Workplace-based influenza vaccination promotion practices among large employers in the United States

Influenza vaccination levels in the working-age population are low. Workplace promotion practices can increase employee vaccination levels, but the extent of employers' use of these practices is unknown. We aimed to estimate the prevalence of employers' use of evidence-based practices for promoting influenza vaccination in the workplace.

We conducted a telephone survey of large employers across the United States regarding their use of evidence-based practices to promote vaccination.

Eighty-four percent of 583 employers surveyed offered on-site vaccination. Use of four promotion practices was high (75% or more), but the remaining four practices were used by only a minority of employers. There is particular room for improvement in the use of practices that increase physical access to vaccination.

Employers are highly engaged in basic influenza vaccination promotion practices, but there is potential to increase levels of use.