Risk Factors for Undervaccination against Measles in a Large Sample of Preschool Children from Rural Bavaria

Zucs, A P; Crispin, Alexander; Eckl, Ellen; Weitkunat, Rolf; Schlipköter, Ursula

doi:10.1007/s15010-004-3122-0

Cited by 28 publications

(22 citation statements)

References 21 publications

(22 reference statements)

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“…Having a single parent, a high number of siblings or having older siblings were not found to be associated to vaccination in this study, although they were in other studies [8,11,13,14,16,18,28]. The degree of urbanisation was not predictive either, which is reassuring because a lower coverage in urban regions could elicit a risk of transmission for some diseases.…”

Section: Discussioncontrasting

confidence: 65%

“…However, the birth cohort of which children were recruited for this study largely received the 2003 schedule with three monovalent doses of HBV. A number of characteristics that have been found to be related to vaccination coverage in industrial countries have been taken into consideration in this 2005 survey, such as parental education, ethnicity, age, marital and working situation, birth order of the child, medical problems, side effects of vaccination, vaccine provider and having a vaccination card [3,[5][6][7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey

Theeten

Hens

Vandermeulen

et al. 2007

Vaccine

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To assess changes in infant vaccination coverage in Flanders since 1999, an EPI-survey was performed in 2005. The parents of 1354 children aged 18-24 months were interviewed at home and the vaccination documents were checked. Several factors possibly related to vaccination status were examined with parametric and non-parametric methods. The coverage rate of recommended vaccines, i.e. poliomyelitis, tetanus-diphtheria-pertussis, H influenzae type b (Hib), hepatitis B, measles-mumps-rubella (MMR) and meningococcal C, reached at least 92.2%, which is a significant rise for MMR, hepatitis B and Hib since 1999.The vaccinating physician, the employment situation of the mother and the family income were significant risk factors for incomplete or invalid vaccination.

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Section: Discussioncontrasting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey

Theeten

Hens

Vandermeulen

et al. 2007

Vaccine

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“…Pediatric specialists should be included in this education as they have the greatest concerns, may be the most removed from the diseases protected by the immunizations, but also care for some of the most vulnerable populations. It has been shown that the more convinced physicians are of the benefits of vaccines, the more likely they are to immunize their patients [21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Vaccination practices among physicians and their children

Martin¹,

Badalyan²

2012

OJPed

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“…Although this survey cannot establish the effectiveness of Swiss physicians as role models for immunization, it is known that convinced physicians are more apt to provide their patients with vaccines that they believe to be beneficial. [40][41][42][43] Thus, unless additional vaccine education and information efforts targeted toward these physicians eventually prove successful, the control of communicable diseases such as measles may prove impossible in Switzerland and other countries.…”

Section: Immunization In Physicians' Childrenmentioning

confidence: 99%

How Do Physicians Immunize Their Own Children? Differences Among Pediatricians and Nonpediatricians

et al. 2005

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ABSTRACT. Context. Immunization has an essential impact on public health worldwide. Numerous studies have shown the efficacy of different vaccines to protect individuals from various diseases. However, some parents choose not to vaccinate their children for reasons such as, among others, doubts regarding their usefulness, concerns over safety or efficacy, etc. Physicians are known to exert a direct influence on immunization rates by answering questions and clarifying misconceptions. Yet, it is unknown how they immunize their own children.Objective. We sought to assess how physicians interested in vaccination issues immunized, or would immunize, their own children.Design, Setting, and Participants. An 11-question, Webbased survey with a total of 102 discrete answers was sent to 2070 Swiss physicians in October 2004. All physicians were subscribers to a nonprofit, Web-based expert network (InfoVac, www.infovac.ch) that distributes monthly newsletters and answers question within 2 days on immunization issues. The InfoVac network reaches >95% of pediatricians in Switzerland but <20% of general practitioners. All responses were anonymous, and no identifier could be used to trace the participants of the survey. Questions were divided into 2 parts: (1) physicians who were parents were asked which vaccines they gave to their own children and at what age, and (2) all physicians were asked which vaccines they would give to their own child and at what age if they had a newborn child in 2004. Vaccines available in Switzerland at the time of the survey were offered as possible replies, and recommended vaccines were considered as those noted in the Swiss federal immunization schedule issued yearly. One question compared their immunization practice between their own children and their patients. Sociodemographics, qualifying year, membership in different professional groups, and their type of practice were also requested.Statistics. Standard descriptive statistics were used for sociodemographic characteristics. Univariate statistical analyses were performed for each variable to determine its relationship to the dependent variable, being a pediatrician or nonpediatrician. Logistic-regression analysis was used to calculate the adjusted odds ratios (ORs) and 95% confidence intervals (CIs), controlling for any statistically significant demographic variables that might function as confounders (gender, parenthood, workplace, year of diploma, and type of practice). For all statistical tests, differences were considered significant at P < .05.Main Outcome Measure. We performed a comparison of past and projected immunization rates in the children of pediatricians and nonpediatricians.Results. One thousand seventeen valid questionnaires were received (response rate: 49.1%; pediatricians: 53.3%). Nine hundred fifteen physicians (90%) had >1 child. All physicians reported immunizing children in their practice. Pediatricians were more likely to be women and to work in private practice than nonpediatricians but less likely to belong to a sel...

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Risk Factors for Undervaccination against Measles in a Large Sample of Preschool Children from Rural Bavaria

Abstract: Doctors advising against measles vaccination and doctors not giving any advice proved to be important risk factors for childhood undervaccination against measles. Future strategies to increase measles vaccination rates in Germany should focus more on family doctors.

Cited by 28 publications

References 21 publications

Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey

Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey

Vaccination practices among physicians and their children

How Do Physicians Immunize Their Own Children? Differences Among Pediatricians and Nonpediatricians

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