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Tdap Vaccination Among Healthcare Personnel-21 States, 2013
Alissa C O'Halloran1, Peng-Jun Lu2, Sarah A Meyer3
1Leidos, Inc., Atlanta, Georgia; Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
American Journal of Preventive Medicine
|November 28, 2017
Summary
Healthcare personnel vaccination against pertussis (Tdap) is low, with significant variations by occupation and setting. Improving Tdap coverage is crucial to prevent pertussis outbreaks in healthcare facilities.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Occupational Health
Background:
- Pertussis outbreaks pose a risk in healthcare settings.
- Vaccinating healthcare personnel (HCP) may prevent pertussis transmission within facilities.
Purpose of the Study:
- To assess Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination coverage among HCP.
- To identify factors associated with Tdap vaccination status in HCP.
Main Methods:
- Analysis of 2013 Behavioral Risk Factor Surveillance System data from 21 states.
- Self-reported Tdap vaccination status, occupation, healthcare setting, demographics, and access to care.
- T-tests used for group comparisons.
Main Results:
- Overall Tdap coverage among HCP was 47.2%.
- Physicians and advanced practice nurses had higher coverage; coverage varied by setting (hospitals > long-term care).
- Higher coverage was associated with younger age, higher education, income, personal provider, and insurance.
Conclusions:
- Substantial improvement in Tdap vaccination among HCP is necessary.
- Strategies like on-site, free vaccination, and promotion are recommended to increase uptake.
- Reducing pertussis spread in healthcare settings requires enhanced HCP immunization.
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