Physician Knowledge and Attitudes About Hepatitis A and Current Practices Regarding Hepatitis A Vaccination Delivery
Physician Knowledge and Attitudes About Hepatitis A and Current Practices Regarding Hepatitis A Vaccination Delivery
复制标题
DOI：
10.1016/j.acap.2017.01.001
复制
发表时间：
2017-07-01
影响因子：
3.1
通讯作者：
Kempe, Allison
中科院分区：
文献类型：
--
作者：
Nelson, Noele P.;Allison, Mandy A.;Kempe, Allison
目的：评估医生的：1）关于甲型肝炎疾病和甲型肝炎（HepA）疫苗的知识和态度，2）儿童保育和学校HepA疫苗授权，3）与HepA疫苗提供相关的实践，4）与强烈推荐HepA疫苗给所有1- 2岁儿童相关的因素，5）在健康维护访问中实施HepA追赶疫苗接种的可行性。从2014年3月至6月，通过电子邮件或基于提供者偏好的邮件，在儿科医生和家庭医学医生（FM）的代表网络中进行了全国性调查。儿科医生的应答率为81%（356/440），FM的应答率为75%（348/464）。不到50%的人正确识别出甲型肝炎病毒（HAV）感染通常在幼儿中无症状，并且HAV疾病的发病率随年龄增加而增加。92%的儿科医生和59%的FM强烈建议所有1至2岁的儿童接种HepA疫苗。除了实践专业，认为需要HepA疫苗的幼儿园招生是最强大的预测强医师recommendations.CONCLUSIONS：知识差距，甲型肝炎感染和甲型肝炎的建议，缺乏一个强有力的建议，为幼儿接种常规HepA疫苗之间的FM可能有助于次优的覆盖面。缩小知识差距和解决阻碍所有医生向1至2岁儿童强烈推荐HepA疫苗的障碍，有助于提高HepA疫苗的覆盖率，并最终提高对HAV感染的人群保护。
OBJECTIVE: To assess physicians': 1) knowledge and attitudes about hepatitis A disease and hepatitis A (HepA) vaccine, 2) child care and school HepA vaccine mandates, 3) practices related to HepA vaccine delivery, 4) factors associated with strongly recommending HepA vaccine to all 1- to 2-year-olds, and 5) feasibility of implementing HepA catch-up vaccination at health maintenance visits.METHODS: A national survey was conducted among representative networks of pediatricians and family medicine physicians (FMs) from March to June, 2014 via e-mail or mail on the basis of provider preference.RESULTS: Response rates were 81% (356 of 440) among pediatricians and 75% (348 of 464) among FMs. Less than 50% correctly identified that hepatitis A virus (HAV) infection is usually asymptomatic in young children and that morbidity from HAV disease increases with age. Ninety-two percent of pediatri-cians and 59% of FMs strongly recommend HepA vaccine for all 1- to 2-year-olds. In addition to practice specialty, belief that HepA vaccine is required for kindergarten enrollment was the most robust predictor of strong physician recommendation.CONCLUSIONS: Gaps in knowledge regarding HAV infection and hepatitis A recommendations and lack of a strong recommendation for routine HepA vaccination of young children among FMs likely contribute to suboptimal coverage. Closing knowledge gaps and addressing barriers that prevent all physicians from strongly recommending HepA vaccine to 1- to 2 year-olds could help increase HepA vaccine coverage and ultimately improve population protection against HAV infection.