External cues to action and influenza vaccination among post-graduate trainee physicians in Toronto, Canada.
Identifieur interne : 000287 ( Main/Exploration ); précédent : 000286; suivant : 000288External cues to action and influenza vaccination among post-graduate trainee physicians in Toronto, Canada.
Auteurs : Behnam Nowrouzi-Kia [Canada] ; Allison Mcgeer [Canada]Source :
- Vaccine [ 1873-2518 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Canada, Enquêtes et questionnaires, Femelle, Grippe humaine (), Humains, Jeune adulte, Mâle, Médecins (), Médecins (psychologie), Promotion de la santé, Signaux, Sous-type H1N1 du virus de la grippe A, Vaccination (), Vaccination (psychologie), Vaccins antigrippaux (administration et posologie).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- psychologie : Médecins, Vaccination.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Canada, Enquêtes et questionnaires, Femelle, Grippe humaine, Humains, Jeune adulte, Mâle, Médecins, Promotion de la santé, Signaux, Sous-type H1N1 du virus de la grippe A, Vaccination.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adult, Attitude of Health Personnel, Canada, Cues, Female, Health Promotion, Humans, Influenza A Virus, H1N1 Subtype, Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Male, Middle Aged, Physicians (psychology), Physicians (statistics & numerical data), Surveys and Questionnaires, Vaccination (psychology), Vaccination (statistics & numerical data), Young Adult.
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic : Canada.
- prevention & control : Influenza, Human.
- psychology : Physicians, Vaccination.
- statistics & numerical data : Physicians, Vaccination.
- Adult, Attitude of Health Personnel, Cues, Female, Health Promotion, Humans, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Surveys and Questionnaires, Young Adult.
Abstract
BACKGROUND
Understanding factors affecting trainee physician choices about vaccination may permit the design of more effective vaccination programmes.
METHODS
To identify factors associated with seasonal and pandemic influenza vaccination, an online questionnaire based on the health belief model was sent to trainee physicians registered at the post-graduate medical education office at the University of Toronto in September 2011.
RESULTS
963 complete responses were received from 1884 trainee physicians (51%); 28 (2.9%) reported an allergy to vaccine components and were excluded from further analysis. Reported seasonal influenza vaccination rates in 2008, 2009 and 2010 were 69% (648/935), 75% (708/935) and 76% (703/935), respectively; 788 (84%) reported receiving the A(H1N1)pdm09 vaccine. In multivariable analysis, number of years of post-graduate training (OR for 4+ versus 1-3 post-graduate years 2.2 (95% CL 1.3, 3.8)) was associated with receipt of the 2009 pandemic vaccine, as were four components of the health belief model: odds ratios were 4.7 (95% CL 3.0, 7.5) for perceived severity, 1.9 (95% CL 1.2, 2.9) for perceived benefits, .35 (95% CL .21, .59) for perceived barriers, and 5.8 (95% CLI 3.6, 9.1) for external cues to action. Both vaccinated and unvaccinated respondents reported that their decisions were significantly influenced by encouragement from their colleagues, families and employers.
CONCLUSION
Self-reported vaccination coverage among trainee physicians was high. External cues to action appear to be particularly important in trainee physician vaccination decisions: active institutional promotion may increase influenza vaccination rates in trainees.
