%0 Meta-Analysis %T Attitudes toward influenza vaccination in healthcare workers in Italy: A systematic review and meta-analysis. %A Bianchi FP %A Stefanizzi P %A Di Lorenzo A %A De Waure C %A Boccia S %A Daleno A %A Migliore G %A Tafuri S %J Hum Vaccin Immunother %V 19 %N 3 %D 2023 12 15 %M 37849235 %F 4.526 %R 10.1080/21645515.2023.2265587 %X Healthcare workers (HCWs) are among the at-risk groups for whom influenza vaccination is strongly recommended. To assess the proportion of Italian HCWs with positive attitudes toward influenza vaccination, we conducted a systematic review of relevant literature and a meta-analysis. Our focus was on the influenza seasons from 2017/18 to 2021/22. The prevalence of favorable attitudes toward vaccination varied, ranging from 12% during the 2017/18 influenza season to 59% in the 2020/21 season. The significant increase in the 2020/21 season can be attributed to adaptations necessitated by the COVID-19 pandemic. During the 2021/22 influenza season, there was a decline in vaccination coverage (37%), likely due to the absence of a robust preventive culture. Various strategies have been employed to enhance HCWs' attitudes to achieve higher vaccination rates, but none of them have demonstrated satisfactory results. Policymakers should consider implementing a policy of mandatory vaccination to ensure elevated vaccination coverage among HCWs.