AutomedicationFrancoV1, Main, Exploration, bibRecord, 000068

Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France.

Identifieur interne : 000068 ( Main/Exploration ); précédent : 000067; suivant : 000069

Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France.

Auteurs : Rose Wilson [France] ; Anna Zaytseva [France] ; Aurélie Bocquier [France] ; Amale Nokri [France] ; Lisa Fressard [France] ; Patrick Chamboredon [France] ; Christian Carbonaro [France] ; Stéphane Bernardi [France] ; Eve Dubé [Canada] ; Pierre Verger [France]

Source :

Vaccine [ 1873-2518 ] ; 2020.

RBID : pubmed:31810781

Descripteurs français

KwdFr :
- Acceptation des soins par les patients (statistiques et données numériques), Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes et questionnaires (MeSH), France (MeSH), Grippe humaine (prévention et contrôle), Humains (MeSH), Infirmières et infirmiers (psychologie), Sous-type H1N1 du virus de la grippe A (MeSH), Vaccination (psychologie), Vaccins antigrippaux (administration et posologie), Études transversales (MeSH).
MESH :
- administration et posologie : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- psychologie : Infirmières et infirmiers, Vaccination.
- statistiques et données numériques : Acceptation des soins par les patients.
- Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, France, Humains, Sous-type H1N1 du virus de la grippe A, Études transversales.
Wicri :
- geographic : France.

English descriptors

KwdEn :
- Cross-Sectional Studies (MeSH), France (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Influenza A Virus, H1N1 Subtype (MeSH), Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Nurses (psychology), Patient Acceptance of Health Care (statistics & numerical data), Surveys and Questionnaires (MeSH), Vaccination (psychology).
MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic : France.
- prevention & control : Influenza, Human.
- psychology : Nurses, Vaccination.
- statistics & numerical data : Patient Acceptance of Health Care.
- Cross-Sectional Studies, Health Knowledge, Attitudes, Practice, Humans, Influenza A Virus, H1N1 Subtype, Surveys and Questionnaires.

Abstract

BACKGROUND

Health care worker vaccine uptake rates are below official targets, and studies demonstrate some are vaccine hesitant. We assessed self-vaccination behavior, vaccine hesitancy (VH), and associated factors in a representative sample of nurses.

METHODS

Cross-sectional questionnaire survey in 2017-18 in southeastern France (5 million inhabitants): community nurses were randomly selected from a list provided by the Inter-Regional Nurses' Council (stratified by gender and district of practice) and interviewed by telephone. Because no such list exists for hospital nurses (74% of all nurses in southeastern France), we randomly selected hospitals, taking their size into account and stratifying by district. Hospital nurses practicing in medicine, surgery, obstetrics, and gynecology departments and present at the time of the survey were included and interviewed face-to face. We measured VH according to the WHO definition (refusal, delay, or acceptance with doubts about at least one vaccine). Interviewers administered the questionnaires. We used multivariable logistic regression to analyze potential associations between VH, vaccine risk perceptions and trust in health authorities.

RESULTS

Interviews were completed with 1539 nurses (response rate: 85%). Self-reported vaccine coverage ranged from 27% (seasonal influenza vaccine, recommended, 2016/17 season) to 96% (Bacillus Calmette-Guérin vaccine, mandatory). The VH prevalence rate was 44% (95% confidence interval: 38.7-48.4) and most often concerned seasonal influenza or A(H1N1) vaccines (54%) and the hepatitis B vaccine (18%). VH was significantly more frequent among nurses with low trust in health authorities or high vaccine risk perceptions.

CONCLUSION

Nurses in southeastern France have low levels of self-vaccination acceptance for most recommended vaccines. In addition, they have a high VH prevalence focused on the same vaccines as among the general population. These are important findings given that nurses are in regular contact with patients vulnerable to vaccine-preventable diseases and their VH could negatively influence patients' vaccination acceptance.

DOI: 10.1016/j.vaccine.2019.11.018
PubMed: 31810781

Affiliations:

