Affiliation:
1. Santé Publique France
2. Centre Hospitalier Universitaire de Bordeaux
Abstract
Abstract
Background:
Vaccination of healthcare workers (HCW) aims to protect them and to reduce transmission to susceptible patients. Influenza, measles, pertussis, and varicella vaccinations are recommended but not mandatory for HCW in France. Insufficient vaccine coverage for these diseases in HCW has raised the question of introducing mandatory vaccination. We conducted a survey to estimate acceptability of mandatory vaccination for these four vaccines by HCW working in healthcare facilities (HCF) in France, and to identify associated determinants.
Methods:
In 2019, we performed a cross-sectional survey of physicians, nurses, midwives and nursing assistants working in HCF in France using a randomised stratified three-stage sampling design (HCF type, ward category, HCW category). Data were collected in face-to-face interviews using a tablet computer. We investigated the possible determinants of acceptability of mandatory vaccination using univariate and multivariate Poisson regressions, and estimated prevalence ratios (PR).
Results:
A total of 8594 HCW in 167 HCF were included. For measles, pertussis, and varicella, self-reported acceptability of mandatory vaccination (very or quite favourable) was 73.1% [CI95%: 70.9–75.1], 72.1% [69.8–74.3], and 57.5% [54.5–57.7], respectively. Acceptability varied according to i) HCW and ward category for these three vaccinations, ii) age group for measles and pertussis, and iii) sex for varicella. For mandatory influenza vaccination, acceptability was lower (42.7% [40.6–44.9]), and varied greatly between HCW categories (from 77.2% for physicians to 32.0% for nursing assistants).
Conclusion:
HCW acceptability of mandatory vaccination was high for measles, pertussis and varicella but not as high for influenza. Vaccination for COVID-19 is mandatory for HCW in France. Replication of this study after the end of the COVID-19 crisis would help assess whether the pandemic had an impact on their acceptability of mandatory vaccination, in particular for influenza.
Publisher
Research Square Platform LLC
Reference32 articles.
1. Sante publique France. Vaccination infoservice. https://vaccination-info-service.fr/. Accessed 02 Nov 2022.
2. Sante publique France. Geodes. Number of measles cases and notification rate (2002–2020). https://geodes.santepubliquefrance.fr/#c=indicator&f=0&i=rou.rou&s=2020&t=a01&view=map2. Accessed 02 Nov 2022.
3. Measles elimination efforts and 2008–2011 outbreak, France;Antona D;Emerg Infect Dis,2013
4. Measles outbreak linked to insufficient vaccination coverage in Nouvelle-Aquitaine Region, France, October 2017 to July 2018;Bernadou A;Euro Surveill,2018
5. Vaccination coverage of health care personnel working in health care facilities in France: results of a national survey, 2009;Guthmann JP;Vaccine,2012