Epidemiology and Infection

  • Epidemiology and Infection / Volume 140 / Issue 09 / September 2012, pp 1569-1577
  • Copyright © Cambridge University Press 2011 The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike licence <http://creativecommons.org/licenses/by-nc-sa/2.5/>. The written permission of Cambridge University Press must be obtained for commercial re-use.
  • DOI: http://dx.doi.org/10.1017/S0950268811002214 (About DOI), Published online: 18 November 2011


Seasonal influenza vaccination knowledge, risk perception, health beliefs and vaccination behaviours of nurses

J. ZHANGa1, A. E. WHILEa2 c1 and I. J. NORMANa2

a1 2nd Military Medical University, Shanghai, China

a2 King's College London, London, UK


The relationship between knowledge, risk perceptions, health belief towards seasonal influenza and vaccination and the vaccination behaviours of nurses was explored. Qualified nurses attending continuing professional education courses at a large London university between 18 April and 18 October 2010 were surveyed (522/672; response rate 77·7%). Of these, 82·6% worked in hospitals; 37·0% reported receiving seasonal influenza vaccination in the previous season and 44·9% reported never being vaccinated during the last 5 years. All respondents were categorized using two-step cluster analyses into never, occasionally, and continuously vaccinated groups. Nurses vaccinated the season before had higher scores of knowledge and risk perception compared to the unvaccinated (P<0·001). Nurses never vaccinated had the lowest scores of knowledge and risk perception compared to other groups (P<0·001). Nurses' seasonal influenza vaccination behaviours are complex. Knowledge and risk perception predict uptake of vaccination in nurses.

(Accepted October 12 2011)

(Online publication November 18 2011)


c1 Author for correspondence: Professor A. E. While, King's College London, 57 Waterloo Road, London SE1 8WA, UK. (Email: alison.while@kcl.ac.uk)