GrippeFranceV1, Main, Exploration, bibRecord, 000015

Unexplained variations in general practitioners' perceptions and practices regarding vaccination in France.

Identifieur interne : 000015 ( Main/Exploration ); précédent : 000014; suivant : 000016

Unexplained variations in general practitioners' perceptions and practices regarding vaccination in France.

Auteurs : Fanny Collange [France] ; Anna Zaytseva [France] ; Céline Pulcini [France] ; Aurélie Bocquier [France] ; Pierre Verger [France]

Source :

European journal of public health [ 1464-360X ] ; 2019.

RBID : pubmed:30085024

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Attitude du personnel soignant (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), France (MeSH), Grippe humaine (prévention et contrôle), Grippe humaine (traitement médicamenteux), Géographie (MeSH), Humains (MeSH), Mâle (MeSH), Médecins généralistes (psychologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Types de pratiques des médecins (statistiques et données numériques), Vaccination (statistiques et données numériques), Vaccins antigrippaux (usage thérapeutique), Études transversales (MeSH).
MESH :
- prévention et contrôle : Grippe humaine.
- psychologie : Médecins généralistes.
- statistiques et données numériques : Types de pratiques des médecins, Vaccination.
- traitement médicamenteux : Grippe humaine.
- usage thérapeutique : Vaccins antigrippaux.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, France, Géographie, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
Wicri :
- geographic : France.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Attitude of Health Personnel (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), France (MeSH), General Practitioners (psychology), Geography (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Influenza Vaccines (therapeutic use), Influenza, Human (drug therapy), Influenza, Human (prevention & control), Male (MeSH), Middle Aged (MeSH), Practice Patterns, Physicians' (statistics & numerical data), Surveys and Questionnaires (MeSH), Vaccination (statistics & numerical data).
MESH :
- chemical , therapeutic use : Influenza Vaccines.
- geographic : France.
- drug therapy : Influenza, Human.
- prevention & control : Influenza, Human.
- psychology : General Practitioners.
- statistics & numerical data : Practice Patterns, Physicians', Vaccination.
- Adult, Aged, Aged, 80 and over, Attitude of Health Personnel, Cross-Sectional Studies, Female, Geography, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Surveys and Questionnaires.

Abstract

Background

Given geographical disparities in vaccination coverage (VC) and the crucial role general practitioners (GPs) play in vaccination in France, we sought to: 1) determine the existence of geographical variations in GPs' perceptions of vaccines, their trust in information sources, and the frequency of their recommendations to patients by comparing data from southeast (SE), central-west (CW), northwest (NW), and the rest of France; and 2) identify individual and contextual factors associated with regional variations in GPs' recommendations.

Methods

This cross-sectional observational study in 2014 collected data from a panel of 2586 French GPs in private practice: 3 specific regional samples and a fourth sample for the rest of France. We calculated a composite score summarizing GPs' vaccine recommendation frequency for 6 vaccine situations and used a five-step hierarchical linear regression to study the score's links with practice location and individual and contextual factors.

Results

GPs' vaccine recommendation frequency score was highest in NW France and lowest in the SE. The low SE score was explained by GPs' greater doubts about vaccine utility and risks and lower trust in information sources. The high NW score was partially explained by greater adherence to guidelines by GPs there. The contextual factors studied did not explain regional differences.

Conclusion

The geographical variations in GPs' vaccination-related attitudes and practices suggest that vaccine hesitancy among GPs differs in prevalence between regions. These variations coincide with north/south trends in population VC. Intervention strategies to restore confidence in vaccines should target GPs and must be adapted to each regional context.

DOI: 10.1093/eurpub/cky146
PubMed: 30085024

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000062
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Le document en format XML

