Table 3

Results

Type of predictorPredictorNumber of studies that included the predictormhRR (95% CI)
DemographicMale gender810 15–17 19 21–231.18 (1.13 to 1.23)
40 years and older415 16 20 231.23 (1.17 to 1.28)
Being a physician89 15 16 18 20 21 23 241.16 (1.13 to 1.20)
Being a nurse89 15 16 18 20 23–250.90 (0.88 to 0.91)
KnowledgeThe vaccine is effective315 16 212.22 (1.93 to 2.54)
Being aware of the CDC recommendations1* 221.29 (0.98 to 1.70)
Getting influenza is safer1* 150.83 (0.56 to 1.23)
Influenza appears as a heavy cold1* 161.53 (1.18 to 1.98)
Perceived benefitsWilling to prevent influenza transmission315 16 212.31 (1.97 to 2.70)
Willing to protect at-risk patients210 211.12 (1.06 to 1.18)
Willing to protect oneself1* 151.89 (1.40 to 2.54)
Perceived risks and severityBeing at risk for influenza complications410 15 16 231.13 (1.08 to 1.19)
Believing that the vaccine transmits influenza315 16 220.67 (0.55 to 0.83)
Believing that the risk of getting influenza is small315 16 220.73 (0.52 to 1.03)
Believing that influenza is not a serious illness1* 151.26 (0.87 to 1.83)
Believing that influenza is highly contagious1* 162.25 (1.66 to 3.05)
Perceived barriersFear related to vaccination1* 150.74 (0.49 to 1.15)
Fear related to injection215 161.05 (0.84 to 1.29)
Vaccination is unpleasant215 160.68 (0.49 to 0.92)
Convenient vaccination clinics1* 152.25 (0.95 to 5.34)
Vaccination free of charge215 221.52 (1.27 to 1.81)
Previous influenza and influenza vaccinationPrevious influenza vaccination510 16 20–221.51 (1.47 to 1.55)
Having a history of influenza210 221.07 (1.02 to 1.13)
Other predictorsBelieving influenza prevention is important215 163.63 (2.87 to 4.59)
Preferring natural/complementary medicine215 160.26 (0.12 to 0.55)
Family is usually vaccinated1* 162.32 (1.64 to 3.28)
Having contact with children1* 101.08 (1.04 to 1.13)
Having direct patient contacts410 16 17 211.04 (0.99 to 1.08)
Smoking status1* 231.01 (0.66 to 1.53)
  • * When the information about a predictor was available from only one study, risk ratios (RR) and not Mantel-Haenszel risk ratios (mhRR) were calculated.

  • CDC, Centers for Disease Control and Prevention; mhRR, Mantel-Haenszel risk ratio.