Objective: To determine the vaccination rates among healthcare workers in t
he Haifa subdistrict and to assess factors associated with vaccination upta
ke among them.
Methods: The study was conducted in the three general hospitals in Haifa Ci
ty, and in five nursing homes in the Haifa subdistrict. Self-administered q
uestionnaires were distributed to 1,014 employees of whom 71% were females,
34% were nurses, 27% were physicians and 28% were non-professional workers
. Results: The crude response rate was 66%. Response rates were higher in f
emales (71%) than in males (49%), in nurses (70%) than in physicians (43%),
and in staff of internal and pediatric departments than in workers of surg
ery departments and emergency rooms. The overall vaccination rate among the
respondents was 11%, which was higher among males (15%) than among females
(10%). No significant relationship between vaccination rate and age, occup
ation and department was found. The vaccination rate among employees with c
hronic illness was very low (7%). Influenza vaccine was actively recommende
d to 29% of the employees. The main reasons for non-compliance were low awa
reness of the severity of the disease and of the vaccine's efficacy and saf
ety, and unavailability of the vaccine within the workplace.
Conclusions: Educational efforts and offering the vaccine at the workplace
at no cost are the most important measures for raising influenza vaccinatio
n rates.