Vaccine hesitancy among general practitioners: evaluation and comparison of their immunisation practice for themselves, their patients and their children
Vaccine hesitancy among general practitioners: evaluation and comparison of their immunisation practice for themselves, their patients and their children
复制标题
DOI：
10.1007/s10096-016-2735-4
复制
发表时间：
2016-11-01
影响因子：
4.5
通讯作者：
Botelho-Nevers, E.
中科院分区：
文献类型：
--
作者：
Killian, M.;Detoc, M.;Botelho-Nevers, E.
为了了解全科医生（GP）对疫苗接种的犹豫，我们进行了一项调查，比较他们对自己、孩子和病人的疫苗接种态度。2013年10月至2014年1月，向法国Rhne-Alpes地区私人执业的全科医生发送了一份问卷调查。考虑了全科医生对白喉-破伤风-脊髓灰质炎（DTP）、麻疹-腮腺炎-风疹（MMR）、肺炎球菌、百日咳、B肝炎（hepB）、人乳头瘤病毒（HPV）、季节性和H1N1流感和脑膜炎球菌C（menC）疫苗的免疫接种做法。分歧的定义是他们的病人和他们的孩子之间至少存在一种不同的免疫接种实践。共有693名全科医生回答了问卷。当考虑所有调查的疫苗时，发现45.7%的分歧。就个别而言，最新和更具争议的疫苗，即HPV（11.8%），hepB（13.1%），menC（23.7%）和肺炎球菌（19.8%）疫苗的分歧最高。只有73.9%的全科医生宣称他们建议女儿接种HPV疫苗。经过多变量分析，年龄越大，分歧的风险越高。根据法国2012年的建议，全科医生的免疫接种不足，88%的人接种了百白破，72%的人接种了百日咳。全科医生宣称，在95%以上的病例中，建议为他们的患者及其子女接种百白破、百日咳和MMR疫苗。其他疫苗的申报推荐率均低于90%。这些结果为疫苗犹豫带来了新的见解。全科医生对他们的亲属和病人有不同的免疫态度，特别是在考虑最新和最有争议的疫苗时，HPV疫苗是争议的主要焦点。
To gain knowledge about vaccine hesitancy among general practitioners (GPs), we conducted a survey to compare their vaccination attitudes for themselves, their children and their patients. A questionnaire survey was sent to GPs working in private practice in the Rhne-Alpes region, France, between October 2013 and January 2014. GPs' immunisation practices for diphtheria-tetanus-poliomyelitis (DTP), measles-mumps-rubella (MMR), pneumococcal, pertussis, hepatitis B (hepB), human papillomavirus (HPV), seasonal and H1N1 influenza and meningococcal C (menC) vaccines were considered. Divergence was defined by the presence of at least one different immunisation practice between their patients and their children. A total of 693 GPs answered the questionnaire. When considering all investigated vaccines, 45.7 % of divergence was found. Individually, divergence was highest for the newest and more controversial, i.e. HPV (11.8 %), hepB (13.1 %), menC (23.7 %) and pneumococcal (19.8 %) vaccines. Only 73.9 % of GPs declared that they recommended HPV vaccine for their daughters. After multivariate analysis, older age was associated with higher risk of divergence. According to the French 2012 recommendations, GPs were insufficiently immunised, with 88 % for DTP and 72 % for pertussis. GPs declared to recommend vaccination against DTP, pertussis and MMR for their patients and their children in more than 95 % of cases. The declared rates of recommendation were lower than 90 % for other vaccines. These results bring new insight about vaccine hesitancy. GPs have divergent immunisation attitudes toward their relatives and their patients, especially when considering the newest and most controversial vaccines, with HPV vaccine being the main focus of controversies.