guangjie Wu
- School of Public Health and Management, Chongqing Medical University, Chongqing, China
| | - Yueming Jiang
- Clinical 5+3 Integration, The Second Clinical School, Chongqing Medical University, Chongqing, China
| | - Fa Zou
- School of basic medicine, Chongqing Medical University, Chongqing, China
| | - Lin Gan
- School of Public Health and Management, Chongqing Medical University, Chongqing, China
| | - Qinwen Luo
- School of Public Health and Management, Chongqing Medical University, Chongqing, China
| | - Xiaorong Wu
- School of Public Health and Management, Chongqing Medical University, Chongqing, China
| | - Xiaojun Tang
- School of Public Health and Management, Chongqing Medical University, Chongqing, China
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6
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The impact of a vaccine mandate and the COVID-19 pandemic on influenza vaccination uptake in Western Australian health care students. Vaccine 2022; 40:5651-5656. [PMID: 36030122 PMCID: PMC9393169 DOI: 10.1016/j.vaccine.2022.08.040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 08/01/2022] [Accepted: 08/08/2022] [Indexed: 11/24/2022]
Abstract
Annual influenza vaccination of health care students and workers helps protect themselves and patients from influenza, which has a high disease burden during seasonal peaks in Australia. Health care students are an important cohort whose early attitudes and habits towards influenza vaccination may influence future behaviours. We explored the knowledge, attitudes, and behaviours towards influenza vaccination of health care students in two universities from 2018 to 2020 using convergent mixed methodology. We also assessed the impact of two external events – the introduction of mandatory influenza vaccination for select students in 2019, and the COVID-19 pandemic in 2020. We found a significant increase in self-reported vaccination uptake between 2018 (73.5%) and 2020 (89.6%), with the mandate and COVID-19 pandemic being likely drivers of increased uptake. Vaccine mandates are effective but must be supported by easy accessibility, adequately addressing concerns around effectiveness and safety, and promotion of voluntary acceptance and trust.
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Roberts K, Streng A, Göttler D, Hartmann K, Peter-Kern M, Roggendorf H, Bogdan C, Jilg W, Plentz A, Hübner J, Schober T, Liese J. Medical Student Self-Assessment of Knowledge About Vaccinations and the Quality of Vaccination Training. DEUTSCHES ARZTEBLATT INTERNATIONAL 2022; 119:562-563. [PMID: 36422871 PMCID: PMC9743225 DOI: 10.3238/arztebl.m2022.0249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 03/07/2022] [Accepted: 06/07/2022] [Indexed: 12/15/2022]
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Sobierajski T, Bulińska-Stangrecka H, Wanke-Rytt M, Stefanoff P, Augustynowicz E. Behavioural and Cognitive Attitudes of Paediatricians towards Influenza Self-Vaccination-Partial Mediation Model. Vaccines (Basel) 2022; 10:vaccines10081206. [PMID: 36016094 PMCID: PMC9416341 DOI: 10.3390/vaccines10081206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 07/24/2022] [Accepted: 07/25/2022] [Indexed: 11/18/2022] Open
Abstract
(1) Background: This study aims to analyse the attitudinal components influencing paediatricians’ self-vaccination. (2) Methods: The national-cross survey was conducted among paediatricians involved in childhood vaccination within the immunisation program. (3) Results: A hypothetical model indicating the influence of cognitive and behavioural factors on influenza vaccination among paediatricians was verified based on a survey of Polish paediatricians. A simple mediation model, based on Triandis’ Theory of Interpersonal Behaviour, reflects a relationship in which knowledge and beliefs about outcomes contribute to whether paediatricians vaccinate against influenza. (4) Conclusions: The presented research shows that the pro-vaccination behaviours of paediatricians are not only influenced by cognitive factors but also the behavioural components of attitudes, which are equally important. The conclusions point to the pivotal role of shaping both knowledge and understanding of the effectiveness of immunisation programmes in building the pro-vaccination attitudes of paediatricians. (5) Practical Implications: This is the first representative study of Polish paediatricians to demonstrate how their attitudes and behaviour are related to self-vaccination. Its conclusions allow policymakers to develop programmes to support effective measures against the spread of infectious diseases through the self-vaccination of medical professionals.
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Affiliation(s)
- Tomasz Sobierajski
- Faculty of Applied Social Sciences and Resocialization, University of Warsaw, Krakowskie Przedmieście 26/28, 00-927 Warsaw, Poland
- Correspondence: ; Tel.: +48-503-456-234
| | - Helena Bulińska-Stangrecka
- Faculty of Administration and Social Sciences, Warsaw University of Technology, Plac Politechniki Street 1, 00-661 Warsaw, Poland;
| | - Monika Wanke-Rytt
- Department of Pediatrics with Clinical Assessment Unit, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland;
| | - Paweł Stefanoff
- Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Lovisenberggata 8, 0456 Oslo, Norway;
- Department of Epidemiology of Infectious Diseases and Surveillance, National Institute of Public Health-National Institute of Hygiene, Chocimska 24, 00-791 Warsaw, Poland;
| | - Ewa Augustynowicz
- Department of Epidemiology of Infectious Diseases and Surveillance, National Institute of Public Health-National Institute of Hygiene, Chocimska 24, 00-791 Warsaw, Poland;
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Boccalini S, Vannacci A, Crescioli G, Lombardi N, Del Riccio M, Albora G, Shtylla J, Masoni M, Guelfi MR, Bonanni P, Bechini A. Knowledge of University Students in Health Care Settings on Vaccines and Vaccinations Strategies: Impact Evaluation of a Specific Educational Training Course during the COVID-19 Pandemic Period in Italy. Vaccines (Basel) 2022; 10:vaccines10071085. [PMID: 35891250 PMCID: PMC9316295 DOI: 10.3390/vaccines10071085] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 07/01/2022] [Accepted: 07/04/2022] [Indexed: 02/04/2023] Open
Abstract
Background: Training future healthcare professionals on vaccination through specific courses is important to properly promote active immunization among the general population and to fight fake news and false beliefs on vaccinations. The aim of the study was to assess the impact of an elective course about vaccinations on the knowledge of medical students, pharmacy students, and medical resident in Hygiene and Preventive Medicine in Italy. Methods: The participants were asked to complete an anonymous questionnaire before and after an elective teaching activity (ETA) on vaccination. The two questionnaires contained the same 30 questions and focused on different aspects of vaccines and vaccination. The students who had attended the seminar were allowed to fulfil the post-lecture questionnaire. Both descriptive and inferential analysis were performed on the results; in particular, Student’s t-test for independent samples was used to compare the total score obtained before and after attending the ETA. Results: A total of 449 students participated in the ETA. Overall, the participation in the ETA allowed them to significantly improve their final score (+27.28%, p < 0.001). Good results were obtained even when comparing the three groups (medical students, pharmacy students and medical residents) separately. Females improved more than males, especially among pharmacy students. Discussion: The present study highlights the importance and the impact that extracurricular activities can have in improving knowledge about vaccinations. With vaccination and vaccine hesitancy and acceptance topics with increasing attention paid by the population, especially after the COVID-19 pandemic, it is fundamental to develop new strategies to increase future healthcare professionals’ knowledge about vaccinations.
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Affiliation(s)
- Sara Boccalini
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (P.B.); (A.B.)
- Correspondence:
| | - Alfredo Vannacci
- Department of Neurosciences, Psychology, Drug Research and Child Health, Section of Pharmacology and Toxicology, University of Florence, 50134 Florence, Italy; (A.V.); (G.C.); (N.L.)
| | - Giada Crescioli
- Department of Neurosciences, Psychology, Drug Research and Child Health, Section of Pharmacology and Toxicology, University of Florence, 50134 Florence, Italy; (A.V.); (G.C.); (N.L.)
| | - Niccolò Lombardi
- Department of Neurosciences, Psychology, Drug Research and Child Health, Section of Pharmacology and Toxicology, University of Florence, 50134 Florence, Italy; (A.V.); (G.C.); (N.L.)
| | - Marco Del Riccio
- Medical School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy; (M.D.R.); (G.A.)
| | - Giuseppe Albora
- Medical School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy; (M.D.R.); (G.A.)
| | - Jonida Shtylla
- SIAF—E-Learning Process Unit and IT Training, Area for the Innovation and Management of Information and Computer Systems, University of Florence, 50141 Florence, Italy;
| | - Marco Masoni
- Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy; (M.M.); (M.R.G.)
| | - Maria Renza Guelfi
- Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy; (M.M.); (M.R.G.)
| | - Paolo Bonanni
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (P.B.); (A.B.)
| | - Angela Bechini
- Department of Health Sciences, University of Florence, 50134 Florence, Italy; (P.B.); (A.B.)