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Le document en format XML

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<author><name sortKey="Carbonaro, Christian" sort="Carbonaro, Christian" uniqKey="Carbonaro C" first="Christian" last="Carbonaro">Christian Carbonaro</name>
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<author><name sortKey="Bernardi, Stephane" sort="Bernardi, Stephane" uniqKey="Bernardi S" first="Stéphane" last="Bernardi">Stéphane Bernardi</name>
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<author><name sortKey="Dube, Eve" sort="Dube, Eve" uniqKey="Dube E" first="Eve" last="Dubé">Eve Dubé</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cross-Sectional Studies (MeSH)</term>
<term>France (MeSH)</term>
<term>Health Knowledge, Attitudes, Practice (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (MeSH)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Nurses (psychology)</term>
<term>Patient Acceptance of Health Care (statistics & numerical data)</term>
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<term>Connaissances, attitudes et pratiques en santé (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>France (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Infirmières et infirmiers (psychologie)</term>
<term>Sous-type H1N1 du virus de la grippe A (MeSH)</term>
<term>Vaccination (psychologie)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>Études transversales (MeSH)</term>
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<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infirmières et infirmiers</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Nurses</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Acceptance of Health Care</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Acceptation des soins par les patients</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Cross-Sectional Studies</term>
<term>Health Knowledge, Attitudes, Practice</term>
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<term>Influenza A Virus, H1N1 Subtype</term>
<term>Surveys and Questionnaires</term>
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<term>Enquêtes et questionnaires</term>
<term>France</term>
<term>Humains</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Health care worker vaccine uptake rates are below official targets, and studies demonstrate some are vaccine hesitant. We assessed self-vaccination behavior, vaccine hesitancy (VH), and associated factors in a representative sample of nurses.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Cross-sectional questionnaire survey in 2017-18 in southeastern France (5 million inhabitants): community nurses were randomly selected from a list provided by the Inter-Regional Nurses' Council (stratified by gender and district of practice) and interviewed by telephone. Because no such list exists for hospital nurses (74% of all nurses in southeastern France), we randomly selected hospitals, taking their size into account and stratifying by district. Hospital nurses practicing in medicine, surgery, obstetrics, and gynecology departments and present at the time of the survey were included and interviewed face-to face. We measured VH according to the WHO definition (refusal, delay, or acceptance with doubts about at least one vaccine). Interviewers administered the questionnaires. We used multivariable logistic regression to analyze potential associations between VH, vaccine risk perceptions and trust in health authorities.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Interviews were completed with 1539 nurses (response rate: 85%). Self-reported vaccine coverage ranged from 27% (seasonal influenza vaccine, recommended, 2016/17 season) to 96% (Bacillus Calmette-Guérin vaccine, mandatory). The VH prevalence rate was 44% (95% confidence interval: 38.7-48.4) and most often concerned seasonal influenza or A(H1N1) vaccines (54%) and the hepatitis B vaccine (18%). VH was significantly more frequent among nurses with low trust in health authorities or high vaccine risk perceptions.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Nurses in southeastern France have low levels of self-vaccination acceptance for most recommended vaccines. In addition, they have a high VH prevalence focused on the same vaccines as among the general population. These are important findings given that nurses are in regular contact with patients vulnerable to vaccine-preventable diseases and their VH could negatively influence patients' vaccination acceptance.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31810781</PMID>
<DateCompleted><Year>2021</Year>
<Month>02</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised><Year>2021</Year>
<Month>02</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-2518</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>38</Volume>
<Issue>5</Issue>
<PubDate><Year>2020</Year>
<Month>01</Month>
<Day>29</Day>
</PubDate>
</JournalIssue>
<Title>Vaccine</Title>
<ISOAbbreviation>Vaccine</ISOAbbreviation>
</Journal>
<ArticleTitle>Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France.</ArticleTitle>
<Pagination><MedlinePgn>1144-1151</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0264-410X(19)31541-5</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.vaccine.2019.11.018</ELocationID>
<Abstract><AbstractText Label="BACKGROUND">Health care worker vaccine uptake rates are below official targets, and studies demonstrate some are vaccine hesitant. We assessed self-vaccination behavior, vaccine hesitancy (VH), and associated factors in a representative sample of nurses.</AbstractText>
<AbstractText Label="METHODS">Cross-sectional questionnaire survey in 2017-18 in southeastern France (5 million inhabitants): community nurses were randomly selected from a list provided by the Inter-Regional Nurses' Council (stratified by gender and district of practice) and interviewed by telephone. Because no such list exists for hospital nurses (74% of all nurses in southeastern France), we randomly selected hospitals, taking their size into account and stratifying by district. Hospital nurses practicing in medicine, surgery, obstetrics, and gynecology departments and present at the time of the survey were included and interviewed face-to face. We measured VH according to the WHO definition (refusal, delay, or acceptance with doubts about at least one vaccine). Interviewers administered the questionnaires. We used multivariable logistic regression to analyze potential associations between VH, vaccine risk perceptions and trust in health authorities.</AbstractText>
