{Reference Type}: Meta-Analysis {Title}: Attitudes toward influenza vaccination in healthcare workers in Italy: A systematic review and meta-analysis. {Author}: Bianchi FP;Stefanizzi P;Di Lorenzo A;De Waure C;Boccia S;Daleno A;Migliore G;Tafuri S; {Journal}: Hum Vaccin Immunother {Volume}: 19 {Issue}: 3 {Year}: 2023 12 15 {Factor}: 4.526 {DOI}: 10.1080/21645515.2023.2265587 {Abstract}: 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.