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10
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Attitudes of junior healthcare professionals towards mandatory vaccination. Vaccine 2022; 40:2247-2250. [DOI: 10.1016/j.vaccine.2022.03.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 02/24/2022] [Accepted: 03/03/2022] [Indexed: 11/15/2022]
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Lo Moro G, Cugudda E, Bert F, Raco I, Siliquini R. Vaccine Hesitancy and Fear of COVID-19 Among Italian Medical Students: A Cross-Sectional Study. J Community Health 2022; 47:475-483. [PMID: 35138490 PMCID: PMC9160103 DOI: 10.1007/s10900-022-01074-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/28/2022] [Indexed: 11/29/2022]
Abstract
Medical students are in close contact with patients and should adhere to the same recommendations as healthcare workers. The study aimed to explore medical students' hesitancy towards COVID-19 vaccine and evaluate fear of COVID-19 and its relationship with hesitancy. A cross-sectional survey was conducted amongst a sample of medical students attending clinical years (November 2020–February 2021, Italy). Multivariable regressions were performed (p < 0.05 as significant). A total of 929 students participated (58.6% of eligible students). Hesitancy was reported by 6.7%; extreme fear of COVID-19 by 42.0%. Among hesitancy predictors, there were the survey completion before COVID-19 vaccine authorisation (adjOR = 6.43), adverse reactions after a vaccination (adjOR = 3.30), and receiving advice against COVID-19 vaccination from a relative (adjOR = 2.40). Students who received the recommended paediatric vaccinations (adjOR = 0.10), students with higher adherence to preventive measures (adjOR = 0.98), and students with fear of contracting COVID-19 with regard to the health of loved ones (adjOR = 0.17) were less likely to be hesitant. Females (adjOR = 1.85), students with poor health (adjOR = 1.64), students who had a loved one severely affected by COVID-19 (adjOR = 1.68), and students with fear of contracting flu (adjOR = 3.06) had a higher likelihood of reporting extreme fear. Hesitancy was remarkably lower than in similar studies. However, there is room for improvement in university activities that could deepen the competence in vaccines. Our focus on fear should not be overlooked, since the extent of extreme fear that we found might represent a substantial burden, considering the associations between fear and other health outcomes.
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Affiliation(s)
- Giuseppina Lo Moro
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy
| | - Eleonora Cugudda
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy
| | - Fabrizio Bert
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy.
| | - Immacolata Raco
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy
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Pérez-Rivas FJ, Gallego-Lastra RD, Marques-Vieira CMA, López-López C, Domínguez-Fernández S, Rico-Blázquez M, Ajejas Bazán MJ. The Attitude towards Vaccination of Health Sciences Students at a Spanish University Improved over the First 18 Months of the COVID-19 Pandemic. Vaccines (Basel) 2022; 10:237. [PMID: 35214695 PMCID: PMC8877000 DOI: 10.3390/vaccines10020237] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 01/28/2022] [Accepted: 02/01/2022] [Indexed: 11/17/2022] Open
Abstract
It is important to know the attitudes of students of health sciences (SHSs) towards vaccination since they will be tomorrow's health professionals. Vaccination is a powerful tool in the fight against COVID-19. The aim of the present, cross-sectional study was to examine how the COVID-19 pandemic has influenced the attitude of SHSs towards vaccination. Data were collected in the form of a questionnaire from all students of nursing, physiotherapy and chiropody matriculated at a Madrid University for the academic year 2019/2020 (i.e., before the start of the pandemic [Q1]), and from all those matriculated for the year 2021/22 (i.e., c18 months after the pandemic was declared [Q2]). A multivariate analysis was performed to identify the influence of sex, degree being studied, course year and the time of answering (Q1 or Q2), on the dimensions Beliefs, Behaviours and General Attitude. Overall, 1894 questionnaires were returned (934 [49.3%] for Q1, and 960 [50.7%] for Q2), of which 70.5% were completed by students of nursing, 14% by students of physiotherapy and 15.4% by those studying chiropody. In Q2, the results for all three dimensions were significantly better (p < 0.05). The most important influencing factors were being a student of nursing, being in the final years of training (years 3 or 4), female gender and answering at the time of Q2. The results obtained are encouraging since student nurses (who showed Q1 and Q2 General Attitude scores of 3.34 and 3.47 (maximum possible 4), respectively [p < 0.05]) are the health professionals of tomorrow most likely to be involved in vaccination programmes.
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Affiliation(s)
- Francisco Javier Pérez-Rivas
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal no. 3, Ciudad Universitaria, 28040 Madrid, Spain; (R.D.G.-L.); (C.L.-L.); (M.R.-B.); (M.J.A.B.)
- Grupo de Investigación UCM “Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el Entorno Comunitario”, Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain;
| | - Ramón Del Gallego-Lastra
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal no. 3, Ciudad Universitaria, 28040 Madrid, Spain; (R.D.G.-L.); (C.L.-L.); (M.R.-B.); (M.J.A.B.)
- Grupo de Investigación UCM “Humanidades, Ciencia y Salud”, Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28035 Madrid, Spain
| | - Cristina Maria Alves Marques-Vieira
- Center Interdisciplinary Research in Health (CIIS), Nursing School (Lisbon), Institute of Health Sciences, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal;
| | - Candelas López-López
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal no. 3, Ciudad Universitaria, 28040 Madrid, Spain; (R.D.G.-L.); (C.L.-L.); (M.R.-B.); (M.J.A.B.)
- Grupo de Investigación UCM “Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el Entorno Comunitario”, Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain;
- Grupo de Investigación en Cuidados (InveCuid), Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), 28041 Madrid, Spain
- Department of Intensive Care, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain
| | - Silvia Domínguez-Fernández
- Grupo de Investigación UCM “Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el Entorno Comunitario”, Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain;
- Centro Municipal de Salud Comunitaria Centro, Madrid Salud, Ayuntamiento de Madrid, 28013 Madrid, Spain
| | - Milagros Rico-Blázquez
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal no. 3, Ciudad Universitaria, 28040 Madrid, Spain; (R.D.G.-L.); (C.L.-L.); (M.R.-B.); (M.J.A.B.)
- Grupo de Investigación UCM “Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el Entorno Comunitario”, Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain;
- Unidad de Investigación de la Gerencia Asistencial de Atención Primaria, Servicio Madrileño de la Salud, 28035 Madrid, Spain
| | - María Julia Ajejas Bazán
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal no. 3, Ciudad Universitaria, 28040 Madrid, Spain; (R.D.G.-L.); (C.L.-L.); (M.R.-B.); (M.J.A.B.)
- Grupo de Investigación UCM “Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el Entorno Comunitario”, Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain;
- Academia Central de la Defensa, Escuela Militar de Sanidad, Ministerio de Defensa, 28040 Madrid, Spain
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Health worker recommended vaccination rates among medical students in Brazil. Vaccine X 2021; 9:100118. [PMID: 34746744 PMCID: PMC8554624 DOI: 10.1016/j.jvacx.2021.100118] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 09/24/2021] [Accepted: 10/14/2021] [Indexed: 11/23/2022] Open
Abstract
Medical students are a risk population for many infectious diseases, which leads to their being included in health-staff vaccination recommendations. There is an increasing noncompliance with vaccination programs, especially in the last decade, which can have also affected medical students’ immunization status and personal beliefs about this theme. Few studies have gauged student awareness of these programs and their effect in vaccination status along the medical course. After being submitted to an electronic questionnaire, 74,7% Brazilian students were found to have incomplete vaccination in some way, with Pertussis, Varicella, and Influenza as the highest noncompliance rates. There was an increase in vaccination status toward the end of the course, though still far from optimal. Main reasons given not to vaccinate were vaccination hesitancy (for influenza and varicella), and lack of awareness of the need to vaccinate (for pertussis).