<AbstractText Label="RESULTS">Interviews were completed with 1539 nurses (response rate: 85%). Self-reported vaccine coverage ranged from 27% (seasonal influenza vaccine, recommended, 2016/17 season) to 96% (Bacillus Calmette-Guérin vaccine, mandatory). The VH prevalence rate was 44% (95% confidence interval: 38.7-48.4) and most often concerned seasonal influenza or A(H1N1) vaccines (54%) and the hepatitis B vaccine (18%). VH was significantly more frequent among nurses with low trust in health authorities or high vaccine risk perceptions.</AbstractText>
<AbstractText Label="CONCLUSION">Nurses in southeastern France have low levels of self-vaccination acceptance for most recommended vaccines. In addition, they have a high VH prevalence focused on the same vaccines as among the general population. These are important findings given that nurses are in regular contact with patients vulnerable to vaccine-preventable diseases and their VH could negatively influence patients' vaccination acceptance.</AbstractText>
<CopyrightInformation>Copyright © 2019. Published by Elsevier Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wilson</LastName>
<ForeName>Rose</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>ORS PACA, Southeastern Health Regional Observatory, Marseille, France; Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zaytseva</LastName>
<ForeName>Anna</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>ORS PACA, Southeastern Health Regional Observatory, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bocquier</LastName>
<ForeName>Aurélie</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>ORS PACA, Southeastern Health Regional Observatory, Marseille, France; Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nokri</LastName>
<ForeName>Amale</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>ORS PACA, Southeastern Health Regional Observatory, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fressard</LastName>
<ForeName>Lisa</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>ORS PACA, Southeastern Health Regional Observatory, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chamboredon</LastName>
<ForeName>Patrick</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>CIROI PACA - Corse, (Conseil Inter-Régional de l'Ordre des Infirmiers, Provence-Alpes-Côte d'Azur-Corse), Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Carbonaro</LastName>
<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>CIROI PACA - Corse, (Conseil Inter-Régional de l'Ordre des Infirmiers, Provence-Alpes-Côte d'Azur-Corse), Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bernardi</LastName>
<ForeName>Stéphane</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>CIROI PACA - Corse, (Conseil Inter-Régional de l'Ordre des Infirmiers, Provence-Alpes-Côte d'Azur-Corse), Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dubé</LastName>
<ForeName>Eve</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>CHU Québec - Laval University, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Verger</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>ORS PACA, Southeastern Health Regional Observatory, Marseille, France; Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France. Electronic address: pierre.verger@inserm.fr.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>12</Month>
<Day>03</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Netherlands</Country>
<MedlineTA>Vaccine</MedlineTA>
<NlmUniqueID>8406899</NlmUniqueID>
<ISSNLinking>0264-410X</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D053118" MajorTopicYN="N">Influenza A Virus, H1N1 Subtype</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName>
<QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009726" MajorTopicYN="N">Nurses</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Health care workers</Keyword>
<Keyword MajorTopicYN="Y">Self-vaccination behavior</Keyword>
<Keyword MajorTopicYN="Y">Trust</Keyword>
<Keyword MajorTopicYN="Y">Vaccination perceived risks</Keyword>
<Keyword MajorTopicYN="Y">Vaccine hesitancy</Keyword>
</KeywordList>
<CoiStatement>Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.</CoiStatement>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year>
<Month>07</Month>
<Day>23</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2019</Year>
<Month>11</Month>
<Day>08</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>11</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>12</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2021</Year>
<Month>2</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>12</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">31810781</ArticleId>
<ArticleId IdType="pii">S0264-410X(19)31541-5</ArticleId>
<ArticleId IdType="doi">10.1016/j.vaccine.2019.11.018</ArticleId>
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</pubmed>
<affiliations><list><country><li>Canada</li>
<li>France</li>
</country>
<region><li>Provence-Alpes-Côte d'Azur</li>
</region>
<settlement><li>Marseille</li>
</settlement>
</list>
<tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Wilson, Rose" sort="Wilson, Rose" uniqKey="Wilson R" first="Rose" last="Wilson">Rose Wilson</name>
</region>
<name sortKey="Bernardi, Stephane" sort="Bernardi, Stephane" uniqKey="Bernardi S" first="Stéphane" last="Bernardi">Stéphane Bernardi</name>
<name sortKey="Bocquier, Aurelie" sort="Bocquier, Aurelie" uniqKey="Bocquier A" first="Aurélie" last="Bocquier">Aurélie Bocquier</name>
<name sortKey="Carbonaro, Christian" sort="Carbonaro, Christian" uniqKey="Carbonaro C" first="Christian" last="Carbonaro">Christian Carbonaro</name>
<name sortKey="Chamboredon, Patrick" sort="Chamboredon, Patrick" uniqKey="Chamboredon P" first="Patrick" last="Chamboredon">Patrick Chamboredon</name>
<name sortKey="Fressard, Lisa" sort="Fressard, Lisa" uniqKey="Fressard L" first="Lisa" last="Fressard">Lisa Fressard</name>
<name sortKey="Nokri, Amale" sort="Nokri, Amale" uniqKey="Nokri A" first="Amale" last="Nokri">Amale Nokri</name>
<name sortKey="Verger, Pierre" sort="Verger, Pierre" uniqKey="Verger P" first="Pierre" last="Verger">Pierre Verger</name>
<name sortKey="Zaytseva, Anna" sort="Zaytseva, Anna" uniqKey="Zaytseva A" first="Anna" last="Zaytseva">Anna Zaytseva</name>
</country>
<country name="Canada"><noRegion><name sortKey="Dube, Eve" sort="Dube, Eve" uniqKey="Dube E" first="Eve" last="Dubé">Eve Dubé</name>
</noRegion>
</country>
</tree>
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Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France.

Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France.

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