Open Access Highly Accessed Research article

Getting vaccinated or not getting vaccinated? Different reasons for getting vaccinated against seasonal or pandemic influenza

Roberta Bonfiglioli1, Michela Vignoli2*, Dina Guglielmi3, Marco Depolo2 and Francesco Saverio Violante1

Author Affiliations

1 Occupational Medicine, Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Via Pelagio Palagi 9, 40138 Bologna, Italy

2 Department of Psychology, Alma Mater Studiorum, University of Bologna, Via Filippo Re 6, 40126 Bologna, Italy

3 Department of Educational Sciences, Alma Mater Studiorum - University of Bologna, Via Filippo Re 6, 40126 Bologna, Italy

For all author emails, please log on.

BMC Public Health 2013, 13:1221  doi:10.1186/1471-2458-13-1221

Published: 21 December 2013



A large number of studies have investigated the motivation behind health care workers (HCWs) taking the influenza vaccine. But with the appearance of pandemic influenza, it became important to better analyse the reasons why workers get vaccinated against seasonal and/or pandemic influenza.


Three main categories of reasons were identified with an Exploratory Factor Analysis. An analysis of variance (ANOVA) was used to verify the existence of differences between three categories of choices (taking of seasonal and pandemic vaccine, only the seasonal vaccine or none). In addition, a multinomial logistic regression analysis was performed to analyse the association between stated intentions and update of seasonal and pandemic vaccine. Questionnaires were returned from 168 HCWs (67.3% women).


The results showed that age and being well-informed about vaccination topics are the most important variables in determining the choice to take the vaccine.


The results highlight the importance of enhancing education programs to improve awareness among HCWs concerning the benefits of taking the influenza vaccination, with particular attention paid to younger workers.

Vaccine; Pandemic influenza; Seasonal influenza; HCWs