Health workers are a risk population for many infectious diseases, which leads to a number of vaccines being routinely recommended for health care staff. Medical students are also prone to such hazards. This study accesses undergraduate medicine students’ compliance to recommended health-staff vaccination, and their reasons for noncompliance. Method An online questionnaire was sent to all undergraduates in a major public medical school in Brazil, asking about vaccination status to Hepatitis B, Measle-mumps-rubella, Varicella, Pertussis and Influenza, and reasons in case of noncompliance Results 146 students answered the questionnaire, (response rate 14,6%). Overall vaccination status showed 74,7% of students with incomplete vaccination in some way, with an increase in vaccination status toward the end of the course. The highest noncompliance rates were Pertussis (49,3%), Varicella (47,3%) and Influenza (30,1%) vaccines. The vaccine with the lowest noncompliance rate was measles (9,6%). During the course, the greatest increases in adequate vaccination status were Hepatitis B, from 53,2% in first-years to 93,2% by the end sixth year (chi-sq 21, p < 0,0001), and Influenza, from 48,9% to 91,5% (chi-sq 22,5, p < 0,00009). Main reasons given not to vaccinate were vaccination hesitancy for influenza and varicella (respectively 61% and 46%), and lack of awareness of the need to vaccinate for pertussis (53%). Conclusions Overall vaccine coverage in medical students in Brazil is still far from optimal. There is a markedly high level of vaccine hesitancy and unawareness of need to vaccinate for some diseases, particularly pertussis and influenza. Clinical trial registry (Brazilian regulation boards): 24159119.3.0000.0065.
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Voglino G, Barbara A, Dallagiacoma G, Santangelo OE, Provenzano S, Gianfredi V. Do Degree Programs Affect Health Profession Students' Attitudes and Opinions Toward Vaccinations? An Italian Multicenter Study. Saf Health Work 2021; 13:59-65. [PMID: 35936207 PMCID: PMC9346936 DOI: 10.1016/j.shaw.2021.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 06/21/2021] [Accepted: 10/12/2021] [Indexed: 12/01/2022] Open
Abstract
Background Healthcare workers' attitudes toward vaccination have been widely described in the literature, but a restricted amount of studies assessed healthcare students' knowledge, attitudes, and opinions on this issue. This study aimed to estimate the influence of a degree course on knowledge and immunization behavior among healthcare students and to compare medical students with students from other health profession degree programs to identify possible differences. Methods A multicenter, cross-sectional study was performed in 2018 in 14 Italian Universities (3,131 students were interviewed). A validated questionnaire was used to assess knowledge, attitudes, and opinions toward vaccinations, with a specific focus on influenza vaccine and attitudes toward mandatory vaccination policies. Statistical software STATA® 14 was used. Results Significant differences were recorded between medical students and other healthcare students. The intention to get vaccinated against influenza during the next season and having been vaccinated in the previous season was higher in the medical group (p < 0.001). In the group of students of other health professions, we registered a lower probability of identifying themselves as a high-risk group for contracting infectious diseases as a consequence of their profession and health status (aOR 0.49; CI95%: 0.40–0.60) and an increased likelihood of defining their level of knowledge on vaccine-preventable diseases and related vaccinations as “insufficient/sufficient/fair” (aOR 1.31; CI95%: 1.11–1.56). Conclusions Results show several differences between medical students and students of other health professions when it comes to vaccination knowledge, attitudes, and perceptions, as well as a general low tendency to be vaccinated against influenza.
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Affiliation(s)
| | - Andrea Barbara
- Section of Hygiene – Institute of Public Health, Università Cattolica Del Sacro Cuore, Roma, Italy
- Corresponding author. Section of Hygiene – Institute of Public Health, Università Cattolica del Sacro Cuore, Largo F. Vito, 1 00168 Roma, Italy.
| | - Giulia Dallagiacoma
- Post-Graduate School of Hygiene and Preventive Medicine, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
| | - Omar Enzo Santangelo
- Department of Health Promotion, Maternal-Infant, Internal Medicine and Specialization of Excellence “G. D'Alessandro”, University of Palermo, Palermo, Italy
| | - Sandro Provenzano
- Department of Health Promotion, Maternal-Infant, Internal Medicine and Specialization of Excellence “G. D'Alessandro”, University of Palermo, Palermo, Italy
| | - Vincenza Gianfredi
- Post-Graduate School of Hygiene and Preventive Medicine, Department of Experimental Medicine, University of Perugia, Perugia, Italy
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Patelarou E, Galanis P, Mechili EA, Argyriadi A, Argyriadis A, Asimakopoulou E, Brokaj S, Bucaj J, Carmona-Torres JM, Cobo-Cuenca AI, Doležel J, Finotto S, Jarošová D, Kalokairinou A, Mecugni D, Pulomenaj V, Saliaj A, Sopjani I, Zahaj M, Patelarou A. Factors influencing nursing students' intention to accept COVID-19 vaccination: A pooled analysis of seven European countries. NURSE EDUCATION TODAY 2021; 104:105010. [PMID: 34126322 PMCID: PMC8189729 DOI: 10.1016/j.nedt.2021.105010] [Citation(s) in RCA: 52] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/30/2021] [Accepted: 06/03/2021] [Indexed: 05/07/2023]
Abstract
BACKGROUND Experiencing the third wave of COVID-19 pandemic, high vaccination coverage by a safe and effective vaccine globally would be a great achievement. Acceptance of vaccination by nursing students is an important issue as they play a decisive role as future professionals in educating patients, counselling, and guiding them to the right clinical decision. OBJECTIVES To explore the intention of nursing students to get vaccinated for SARS-CoV-2 infection and the factors acting either as motivators or as barriers towards vaccination. DESIGN A multicenter cross-sectional design. PARTICIPANTS In total 2249 undergraduate nursing students participated. METHODS The study was conducted in 7 universities in participating countries (Greece, Albania, Cyprus, Spain, Italy, Czech Republic, and Kosovo) through a web survey. Data was collected during December 2020-January 2021 in all countries. RESULTS Forty three point 8% of students agreed to accept a safe and effective COVID-19 vaccine, while the acceptance was higher among Italian students. The factors for intention to get vaccinated were male gender (p = 0.008), no working experience in healthcare facilities during the pandemic (p = 0.001), vaccination for influenza in 2019 and 2020 (p < 0.001), trust in doctors (p < 0.001), governments and experts (p = 0.012), high level of knowledge (p < 0.001) and fear of COVID-19 (p < 0.001). CONCLUSIONS Understanding of factors that influence students' decision to accept COVID-19 vaccination could increase the acceptance rate contributing to a management of the pandemic.
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Affiliation(s)
- Evridiki Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, Crete, Greece.
| | - Petros Galanis
- National and Kapodistrian University of Athens, Athens, Greece.
| | - Enkeleint A Mechili
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece; Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania.
| | - Agathi Argyriadi
- Department of Psychology and Social Sciences, Frederick University, Nicosia, Cyprus.
| | | | | | - Stiliana Brokaj
- Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania
| | - Jorgjia Bucaj
- Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania.
| | | | - Ana Isabel Cobo-Cuenca
- Faculty of Physiotherapy and Nursing, IMCU Group, University of Castilla-La Mancha, Toledo, Spain.
| | - Jakub Doležel
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
| | - Stefano Finotto
- Degree Course in Nursing, University of Modena and Reggio Emilia, seat of Reggio Emilia, Department of Surgery, Medicine, Dentistry and Morphological Sciences, Reggio Emilia, Italy; Degree Course in Nursing, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
| | - Darja Jarošová
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
| | | | - Daniela Mecugni
- Degree Course in Nursing, University of Modena and Reggio Emilia, seat of Reggio Emilia, Department of Surgery, Medicine, Dentistry and Morphological Sciences, Reggio Emilia, Italy.
| | | | - Aurela Saliaj
- Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania.
| | | | - Majlinda Zahaj
- Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania.
| | - Athina Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, Crete, Greece.
