The reasons of health workers to get vaccinated against influenza, have been modified since the H1N1 flu pandemic?

Background:

The main reasons for Influenza vaccination among health care workers before Pandemic H1N1 Flu previously described in the scientific evidence is:  self-protection, protection my family and protection to patients. After H1N1 flu pandemic and the information disseminated at the time about the safety and efficacy of influenza vaccination and recommendations for vaccination against influenza in our center. We want to know the variability of the reasons given by health workers to get vaccinated against  in the 2010 flu season.

Objective: To assess whether the reasons of health personnel to be vaccinated against the flu pandemic were modified after H1N1 Flu.

Methods:

Cross study, which includes health workers vaccinated in the 2009 flu season (seasonal flu and  H1N1 flu) and  2010 flu season until the first week of November at the University General Hospital of Alicante, Spain.

When the health worker vaccinated against the flu completed a questionnaire that contained a list of reasons for vaccination (for example: self-protection, protection my family, protection to patients, I had the flu, etc.). The possibility of choosing more than one option was possible. It was a descriptive study of all variables. For the association studies we used the x2 test, the statistical significance level used is  p <0.05.

Results:

Table 1.       Reasons of vaccination	2009 season Seasonal Flu          H1N1 Flu		2010   season     Seasonal Flu	P
HW Vaccinated     Self-protection.     It´s Should.     It’s Free     I previously vaccinated.     Influenza disease in previous years.     Protection my Family.     Protection to patients.     Medical advice.     I have a chronic disease.     I live with people over 65 years.	969 69,6% (674) 41,5% (402)   7,5%  (77) 51,7% (507) 13,0% (126) 49,1% (476) 49,4% (479) 13,5% (131) 15,9% (154) 11,9% (115)	693 67,0% (464) 34,9% (242)   6,6%  (46) 15,2% (105)   6,2%  (43) 57,7% (400) 56,3% (390)  14,0%  (97)  16,9% (117)  12,4%  (86)	443 73,4% (325) 47,4% (210)   7,7%  (34) 58,5% (259) 12,0%  (53) 48,5% (215) 51,5% (228)  16,1%  (71) 18,8%  (83) 12,9%  (57)	-- N.S. <0.001 N.S.  <0.001  <0.001   <0.01   <0.01   N.S.   N.S.   N.S.

Conclusions:

The reasons for getting vaccinated against influenza after the pandemic are normally exposed to seasonal flu (self-protection, Protection my family and patients) and changed the reasons for vaccination against H1N1 influenza. Other reasons uncommon (having a chronic illness, living with people 65 years and caregiver) show that there are potential improvements in the area of continuing education (with more compelling and motivating intervention) about vaccination among health workers.

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