Positive attitudes of French general practitioners towards A/H1N1 influenza-pandemic vaccination: A missed opportunity to increase vaccination uptakes in the general public?

被引:83
作者
Schwarzinger, Michael [1 ,2 ,3 ]
Verger, Pierre [1 ,2 ,3 ]
Guerville, Marc-Andre
Aubry, Catherine [4 ]
Rolland, Sophie [1 ,2 ,3 ]
Obadia, Yolande [1 ,2 ,3 ]
Moatti, Jean-Paul [1 ,2 ]
机构
[1] INSERM, Econ & Social Sci U912, Hlth Syst & Soc SE4S, F-13006 Marseille, France
[2] Univ Aix Marseille, IRD, UMR S912, Marseille, France
[3] Observ Reg Sante Provence Alpes Cote Azur, ORS PACA, Marseille, France
[4] URML Bourgogne, Bourgogne, France
关键词
Pandemic vaccination; Influenza; Healthcare workers; General practice; HEALTH-CARE WORKERS; FLU VACCINATION; IMMUNIZATION; WILLINGNESS; PREVENTION;
D O I
10.1016/j.vaccine.2010.01.027
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Attitudes of general practitioners (GPs) towards A/H1N1 pandemic vaccination are unknown. We conducted a cross-sectional survey with computer-assisted telephone interviewing in the French Regional Panel of General Practices from June 16 to September 22, 2009. Of 1434 respondents representative of GPs in four French regions, 885 (61.7%) were willing to accept A/H1N1 pandemic vaccination for themselves. The personal history of seasonal flu vaccination was the strongest independent predictive factor of willingness to accept A/H1N1 pandemic vaccination (p < .0001). GPs receiving seasonal vaccines every year were more likely to accept A/H1N1 pandemic vaccination than those who were never vaccinated in the prior 3 years (adjusted OR = 4.38; 95% CI, 2.44-4.67). Willingness to accept pandemic vaccination was also significantly associated with being on call for emergencies; positive attitudes towards other protective measures against A/H1N1 influenza virus in the practice; and a higher readiness to provide additional consultations in response to the pandemic. In conclusion. GPs showed a high acceptability of A/H1N1 pandemic vaccination. GPs' involvement in the mass vaccination campaign, which has been neglected by French public health authorities, may have increased uptake rates in the general public. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2743 / 2748
页数:6
相关论文
共 32 条
[1]   Infuenza vaccination among primary headthcare workers [J].
Abramson, Zvi Howard ;
Levi, Orit .
VACCINE, 2008, 26 (20) :2482-2489
[2]  
[Anonymous], 2009, WORLD NOW START 2009
[3]  
AULAGNIER M, 2007, 610 DREES
[4]   Importance of background rates of disease in assessment of vaccine safety during mass immunisation with pandemic H1N1 influenza vaccines [J].
Black, Steven ;
Eskola, Juhani ;
Siegrist, Claire-Anne ;
Halsey, Neal ;
MacDonald, Noni ;
Law, Barbara ;
Miller, Elizabeth ;
Andrews, Nick ;
Stowe, Julia ;
Salmon, Daniel ;
Vannice, Kirsten ;
Izurieta, Hector S. ;
Akhtar, Aysha ;
Gold, Mike ;
Oselka, Gabriel ;
Zuber, Patrick ;
Pfeifer, Dina ;
Vellozzi, Claudia .
LANCET, 2009, 374 (9707) :2115-2122
[5]   Influenza vaccination coverage rates in five European countries during season 2006/07 and trends over six consecutive seasons [J].
Blank, Patricia R. ;
Schwenkglenks, Matthias ;
Szucs, Thomas D. .
BMC PUBLIC HEALTH, 2008, 8 (1)
[6]  
Brunton C, 2005, NZ MED J, V118, pU1434
[7]   Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys [J].
Chor, Josette S. Y. ;
Ngai, Karry L. K. ;
Goggins, William B. ;
Wong, Martin C. S. ;
Wong, Samuel Y. S. ;
Lee, Nelson ;
Leung, Ting-fan ;
Rainer, Timothy H. ;
Griffiths, Sian ;
Chan, Paul K. S. .
BMJ-BRITISH MEDICAL JOURNAL, 2009, 339 :618
[8]  
*DIR GEN SANT COM, 2008, GUID VACC, P202
[9]   "Prepandemic" Immunization for Novel Influenza Viruses, "Swine Flu" Vaccine, Guillain-Barre Syndrome, and the Detection of Rare Severe Adverse Events [J].
Evans, David ;
Cauchemez, Simon ;
Hayden, Frederick G. .
JOURNAL OF INFECTIOUS DISEASES, 2009, 200 (03) :321-328
[10]  
Fiore Anthony E., 2008, Morbidity and Mortality Weekly Report, V57, P1