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Talarek E, Warzecha J, Banasiuk M, Banaszkiewicz A. Influenza Vaccination Coverage and Intention to Receive Hypothetical Ebola and COVID-19 Vaccines among Medical Students. Vaccines (Basel) 2021; 9:709. [PMID: 34209128 PMCID: PMC8310166 DOI: 10.3390/vaccines9070709] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 06/20/2021] [Accepted: 06/24/2021] [Indexed: 12/16/2022] Open
Abstract
The study aimed to determine influenza vaccine uptake among medical students and their intention to receive a hypothetical Ebola or COVID-19 vaccine. This cross-sectional questionnaire-based study was performed in 2015 and 2020 on 675 medical students at the Medical University of Warsaw, Poland. In 2020, the influenza vaccination coverage was 36.5%, and students were almost five times more likely to be vaccinated than in 2015 (OR = 4.8; 95% CI: 3.1-7.5). In 2020, the survey was conducted during the first university campaign targeted at free influenza vaccinations for all students, as well as during the first lockdown in Poland due to the COVID-19 pandemic. In 2020, clinical students (4th-6th study year) were significantly more often vaccinated than preclinical students (p < 0.001), in contrast to 2015. A majority-67.0% and 94.6%-of students expressed their intention to receive a hypothetical Ebola or COVID-19 vaccine, respectively. Among the medical students, influenza vaccination status was a predictor of the intention to receive a COVID-19 vaccine. Influenza vaccine uptake among medical students has increased significantly, but it is still not optimal; thus, further educational efforts are needed to convince those who are hesitant regarding vaccines. A high number of students reported their intention to receive a COVID-19 vaccine, and it is crucial to support their positive attitude about it.
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Affiliation(s)
- Ewa Talarek
- Department of Children’s Infectious Diseases, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Joanna Warzecha
- University Children’s Hospital of Warsaw, 02-091 Warsaw, Poland;
| | - Marcin Banasiuk
- Department of Pediatric Gastroenterology and Nutrition, Medical University of Warsaw, 02-091 Warsaw, Poland; (M.B.); (A.B.)
| | - Aleksandra Banaszkiewicz
- Department of Pediatric Gastroenterology and Nutrition, Medical University of Warsaw, 02-091 Warsaw, Poland; (M.B.); (A.B.)
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Saro-Buendía M, Marrero-Sánchez Á, García-Ruiz de Morales D, Chiara-Graciani G, Coderch-Carretero J, Pérez-Jacoiste Asín MA, Silva JT, Fernández-Ruiz M, Arrazola P, Aguado JM, López-Medrano F. Implementation of a program to improve influenza vaccination rates among medical students: a comparative study involving two university affiliated hospitals. Hum Vaccin Immunother 2021; 17:3662-3669. [PMID: 34129422 DOI: 10.1080/21645515.2021.1920269] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Background and objectives: Influenza vaccination rates among medical students (MSs) are below the standards recommended in hospitals where influenza vaccination is not mandatory. We carried out a comparative study in two Spanish university hospitals to reassert this fact and evaluated the impact on vaccination rates of a specific program aimed at promoting influenza vaccination among MSs.Methods: A descriptive cross-sectional study was performed describing influenza vaccination rates and motivations for vaccination during the 2017/18 campaign among MSs in two hospitals affiliated to the same university. We subsequently performed a community-based intervention study during the 2018/19 campaign evaluating the impact of a strategy for promoting influenza vaccination, comparing the hospital where the intervention took place (hospital A) with the one where it did not take place (hospital B).Results: During de 2017/18 campaign the overall influenza vaccination rate was 44.8%, with no differences between hospitals A and B (difference: 3.9%; 95% CI: -4.36-12.16; p-value = .4). During the 2018/19 campaign, vaccination rate increased to 76.4% in hospital A, with significant differences compared with the previous campaign in the same hospital (29.8%; OR 5.00; 95% CI: 3.14-8.3; p-value = .0001) and with that observed in hospital B in the same campaign (21.1%; 95% CI: 13.38-28.82; p-value <.001).Conclusions: Influenza vaccination rates among MSs in two Spanish university affiliated hospitals were below the recommended standards. A new reproducible strategy for promoting influenza vaccination with a specific approach toward MSs achieved a significant improvement in vaccination rate.
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Affiliation(s)
- Miguel Saro-Buendía
- School of Medicine, Universidad Complutense, University Hospital, "12 de Octubre", Madrid, Spain
| | - Ángel Marrero-Sánchez
- School of Medicine, Universidad Complutense, University Hospital, "12 de Octubre", Madrid, Spain
| | | | | | - Jaime Coderch-Carretero
- School of Medicine, Universidad Complutense, General University Hospital "Gregorio Marañón", Madrid, Spain
| | - María Asunción Pérez-Jacoiste Asín
- Unit of Infectious Diseases, University Hospital "12 de Octubre", Instituto de Investigación Hospital "12 de Octubre" (Imas12), School of Medicine, Universidad Complutense, Madrid, Spain
| | - José Tiago Silva
- Unit of Infectious Diseases, University Hospital "12 de Octubre", Instituto de Investigación Hospital "12 de Octubre" (Imas12), School of Medicine, Universidad Complutense, Madrid, Spain
| | - Mario Fernández-Ruiz
- Unit of Infectious Diseases, University Hospital "12 de Octubre", Instituto de Investigación Hospital "12 de Octubre" (Imas12), School of Medicine, Universidad Complutense, Madrid, Spain
| | - Pilar Arrazola
- Department of Preventive Medicine, University Hospital "12 de Octubre" Instituto de Investigación Hospital "12 de Octubre" (Imas12), School of Medicine, Universidad Complutense, Madrid, Spain
| | - José María Aguado
- Unit of Infectious Diseases, University Hospital "12 de Octubre", Instituto de Investigación Hospital "12 de Octubre" (Imas12), School of Medicine, Universidad Complutense, Madrid, Spain
| | - Francisco López-Medrano
- Unit of Infectious Diseases, University Hospital "12 de Octubre", Instituto de Investigación Hospital "12 de Octubre" (Imas12), School of Medicine, Universidad Complutense, Madrid, Spain
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Javier PRF, Ramón DGL, Ana EG, Alves MVCM, Julia ABM. Attitude towards Vaccination among Health Science Students before the COVID-19 Pandemic. Vaccines (Basel) 2021; 9:644. [PMID: 34204741 PMCID: PMC8231584 DOI: 10.3390/vaccines9060644] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 05/30/2021] [Accepted: 06/08/2021] [Indexed: 11/17/2022] Open
Abstract
Health science students are tomorrow's health professionals, the duties of whom could include vaccination. This work examines the general attitude towards vaccination in students attending the Faculty of Nursing, Physiotherapy and Chiropody at a university in Madrid, Spain, using the 'Attitudes and Behaviour With Regard To Vaccination Among Health Science Students Questionnaire'. The results were subjected to multivariate analysis to identify the influence of sex, the degree being pursued, and 'course year'. The number of students vaccinated against influenza in the campaign preceding the present study was also recorded, as were the factors that influenced decision-making in this regard. A total of 934 students completed the questionnaire. Their beliefs regarding vaccination were positive (mean score 3.23 points out of 4), as was their behaviour (3.35/4). Their general attitude (all variables taken together) was therefore also good (3.27/4). Only 26.8% of the students had been vaccinated against influenza. Beliefs scores among the students of nursing in their more senior course years were significantly better than those recorded for all other groups. These students also showed the best general attitude towards vaccination and formed the largest group vaccinated against influenza. The results obtained are encouraging since nursing students are the most likely of future healthcare professionals to be involved in vaccination programmes.
