Knowledge and Attitudes of Healthcare Workers about Influenza: Why Are They Not Getting Vaccinated?

In a survey of employees at a chronic care psychiatric facility following an influenza outbreak, previous influenza vaccination (relative risk [RR], 69.7; 95% confidence interval [$CI_{95}$], 25.2 to 192.4), age $\geq 50 years$ (RR, 2.4; $CI_{95}$, 1.3 to 4.5), and knowledge that vaccine does not cause influenza (RR, 2.3; $CI_{95}$, 1.3 to 3.7) were the factors most predictive of current influenza vaccination. Medical personnel were less likely than nonmedical employees to be vaccinated (RR, 0.5; $CI_{95}$, 0.3 to 0.9). Educational efforts to address misconceptions about vaccination plus more vigorous administrative measures to vaccinate employees should be considered.