DOI: 10.1016/j.vaccine.2014.04.067
PubMed: 24837775
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: amcgeer@mtsinai.on.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Dalla Lana School of Public Health, University of Toronto, Canada; Department of Microbiology, Mount Sinai Hospital, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">Vaccine</title><idno type="eISSN">1873-2518</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Canada</term><term>Cues</term><term>Female</term><term>Health Promotion</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Male</term><term>Middle Aged</term><term>Physicians (psychology)</term><term>Physicians (statistics & numerical data)</term><term>Surveys and Questionnaires</term><term>Vaccination (psychology)</term><term>Vaccination (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude du personnel soignant</term><term>Canada</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Grippe humaine ()</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Médecins ()</term><term>Médecins (psychologie)</term><term>Promotion de la santé</term><term>Signaux</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Vaccination ()</term><term>Vaccination (psychologie)</term><term>Vaccins antigrippaux (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Médecins</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Physicians</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Physicians</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Cues</term><term>Female</term><term>Health Promotion</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude du personnel soignant</term><term>Canada</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Grippe humaine</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Médecins</term><term>Promotion de la santé</term><term>Signaux</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Vaccination</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Understanding factors affecting trainee physician choices about vaccination may permit the design of more effective vaccination programmes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>To identify factors associated with seasonal and pandemic influenza vaccination, an online questionnaire based on the health belief model was sent to trainee physicians registered at the post-graduate medical education office at the University of Toronto in September 2011.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>963 complete responses were received from 1884 trainee physicians (51%); 28 (2.9%) reported an allergy to vaccine components and were excluded from further analysis. Reported seasonal influenza vaccination rates in 2008, 2009 and 2010 were 69% (648/935), 75% (708/935) and 76% (703/935), respectively; 788 (84%) reported receiving the A(H1N1)pdm09 vaccine. In multivariable analysis, number of years of post-graduate training (OR for 4+ versus 1-3 post-graduate years 2.2 (95% CL 1.3, 3.8)) was associated with receipt of the 2009 pandemic vaccine, as were four components of the health belief model: odds ratios were 4.7 (95% CL 3.0, 7.5) for perceived severity, 1.9 (95% CL 1.2, 2.9) for perceived benefits, .35 (95% CL .21, .59) for perceived barriers, and 5.8 (95% CLI 3.6, 9.1) for external cues to action. Both vaccinated and unvaccinated respondents reported that their decisions were significantly influenced by encouragement from their colleagues, families and employers.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Self-reported vaccination coverage among trainee physicians was high. External cues to action appear to be particularly important in trainee physician vaccination decisions: active institutional promotion may increase influenza vaccination rates in trainees.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24837775</PMID><DateCompleted><Year>2014</Year><Month>12</Month><Day>18</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-2518</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>30</Issue><PubDate><Year>2014</Year><Month>Jun</Month><Day>24</Day></PubDate></JournalIssue><Title>Vaccine</Title><ISOAbbreviation>Vaccine</ISOAbbreviation></Journal><ArticleTitle>External cues to action and influenza vaccination among post-graduate trainee physicians in Toronto, Canada.</ArticleTitle><Pagination><MedlinePgn>3830-4</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.vaccine.2014.04.067</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0264-410X(14)00605-7</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Understanding factors affecting trainee physician choices about vaccination may permit the design of more effective vaccination programmes.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">To identify factors associated with seasonal and pandemic influenza vaccination, an online questionnaire based on the health belief model was sent to trainee physicians registered at the post-graduate medical education office at the University of Toronto in September 2011.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">963 complete responses were received from 1884 trainee physicians (51%); 28 (2.9%) reported an allergy to vaccine components and were excluded from further analysis. Reported seasonal influenza vaccination rates in 2008, 2009 and 2010 were 69% (648/935), 75% (708/935) and 76% (703/935), respectively; 788 (84%) reported receiving the A(H1N1)pdm09 vaccine. In multivariable analysis, number of years of post-graduate training (OR for 4+ versus 1-3 post-graduate years 2.2 (95% CL 1.3, 3.8)) was associated with receipt of the 2009 pandemic vaccine, as were four components of the health belief model: odds ratios were 4.7 (95% CL 3.0, 7.5) for perceived severity, 1.9 (95% CL 1.2, 2.9) for perceived benefits, .35 (95% CL .21, .59) for perceived barriers, and 5.8 (95% CLI 3.6, 9.1) for external cues to action. Both vaccinated and unvaccinated respondents reported that their decisions were significantly influenced by encouragement from their colleagues, families and employers.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Self-reported vaccination coverage among trainee physicians was high. External cues to action appear to be particularly important in trainee physician vaccination decisions: active institutional promotion may increase influenza vaccination rates in trainees.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nowrouzi-Kia</LastName><ForeName>Behnam</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Dalla Lana School of Public Health, University of Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McGeer</LastName><ForeName>Allison</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Dalla Lana School of Public Health, University of Toronto, Canada; Department of Microbiology, Mount Sinai Hospital, Toronto, Canada. 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