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Affiliation(s)
- Pérez-Rivas Francisco Javier
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal n° 3, Ciudad Universitaria, 28040 Madrid, Spain; (D.G.-L.R.); (A.B.M.J.)
| | - Del Gallego-Lastra Ramón
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal n° 3, Ciudad Universitaria, 28040 Madrid, Spain; (D.G.-L.R.); (A.B.M.J.)
| | - Esteban-Garcimartín Ana
- Estudiante de Grado de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain;
| | - Marques-Vieira Cristina Maria Alves
- Center Interdisciplinary Research in Health, Institute of Health Sciences, Nursing School (Lisbon), Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal;
| | - Ajejas Bazán María Julia
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal n° 3, Ciudad Universitaria, 28040 Madrid, Spain; (D.G.-L.R.); (A.B.M.J.)
- Academia Central de la Defensa, Escuela Militar de Sanidad, Ministerio de Defensa, 28040 Madrid, Spain
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Barriers Associated with the Uptake Ratio of Seasonal Flu Vaccine and Ways to Improve Influenza Vaccination Coverage among Young Health Care Workers in Poland. Vaccines (Basel) 2021; 9:vaccines9050530. [PMID: 34065371 PMCID: PMC8161323 DOI: 10.3390/vaccines9050530] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Revised: 05/14/2021] [Accepted: 05/18/2021] [Indexed: 01/27/2023] Open
Abstract
Despite not being full-time health care workers, annual flu vaccination is nevertheless an important consideration for medical students. This study examined the reasons for refusing flu vaccination among medical students, a group characterized by low vaccination coverage, despite the fact that the flu vaccine is arguably the most effective way of preventing serious flu complications. A cross-sectional survey was performed of 1313 students at the Medical University of Lodz. The findings indicate that the main sites of vaccination were primary care centers, and main source of information about influenza vaccination (about 90% of cases) was the general practitioner (GP). The most common motivations for vaccination were a recommendation by the family doctor or the belief that it was an important factor for protection against influenza. Most students reported various adverse effects after vaccination, usually mild pain at the site of vaccination, malaise, or fever. The main reasons for rejecting influenza vaccination were the apparent low risk of disease, the need for annual vaccination, the need to pay for it, lack of time or opportunity, lack of vaccination promotion, negative attitudes toward the flu vaccine, or the belief that there are other methods of preventing flu. To increase long-term vaccine acceptance and increase the vaccination rate among medical students and qualified health care workers, there is a need to adapt the health system and to initiate ongoing promotion programs at university to raise consciousness, promote vaccinations, and develop clinical skills for immunization.
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Rostkowska OM, Peters A, Montvidas J, Magdas TM, Rensen L, Zgliczyński WS, Durlik M, Pelzer BW. Attitudes and Knowledge of European Medical Students and Early Graduates about Vaccination and Self-Reported Vaccination Coverage-Multinational Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3595. [PMID: 33808446 PMCID: PMC8036942 DOI: 10.3390/ijerph18073595] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 03/18/2021] [Accepted: 03/26/2021] [Indexed: 12/13/2022]
Abstract
Vaccination is one of the most useful preventive interventions in healthcare. The purpose of our study was to gain overview of the opinions, knowledge, and engagement in vaccination practices among medical students (MS) and junior doctors (JD) in Europe. The survey was distributed from March 2016 until August 2016 via the e-mail and social media of the European Medical Students' Association. In total, 1821 responses from MS and JD from 34 countries in the European region were analysed. The majority of respondents agreed that vaccines are useful (98.7%) and effective (97.2%). Although the necessity of revaccination was supported by 99.2%, only 68.0% of the respondents went through with it. Even though the potential benefit of the flu vaccination seems to be acknowledged by our participants, only 22.1% of MS and JD declared getting the flu shot every or every other season. MS and JD were in favour of specific mandatory vaccination for medical staff (86.0%) and medical students (82.7%). Furthermore, we analysed the self-reported vaccination coverage of our participants regarding 19 vaccines. Of the respondents, 89.5% claimed to provide advice about vaccination to their friends and family. In conclusion, European MS and JD have a very positive attitude towards vaccination. However, their behaviour and knowledge demonstrate certain gaps which should be further addressed in medical education.
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Affiliation(s)
- Olga M. Rostkowska
- Department of Transplantation Medicine, Nephrology and Internal Diseases, Medical University of Warsaw, Nowogrodzka 59, 02-006 Warsaw, Poland;
- European Medical Students’ Association (EMSA), Rue Guimard 15, 1040 Brussels, Belgium; (A.P.); (J.M.); (T.M.M.); (L.R.)
| | - Alexandra Peters
- European Medical Students’ Association (EMSA), Rue Guimard 15, 1040 Brussels, Belgium; (A.P.); (J.M.); (T.M.M.); (L.R.)
- Department of Surgery, Klinikum Porz am Rhein, Urbacher Weg 19, 51149 Cologne, Germany
| | - Jonas Montvidas
- European Medical Students’ Association (EMSA), Rue Guimard 15, 1040 Brussels, Belgium; (A.P.); (J.M.); (T.M.M.); (L.R.)
- LUHS Hospital Kaunas, Lithuanian University of Health Sciences, A. Mickevičiaus g. 9, 44307 Kaunas, Lithuania
| | - Tudor M. Magdas
- European Medical Students’ Association (EMSA), Rue Guimard 15, 1040 Brussels, Belgium; (A.P.); (J.M.); (T.M.M.); (L.R.)
- Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Strada Victor Babeș 8, 400000 Cluj-Napoca, Romania
| | - Leon Rensen
- European Medical Students’ Association (EMSA), Rue Guimard 15, 1040 Brussels, Belgium; (A.P.); (J.M.); (T.M.M.); (L.R.)
- Leiden University Medical Center, Faculty of Medicine, University of Leiden, Albinusdreef 2, 2333 ZA Leiden, The Netherlands
| | - Wojciech S. Zgliczyński
- School of Public Health, Centre of Postgraduate Medical Education, Kleczewska 61/63, 01-826 Warsaw, Poland;
| | - Magdalena Durlik
- Department of Transplantation Medicine, Nephrology and Internal Diseases, Medical University of Warsaw, Nowogrodzka 59, 02-006 Warsaw, Poland;
| | - Benedikt W. Pelzer
- European Medical Students’ Association (EMSA), Rue Guimard 15, 1040 Brussels, Belgium; (A.P.); (J.M.); (T.M.M.); (L.R.)
- Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, Kerpener Str. 62, D-50931 Cologne, Germany
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Szmyd B, Bartoszek A, Karuga FF, Staniecka K, Błaszczyk M, Radek M. Medical Students and SARS-CoV-2 Vaccination: Attitude and Behaviors. Vaccines (Basel) 2021; 9:vaccines9020128. [PMID: 33562872 PMCID: PMC7915119 DOI: 10.3390/vaccines9020128] [Citation(s) in RCA: 88] [Impact Index Per Article: 29.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 01/22/2021] [Accepted: 02/03/2021] [Indexed: 12/11/2022] Open
Abstract
Since physicians play a key role in vaccination, the initial training of medical students (MS) should aim to help shape their attitude in this regard. The beginning of vaccination programs against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an excellent time to assess the attitudes held by both medical and non-medical students regarding vaccination. A 51- to 53-item questionnaire including the Depression, Anxiety and Stress Scale was administered to 1971 students (49.21% male; 34.86% MS); two career-related questions were also addressed to the MS. The majority of surveyed students indicated a desire to get vaccinated against SARS-CoV-2, with more medical than non-medical students planning to get vaccinated (91.99% vs. 59.42%). The most common concern about SARS-CoV-2 infection was the risk of passing on the disease to elderly relatives. While conspiracy theories regarding the COVID-19 vaccine are less popular among MS, both groups indicated concerns that vaccines may cause autism is equally common (~5%). Further studies exploring social attitudes towards the SARS-CoV-2 vaccine are a necessary first step to optimizing vaccination programs and achieving herd immunity.
