Visualizing knowledge and attitude factors related to influenza vaccination of physicians

Antón-Ladislao, Ane; García-Gutiérrez, Susana; Soldevila, Núria; Gónzález-Candelas, Fernando; Godoy, Pere; Castilla, Jesús; Mayoral, José María; Astray, Jenaro; Martín, Vicente; Tamames, Sonia; Toledo, Diana; Aguirre, Urko; Domı́nguez, Àngela; Alonso, Jordi; Baricot, Maretva; Calero, Sebastián Santos; Caylà, Joan A.; Lafuente, Sarah; Rius, Cristina; Torner, Núria; Díaz, José Luis Gahete; Cenoz, Manuel García; Martínez-Baz, Iván; Quintana, José M.; González, Amaia Bilbao

doi:10.1016/j.vaccine.2014.12.012

Cited by 14 publications

(7 citation statements)

References 41 publications

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“…Using multiple correspondence analysis and agglomerative hierarchical cluster analysis [14,15], we constructed a typology according to the patterns of associations between GPs' vaccine recommendations to their patients and practices for their own children's vaccinations for MMR, HepB and MenC. We excluded HPV vaccination because it concerned only GPs with daughters and so reduced the sample size to 538 participants.…”

Section: Discussionmentioning

confidence: 99%

“…These analyses allowed us to identify and quantify the prevalence of various levels of discordance among GPs. Cluster analysis enables the study of the statistical proximity of individuals on the basis of the factors under study, without any preconceptions about possible relations between these factors [14]. Clustering implies that the distribution of the factors studied is not independent, but instead reflects their common features [14].…”

Section: Discussionmentioning

confidence: 99%

“…Cluster analysis enables the study of the statistical proximity of individuals on the basis of the factors under study, without any preconceptions about possible relations between these factors [14]. Clustering implies that the distribution of the factors studied is not independent, but instead reflects their common features [14]. Hence, a classification procedure can uncover discordance at levels statistically defined according to criteria of similitude or distance.…”

Section: Discussionmentioning

confidence: 99%

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Discrepancies between general practitioners' vaccination recommendations for their patients and practices for their children

Agrinier

Maréchal

Fressard

et al. 2017

Clinical Microbiology and Infection

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Objectives: The objectives of our study were to describe the vaccination recommendations by general practitioners (GPs) for their patients and practices for their children, and to identify any discrepancies between them. Methods: Applying multiple correspondence analysis and agglomerative hierarchical cluster analysis to data from a 2014 cross-sectional survey of a national sample of GPs, we constructed a typology based on the patterns of associations between GPs' vaccine recommendations to their patients and practices to their own children's vaccinations. Results: This study includes the 1038 GPs who reported that they had at least one child aged 2e25 years. Nearly half (47%, 482/1021) reported that all of their children were vaccinated against hepatitis B but that they did not always recommend that vaccine to patients; the same discordance was observed among 36% (369/1027) for the measlesemumpserubella vaccine, 19% (194/1013) to 28% (290/1019) for routine and catch-up meningococcal C vaccination, and 27% (136/496) for the human papillomavirus vaccine. Cluster analysis showed that 37% (95% CI 33%e39%) of GPs reported an above-average rate of systematic vaccine recommendations for their patients, and most reported that all their children were vaccinated (low level of discordance), whereas 60% (95% CI 58%e64%) had a high level of discordance, that is, most reported that their children were vaccinated, but did not always recommend the same vaccines to their patients. Conclusions: Many GPs do not report the same attitude concerning the vaccination of their children and their patients. The reasons underlying these discrepancies, possibly including vaccine hesitancy, should be investigated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Discrepancies between general practitioners' vaccination recommendations for their patients and practices for their children

Agrinier

Maréchal

Fressard

et al. 2017

Clinical Microbiology and Infection

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“…For that purpose, we performed a multiple correspondence analysis (MCA) combined with an agglomerative hierarchical cluster analysis (AHCA) of the different dimensions of GPs' VH [ 16 ]. MCA is an exploratory technique used to understand the inter-relationships between multiple categorical variables [ 17 ]; it allows correlated variables to be combined into continuous factors [ 18 ]. These factors are introduced in the AHCA, which classifies individuals with similar characteristics into clusters.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and correlates of vaccine hesitancy among general practitioners: a cross-sectional telephone survey in France, April to July 2014

et al. 2016

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This article sought to estimate the prevalence of vaccine hesitancy (VH) among French general practitioners (GPs) and to study its demographic, professional and personal correlates. We conducted a cross-sectional telephone survey about GPs’ vaccination-related attitudes and practices in 2014 in a national panel of 1,712 GPs in private practice, randomly selected from an exhaustive database of health professionals in France. A cluster analysis of various dimensions of VH (self-reported vaccine recommendations, perceptions of vaccine risks and usefulness) identified three clusters: 86% of GPs (95% confidence interval (CI): 84–88) were not or only slightly vaccine-hesitant, 11% (95% CI: 9–12) moderately hesitant and 3% (95% CI: 3–4) highly hesitant or opposed to vaccination. GPs in the latter two clusters were less frequently vaccinated and reported occasional practice of alternative medicine more often than those in the first cluster; they also described less experience with vaccine-preventable diseases and more experience with patients who they considered had serious adverse effects from vaccination. This study confirms the presence of VH among French GPs but also suggests that its prevalence is moderate. Given GPs’ central role in vaccination, these results nevertheless call for a mobilisation of stakeholders to address VH among GPs.

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“…Globally, the reported vaccination rate for healthcare workers varies between 13.1% and 60%, depending on the country and the influenza season. [11][12][13][14][15] Antón-Ladislao et al [14] reported that the vaccination rate was much higher (71%) in physicians aged ≥45 years and with an increased awareness of the risks of influenza. The rate of vaccination of physicians remains insufficient in our country.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Physicians' Knowledge, Attitudes and Behaviors on Influenza Vaccination

Özel¹

2018

South Clin Ist Euras

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Influenza is a disease that causes mortality, morbidity, and workforce productivity losses, especially in high-risk patients. Healthcare workers are among those at risk for exposure to the flu and for transmission of the virus to the patients. The aim of this study was to evaluate the attitudes and behavior of physicians at one hospital regarding the influenza vaccine. Methods: A questionnaire comprising 11 questions was used to evaluate the attitudes and behaviors of the physicians working in one hospital with respect to the influenza vaccine. Results: A total of 105 physicians participated in the study, and 74.3% of the respondents were not vaccinated for influenza virus. The most common reasons given were that it was viewed as unimportant and remissness (64%). The results indicated that 39% of the physicians surveyed did not recommend an influenza vaccine to their patients. Vaccination was most frequently recommended to the patients with chronic lung disease (83.9%). It was also observed that 94.3% of the physicians had not received any education on influenza in previous year. Conclusion: The most important step in reducing the mortality due to influenza is to increase the rate of influenza vaccination. Awareness of physicians should be increased in order for vaccination programs to be successful throughout the country.

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Visualizing knowledge and attitude factors related to influenza vaccination of physicians

Cited by 14 publications

References 41 publications

Discrepancies between general practitioners' vaccination recommendations for their patients and practices for their children

Discrepancies between general practitioners' vaccination recommendations for their patients and practices for their children

Prevalence and correlates of vaccine hesitancy among general practitioners: a cross-sectional telephone survey in France, April to July 2014

Evaluation of Physicians' Knowledge, Attitudes and Behaviors on Influenza Vaccination

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