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<term>Aged (MeSH)</term>
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<term>Attitude of Health Personnel (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Attitude of Health Personnel</term>
<term>Cross-Sectional Studies</term>
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<term>Geography</term>
<term>Health Knowledge, Attitudes, Practice</term>
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<term>Male</term>
<term>Middle Aged</term>
<term>Surveys and Questionnaires</term>
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<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Enquêtes et questionnaires</term>
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<term>France</term>
<term>Géographie</term>
<term>Humains</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en"><p><b>Background</b>
</p>
<p>Given geographical disparities in vaccination coverage (VC) and the crucial role general practitioners (GPs) play in vaccination in France, we sought to: 1) determine the existence of geographical variations in GPs' perceptions of vaccines, their trust in information sources, and the frequency of their recommendations to patients by comparing data from southeast (SE), central-west (CW), northwest (NW), and the rest of France; and 2) identify individual and contextual factors associated with regional variations in GPs' recommendations.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Methods</b>
</p>
<p>This cross-sectional observational study in 2014 collected data from a panel of 2586 French GPs in private practice: 3 specific regional samples and a fourth sample for the rest of France. We calculated a composite score summarizing GPs' vaccine recommendation frequency for 6 vaccine situations and used a five-step hierarchical linear regression to study the score's links with practice location and individual and contextual factors.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Results</b>
</p>
<p>GPs' vaccine recommendation frequency score was highest in NW France and lowest in the SE. The low SE score was explained by GPs' greater doubts about vaccine utility and risks and lower trust in information sources. The high NW score was partially explained by greater adherence to guidelines by GPs there. The contextual factors studied did not explain regional differences.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Conclusion</b>
</p>
<p>The geographical variations in GPs' vaccination-related attitudes and practices suggest that vaccine hesitancy among GPs differs in prevalence between regions. These variations coincide with north/south trends in population VC. Intervention strategies to restore confidence in vaccines should target GPs and must be adapted to each regional context.</p>
</div>
</front>
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<Title>European journal of public health</Title>
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<ELocationID EIdType="doi" ValidYN="Y">10.1093/eurpub/cky146</ELocationID>
<Abstract><AbstractText Label="Background">Given geographical disparities in vaccination coverage (VC) and the crucial role general practitioners (GPs) play in vaccination in France, we sought to: 1) determine the existence of geographical variations in GPs' perceptions of vaccines, their trust in information sources, and the frequency of their recommendations to patients by comparing data from southeast (SE), central-west (CW), northwest (NW), and the rest of France; and 2) identify individual and contextual factors associated with regional variations in GPs' recommendations.</AbstractText>
<AbstractText Label="Methods">This cross-sectional observational study in 2014 collected data from a panel of 2586 French GPs in private practice: 3 specific regional samples and a fourth sample for the rest of France. We calculated a composite score summarizing GPs' vaccine recommendation frequency for 6 vaccine situations and used a five-step hierarchical linear regression to study the score's links with practice location and individual and contextual factors.</AbstractText>
<AbstractText Label="Results">GPs' vaccine recommendation frequency score was highest in NW France and lowest in the SE. The low SE score was explained by GPs' greater doubts about vaccine utility and risks and lower trust in information sources. The high NW score was partially explained by greater adherence to guidelines by GPs there. The contextual factors studied did not explain regional differences.</AbstractText>
<AbstractText Label="Conclusion">The geographical variations in GPs' vaccination-related attitudes and practices suggest that vaccine hesitancy among GPs differs in prevalence between regions. These variations coincide with north/south trends in population VC. Intervention strategies to restore confidence in vaccines should target GPs and must be adapted to each regional context.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Collange</LastName>
<ForeName>Fanny</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Southeastern Health Regional Observatory, ORS PACA, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zaytseva</LastName>
<ForeName>Anna</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Southeastern Health Regional Observatory, ORS PACA, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pulcini</LastName>
<ForeName>Céline</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Université de Lorraine, EA 4360 APEMAC and, CHRU de Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bocquier</LastName>
<ForeName>Aurélie</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Southeastern Health Regional Observatory, ORS PACA, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Verger</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Southeastern Health Regional Observatory, ORS PACA, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Eur J Public Health</MedlineTA>
<NlmUniqueID>9204966</NlmUniqueID>
<ISSNLinking>1101-1262</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058005" MajorTopicYN="N">General Practitioners</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005843" MajorTopicYN="Y">Geography</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="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</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="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2018</Year>
<Month>8</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2019</Year>
<Month>7</Month>
<Day>23</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2018</Year>
<Month>8</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">30085024</ArticleId>
<ArticleId IdType="pii">5067350</ArticleId>
<ArticleId IdType="doi">10.1093/eurpub/cky146</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
</country>
<region><li>Grand Est</li>
<li>Lorraine (région)</li>
<li>Provence-Alpes-Côte d'Azur</li>
</region>
<settlement><li>Marseille</li>
<li>Nancy</li>
</settlement>
<orgName><li>Université de Lorraine</li>
</orgName>
</list>
<tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Collange, Fanny" sort="Collange, Fanny" uniqKey="Collange F" first="Fanny" last="Collange">Fanny Collange</name>
</region>
<name sortKey="Bocquier, Aurelie" sort="Bocquier, Aurelie" uniqKey="Bocquier A" first="Aurélie" last="Bocquier">Aurélie Bocquier</name>
<name sortKey="Bocquier, Aurelie" sort="Bocquier, Aurelie" uniqKey="Bocquier A" first="Aurélie" last="Bocquier">Aurélie Bocquier</name>
<name sortKey="Collange, Fanny" sort="Collange, Fanny" uniqKey="Collange F" first="Fanny" last="Collange">Fanny Collange</name>
<name sortKey="Pulcini, Celine" sort="Pulcini, Celine" uniqKey="Pulcini C" first="Céline" last="Pulcini">Céline Pulcini</name>
<name sortKey="Verger, Pierre" sort="Verger, Pierre" uniqKey="Verger P" first="Pierre" last="Verger">Pierre Verger</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>
<name sortKey="Zaytseva, Anna" sort="Zaytseva, Anna" uniqKey="Zaytseva A" first="Anna" last="Zaytseva">Anna Zaytseva</name>
</country>
</tree>
</affiliations>
</record>

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Unexplained variations in general practitioners' perceptions and practices regarding vaccination in France.

Unexplained variations in general practitioners' perceptions and practices regarding vaccination in France.

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