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Affiliation(s)
- Bartosz Szmyd
- Department of Neurosurgery, Spine and Peripheral Nerves Surgery of Medical University of Lodz, 90-549 Łódź, Poland; (B.S.); (F.F.K.); (K.S.); (M.B.); (M.R.)
| | - Adrian Bartoszek
- Department of Neurosurgery, Spine and Peripheral Nerves Surgery of Medical University of Lodz, 90-549 Łódź, Poland; (B.S.); (F.F.K.); (K.S.); (M.B.); (M.R.)
- Department of Pathophysiology, Medical University of Lublin, 20-090 Lublin, Poland
- Correspondence:
| | - Filip Franciszek Karuga
- Department of Neurosurgery, Spine and Peripheral Nerves Surgery of Medical University of Lodz, 90-549 Łódź, Poland; (B.S.); (F.F.K.); (K.S.); (M.B.); (M.R.)
- Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, 92-215 Łódz, Poland
| | - Katarzyna Staniecka
- Department of Neurosurgery, Spine and Peripheral Nerves Surgery of Medical University of Lodz, 90-549 Łódź, Poland; (B.S.); (F.F.K.); (K.S.); (M.B.); (M.R.)
| | - Maciej Błaszczyk
- Department of Neurosurgery, Spine and Peripheral Nerves Surgery of Medical University of Lodz, 90-549 Łódź, Poland; (B.S.); (F.F.K.); (K.S.); (M.B.); (M.R.)
| | - Maciej Radek
- Department of Neurosurgery, Spine and Peripheral Nerves Surgery of Medical University of Lodz, 90-549 Łódź, Poland; (B.S.); (F.F.K.); (K.S.); (M.B.); (M.R.)
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Crossley C, Thompson S. An audit of health student immunisation at a University Department of Rural Health reveals the imperative for a coordinated approach. Aust N Z J Public Health 2021; 45:108-115. [PMID: 33522657 DOI: 10.1111/1753-6405.13075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 08/01/2020] [Accepted: 12/01/2020] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE Student healthcare worker immunisation ensures the protection of students, their patients and the wider community. This audit assessed allied health students' records of immunisation against national standards. METHODS This audit examined clinical students' immunisation records at a University Department of Rural Health and assessed their compliance with the national Australian Immunisation Handbook recommendations. Gaps in processes were assessed through a review of forms, guidelines and stakeholder feedback. RESULTS Around one-quarter (26%) of healthcare students provided evidence that they were immunised in line with national standards. Inconsistency of immunisation recommendations across universities, states and disciplines were identified. CONCLUSIONS This audit highlighted gaps in healthcare student immunisation assurance processes at both local and national levels, and we recommend key elements that would be required for a more consistent, streamlined and coordinated approach. Implications for public health: As a pillar of communicable disease control, immunisation compliance continues to pose important public health challenges. Without further work towards coordination of healthcare students' immunisation assurances, there is a risk of preventable morbidity and mortality in vulnerable communities, as well as suboptimal student and worker safety in an environment that poses high risks.
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Affiliation(s)
- Caroline Crossley
- Western Australian Centre for Rural Health (WACRH), University of Western Australia
| | - Sandra Thompson
- Western Australian Centre for Rural Health (WACRH), University of Western Australia
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Gualano MR, Corradi A, Voglino G, Catozzi D, Olivero E, Corezzi M, Bert F, Siliquini R. Healthcare Workers' (HCWs) attitudes towards mandatory influenza vaccination: A systematic review and meta-analysis. Vaccine 2021; 39:901-914. [PMID: 33451776 DOI: 10.1016/j.vaccine.2020.12.061] [Citation(s) in RCA: 43] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 12/15/2020] [Accepted: 12/20/2020] [Indexed: 02/08/2023]
Abstract
Influenza is a disease responsible for thousands of deaths every year. Although healthcare workers (HCWs) represent a way of contagion for patients, vaccination coverage among them is low. Mandatory vaccination has been proposed, but controversies remain. This systematic review and meta-analysis aimed to assess the acceptance of mandatory vaccination by HCWs, and to investigate associated characteristics. MEDLINE, Scopus, Embase, PsycInfo, CINAHL and Web of Science were used to search for studies assessing the topic. PRISMA statements were followed. Of the 13,457 univocal records found, 52 studies were included in the systematic review and 40 in the meta-analysis. The pooled proportion of HCWs accepting the policy was of 61% (95% CI: 53%- 68%) but with great heterogeneity between continents (from 54% in Europe to 69% in Asia) and in different professionals (from 40% in nurses to 80% in students). Vaccinated HCWs agreed more frequently with mandatory vaccination than non-vaccinated ones. More studies that consider mandatory vaccination acceptance as the main outcome are needed, but the results of this study confirm that in some settings the majority of HCWs favour mandatory vaccination. This, combined with effects that a flu epidemic could have if overlapped to pandemics with similar symptoms, requires renewed considerations on mandatory vaccination.
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Affiliation(s)
- Maria Rosaria Gualano
- Department of Public Health and Paediatric Sciences, University of Turin, Torino, Italy
| | - Alessio Corradi
- Department of Public Health and Paediatric Sciences, University of Turin, Torino, Italy
| | - Gianluca Voglino
- Department of Public Health and Paediatric Sciences, University of Turin, Torino, Italy.
| | - Dario Catozzi
- Department of Public Health and Paediatric Sciences, University of Turin, Torino, Italy
| | - Elena Olivero
- Department of Public Health and Paediatric Sciences, University of Turin, Torino, Italy
| | - Michele Corezzi
- Department of Public Health and Paediatric Sciences, University of Turin, Torino, Italy
| | - Fabrizio Bert
- Department of Public Health and Paediatric Sciences, University of Turin, Torino, Italy; AOU City of Health and Science of Turin, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health and Paediatric Sciences, University of Turin, Torino, Italy; AOU City of Health and Science of Turin, Turin, Italy
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Kałucka S, Dziankowska-Zaborszczyk E, Grzegorczyk-Karolak I, Głowacka A. A Comparison of the Attitudes to Influenza Vaccination Held by Nursing, Midwifery, Pharmacy, and Public Health Students and Their Knowledge of Viral Infections. Vaccines (Basel) 2020; 8:E516. [PMID: 32916981 PMCID: PMC7565400 DOI: 10.3390/vaccines8030516] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 09/05/2020] [Accepted: 09/07/2020] [Indexed: 12/11/2022] Open
Abstract
Influenza is a viral vaccine-preventable disease. The present study aims to explore the attitude to influenza immunization and the knowledge of influenza among students in Poland. A cross-sectional survey was conducted at the end of 2019 and the beginning of 2020 among students of Nursing, Midwifery, Pharmacy, and Public health in all years of study. Data was obtained from 1137 students (90.7% female, 9.3% male), mean age 21.3 ± 1.62 years. The urban students were more likely to be vaccinated against seasonal influenza than rural students (OR: 1.52; 95% CI [1.10-2.10], p = 0.010362). The students of Public health were more likely to be vaccinated against influenza (48.9%, regularly annually 1.1%) than Pharmacy (31%, regularly annually 2.5%), Nursing (30.7%, regularly annually 1.3%) or Midwifery (25.1%, regularly annually 2.4%). First-year and second-year students were vaccinated more often (OR: 2.75; 95% CI [1.99-3.82], p = 0.00000; OR: 1.84; 95% CI [1.32-2.59], p = 0.0004, respectively) than later-year students. All students reported the main reasons for vaccination to be their own protection and parental decision. Concluded, present findings demonstrate a low prevalence of flu vaccination among medical students. Therefore, strategies are needed to increase the uptake of influenza vaccine in students, especially considering the future contact between this group of future health care workers and higher risk groups.
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Affiliation(s)
- Sylwia Kałucka
- Department of Hygiene and Epidemiology, Medical University of Lodz, 90-647 Lodz, Poland
| | | | | | - Agnieszka Głowacka
- Department of Developmental Nursing and Health Promotion, Medical University of Lodz, 90-251 Lodz, Poland;
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Alhawsawi MM, Alghamdi AA, Alzayed BM, Binmugren HM, Alshehri RA, Abusalih HH. Knowledge, barriers and uptake of influenza vaccine among non-health college students at Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia. J Public Health Res 2020; 9:1856. [PMID: 33042898 PMCID: PMC7525666 DOI: 10.4081/jphr.2020.1856] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Accepted: 08/26/2020] [Indexed: 11/23/2022] Open
Abstract
Background: Viral influenza, one of the global public health problems is specifically important in Saudi Arabia due to high susceptibility of transmission in hajj and umrah seasons (Islamic pilgrimage to the Mecca), as it has the ability to spread widely to a large proportion, in addition the disease has a higher rate of complications that might lead to death. Vaccination is an important strategy in prevention of viral influenza. Design and methods: The study aimed to describe the association between uptake of influenza vaccine with knowledge as well as identify the barriers that prevent vaccination among Princess Nourah Bint Abdulrahman University (PNU) non-health colleges students. A descriptive cross-sectional study design was undertaken, including 385 students from non-health colleges using a convenience sampling technique. Data was collected using an Arabic self-administered online questionnaire Analysis done by JMP program. IRB approval as well as informed consent were taken. Results: The uptake of the influenza vaccine was 15.3% in the current year and 56.8% in the previous years. No significant association was found between knowledge, and uptake of the vaccine. For the unvaccinated students, the most common encounter barriers stated by study population were concerns regarding the vaccine effectiveness, reduction of immunity the uncertainty of complete protection in a percentage of 12.0% for all. Conclusions: Although the level of vaccine uptake is low for this year, it is not associated with knowledge. There were some barriers that need to be tackled by health education programs. Significance for public health The identification of the factors that prevent university students from uptake of the influenza vaccine are essential to maximize vaccine uptake as Influenza continues to cause significant morbidity and mortality in whole world, including Saudi Arabia. Studies exploring influenza vaccine coverage for students are considered important in order to find out the misconception and target it by health education program, which ultimately increase the coverage.
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Affiliation(s)
- Malak M Alhawsawi
- Epidemiology Program, College of Health Sciences and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Amjad A Alghamdi
- Epidemiology Program, College of Health Sciences and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Balqees M Alzayed
- Epidemiology Program, College of Health Sciences and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Hessa M Binmugren
- Epidemiology Program, College of Health Sciences and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Raghad A Alshehri
- Epidemiology Program, College of Health Sciences and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Howeida H Abusalih
- Epidemiology Program, College of Health Sciences and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
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Kawahara Y, Nishiura H. Exploring Influenza Vaccine Uptake and Its Determinants among University Students: A Cross-Sectional Study. Vaccines (Basel) 2020; 8:vaccines8010052. [PMID: 32013015 PMCID: PMC7158679 DOI: 10.3390/vaccines8010052] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2020] [Revised: 01/23/2020] [Accepted: 01/27/2020] [Indexed: 12/25/2022] Open
Abstract
While vaccination is the only established option to prevent a susceptible host from influenza, we have yet to clarify the decision-making mechanisms of vaccine uptake among Japanese university and college students. We aimed to explore vaccination coverage and the related demographic, sociocultural, and socioeconomic factors among university students. We performed a cross-sectional survey involving 604 students at Hokkaido University. Participants were asked if they received influenza vaccination in advance of the 2018/19 season, and subsequently, their demographic and sociocultural/socioeconomic characteristics were surveyed. We also explored the mechanisms underlying students’ vaccination decisions. Vaccination coverage was estimated at 27.3% (95% confidence interval: 23.7–30.9). Freshmen (p < 0.0001) were significantly associated with choosing vaccination, and their odds ratio of vaccination was 11.3 (95% confidence interval: 6.2–20.7) times greater than students in other years. Among students other than freshmen, students belonging to medicine- and healthcare-related faculties were vaccinated three times more frequently than other students, and the coverage in students from Hokkaido was twice as large as that for students from other prefectures. Moreover, extracurricular activity was a positive predictor of vaccination. Although the coverage was as small as 27.3% among university students, freshmen in Japan have high vaccination coverage, which we believe is associated with the entrance examination during high influenza activity. In addition to exposing students to proper education regarding their risk self-assessment, consciousness raising via appropriate understanding of influenza and its severity and offering vaccination at university health centers at a reasonable cost may promote vaccine acceptance.
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Affiliation(s)
- Yukako Kawahara
- Graduate School of Medicine, Hokkaido University, Kita 15 Jo Nishi 7 Chome, Kita-ku, Sapporo-shi, Hokkaido 060-8638, Japan;
- Hokkaido University Health Center, Kita 16 Jo Nishi 7 Chome, Kita-ku, Sapporo-shi, Hokkaido 060-0816, Japan
| | - Hiroshi Nishiura
- Graduate School of Medicine, Hokkaido University, Kita 15 Jo Nishi 7 Chome, Kita-ku, Sapporo-shi, Hokkaido 060-8638, Japan;
- Correspondence: ; Tel.: +81-11-706-5066
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Wang L, Zhang X, Zhang Q, Zhang S. Understanding medical students' practices and perceptions towards vaccination in China: A qualitative study in a medical university. Vaccine 2019; 37:3369-3378. [PMID: 31076158 DOI: 10.1016/j.vaccine.2019.03.053] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Revised: 03/14/2019] [Accepted: 03/22/2019] [Indexed: 11/25/2022]
Abstract
The qualitative study aims to understand and conceptualize Chinese medical students' practices and perceptions towards vaccination. Focus groups (n = 5) were conducted through convenience sampling in a medical university in October 2016 in Anhui, China. Two years later, 6 participants among them were follow-up interviewed. All the interviews were audio-recorded, then transcribed verbatim, and analyzed using constant comparative method. Opinions of 22 participants (13 females, 9 males) were collected. Results revealed that hepatitis B vaccination was discussed the most frequently, and most of participants were vaccinated against (or had documented immunity to) hepatitis B before or during their clinical internship. None of the participants reported other vaccines uptake. Three dimensions of themes were identified: (i) at individual level, the factor "feeling less infection risk" might strengthen their perceived barriers. The factors "laziness" and "fluke mind" would be used to rationalize their inactive practices about vaccination; (ii) at social level, themes involved "inactive organizational behaviors", "suggestions from people around", and "social norms". Decision-making of medical students' vaccination was more relying on themselves and influenced more by their classmates before or during their internship, rather than being influenced more by their families/universities as before. (iii) at professional level, there are two contradictions about the participants' behaviors and attitudes. One is that they may have inappropriate behaviors because of their lack of knowledge, but sometimes they seem too satisfied about their medical knowledge to vaccination. The other is that there are both vigilance response and desensitization to occupational infection risk. It is suggested that efforts should be strengthened to spread scientific knowledge of infectious diseases and immunization as long as medical students enter the university. Publicity and organizational activities should be strengthened, and related researches should be carried out by the government or scholars.
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Affiliation(s)
- Li Wang
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, Anhui, China; School of Social Development and Public Policy, Beijing Normal University, Beijing, China.
| | - Xuan Zhang
- Chinese Center for Disease Control and Prevention, Beijing, China.
| | - Qian Zhang
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, China
| | - Sheng Zhang
- The First Clinical Medical School, Anhui Medical University, Hefei, Anhui, China
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28
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Graj E, Sheen J, Dudley A, Sutherland-Smith W. Adverse health events associated with clinical placement: A systematic review. NURSE EDUCATION TODAY 2019; 76:178-190. [PMID: 30807929 DOI: 10.1016/j.nedt.2019.01.024] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Revised: 12/10/2018] [Accepted: 01/28/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Clinical placement is a fundamental aspect of student learning and skill development across healthcare disciplines. However, participation in clinical placements can also present significant risk to students. This systematic literature review sought to examine the range of risks and hazards encountered by students across healthcare disciplines during their clinical placements. DESIGN The Preferred Reporting Items for Systematic Reviews and Meta-Analysis reporting guidelines were utilised in conducting this exploratory systematic review. DATA SOURCES The CINAHL Complete, Medline Complete, and PsycINFO databases were searched. Reference lists of eligible records obtained via database searching were screened, and a supplementary key author search was conducted. Research published between 2013 and 2018 and conducted in the context of comparative international healthcare systems was the focus of this study. REVIEW METHODS Study titles and abstracts were screened, and the full text of potentially relevant records was perused. Records meeting key eligibility criteria by addressing risk posed to students in healthcare disciplines within a clinical placement context were included in the final synthesis. RESULTS The search identified 46 eligible records. The literature highlighted the worrying trend that students, most notably in the nursing discipline, can be exposed to a wide range of risks and adverse health events during clinical placement. CONCLUSIONS As risks in unpredictable clinical environments cannot be eradicated, this review demonstrated a critical need for educative action to enable students to competently and confidently manage risks, and to reduce occurrence of adverse health events.
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Affiliation(s)
- Ella Graj
- Deakin University, Melbourne Burwood Campus, School of Psychology, 221 Burwood Highway, Burwood, VIC 3125, Australia.
| | - Jade Sheen
- Deakin University, Melbourne Burwood Campus, School of Psychology, 221 Burwood Highway, Burwood, VIC 3125, Australia.
| | - Amanda Dudley
- Deakin University, Melbourne Burwood Campus, School of Psychology, 221 Burwood Highway, Burwood, VIC 3125, Australia.
| | - Wendy Sutherland-Smith
- Deakin University, Melbourne Burwood Campus, School of Psychology, 221 Burwood Highway, Burwood, VIC 3125, Australia.
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29
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Ghandora H, Halperin DM, Isenor JE, Taylor BA, Fullsack P, Di Castri AM, Halperin SA. Knowledge, attitudes, behaviours, and beliefs of healthcare provider students regarding mandatory influenza vaccination. Hum Vaccin Immunother 2019; 15:700-709. [PMID: 30395762 DOI: 10.1080/21645515.2018.1543523] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Influenza infection poses the same risk to healthcare students as to practising clinicians. While there is substantial dialog about the benefits, risks, and ethics of mandatory influenza immunization policies in Canada, there has been little engagement of healthcare students. To explore the knowledge, attitudes, beliefs, and behaviours of healthcare students, we administered a web-based survey to students at Dalhousie University. Influenza vaccination status varied by program type, with 86.3% of medical students (n = 124) and 52.4% of nursing students (n = 96) self-reporting receipt of the influenza vaccine both in the previous and current seasons; pharmacy students' coverage fell between the two. Pharmacy students had higher mean knowledge scores (10.0 out of 13 questions) than medical (9.26) and nursing (8.88) students. Between 56.1% and 64.5% of students across disciplines were in support of a mandatory masking or vaccination policy, and between 72.6% and 82.3% of students would comply if such a policy were in place. A sense of duty to be immunized, desire to be taught more about influenza and influenza vaccine, belief that the hospital has a right to know vaccination status, support for declination policy, and willingness to accept consequences of noncompliance were all predictors of student support of mandatory policies. Medical and pharmacy students tended to hold more pro-influenza vaccination attitudes, had higher knowledge scores, and better vaccine coverage than nursing students. Based on the overall vaccination behaviour, knowledge, beliefs, and attitudes of students surveyed, this study demonstrates that mandatory influenza immunization policies are generally supported by the next generation of practitioners.
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Affiliation(s)
- Heba Ghandora
- a Department of Pediatrics , Dalhousie University , Halifax , Nova Scotia , Canada
| | - Donna M Halperin
- b Canadian Center for Vaccinology , Dalhousie University , Halifax , Nova Scotia , Canada.,c School of Nursing , St. Francis Xavier University , Antigonish , Nova Scotia , Canada
| | - Jennifer E Isenor
- b Canadian Center for Vaccinology , Dalhousie University , Halifax , Nova Scotia , Canada.,d College of Pharmacy , Dalhousie University , Halifax , Nova Scotia , Canada
| | - Beth A Taylor
- a Department of Pediatrics , Dalhousie University , Halifax , Nova Scotia , Canada.,b Canadian Center for Vaccinology , Dalhousie University , Halifax , Nova Scotia , Canada.,e School of Nursing , Dalhousie University , Halifax , Nova Scotia , Canada
| | - Philippe Fullsack
- b Canadian Center for Vaccinology , Dalhousie University , Halifax , Nova Scotia , Canada
| | - Antonia M Di Castri
- b Canadian Center for Vaccinology , Dalhousie University , Halifax , Nova Scotia , Canada
| | - Scott A Halperin
- a Department of Pediatrics , Dalhousie University , Halifax , Nova Scotia , Canada.,b Canadian Center for Vaccinology , Dalhousie University , Halifax , Nova Scotia , Canada.,f Department of Microbiology and Immunology , Dalhousie University , Halifax , Nova Scotia , Canada
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30
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Tuohetamu S, Pang M, Nuer X, Mahemuti, Mohemaiti P, Qin Y, Peng Z, Zheng J, Yu H, Feng L, Feng Z. The knowledge, attitudes and practices on influenza among medical college students in Northwest China. Hum Vaccin Immunother 2017; 13:1688-1692. [PMID: 28362546 DOI: 10.1080/21645515.2017.1293769] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Objective This study aimed to understand the knowledge, attitudes and practices (KAP) on seasonal influenza among medical college students in a low-income multiethnic society. Methods A cross-sectional questionnaire survey collected information of KAP related to influenza. A knowledge score was calculated according to the total number of correct points out of 9 questions. Logistic regression was used to identify factors associated with influenza vaccine uptake. Results 856 valid questionnaires were obtained. The average knowledge score was 14.8 ± 3.1 out of 22 correct points. Han Chinese got higher score than minorities (p < 0.001). Knowledge score increased with grade (p < 0.001). Students majoring in pharmacy had lower score than others. Questions on mode of transmission, symptoms, precautions, high risk groups and vaccination schedule had a correct rate lower than 50%. Hand hygiene was practiced by less than 40% of students after touching objects in public areas or sneezing. The proportion of participants received influenza vaccine in the past 3 y was 4.1%, 9.2% and 6.1% respectively. Willingness to receive free vaccine (OR = 2.49, 95% CI 1.31∼4.28), and awareness of the vaccine effectiveness (OR = 1.67, 95% CI 1.08∼2.56) were significantly associated with vaccine uptake, while the general knowledge about influenza, perceived susceptibility and severity, and demographic factors were not. The top 3 reasons for not being vaccinated were poor knowledge of the vaccine (46%), no perceived need due to good health (45%) and worry about adverse reactions (33%). Conclusion Health education is needed to improve the awareness of basic facts about influenza and vaccine, and more attention should be paid to minority groups. The coverage of seasonal influenza vaccine is quite low. Besides individual level behavior change, social and structural factors should be considered to increase the uptake of influenza vaccine.
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Affiliation(s)
- Shabiremu Tuohetamu
- a Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention , Urumqi , China
| | - Mingfan Pang
- b Division of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease , Chinese Center for Disease Control and Prevention , Beijing , China
| | | | - Mahemuti
- a Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention , Urumqi , China
| | - Patamu Mohemaiti
- d School of Public Health, Xinjiang Medical University , Urumqi , China
| | - Ying Qin
- b Division of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease , Chinese Center for Disease Control and Prevention , Beijing , China
| | - Zhibin Peng
- b Division of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease , Chinese Center for Disease Control and Prevention , Beijing , China
| | - Jiandong Zheng
- b Division of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease , Chinese Center for Disease Control and Prevention , Beijing , China
| | - Hongjie Yu
- b Division of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease , Chinese Center for Disease Control and Prevention , Beijing , China
| | - Luzhao Feng
- b Division of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease , Chinese Center for Disease Control and Prevention , Beijing , China
| | - Zijian Feng
- e Office of the Director, Chinese Center for Disease Control and Prevention , Beijing , China
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