Vaccine hesitancy among general practitioners: evaluation and comparison of their immunisation practice for themselves, their patients and their children.
Identifieur interne : 000148 ( Main/Exploration ); précédent : 000147; suivant : 000149Vaccine hesitancy among general practitioners: evaluation and comparison of their immunisation practice for themselves, their patients and their children.
Auteurs : M. Killian [France] ; M. Detoc [France] ; P. Berthelot [France] ; R. Charles [France] ; A. Gagneux-Brunon [France] ; F. Lucht [France] ; C. Pulcini [France] ; S. Barbois [France] ; E. Botelho-Nevers [France]Source :
- European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology [ 1435-4373 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Attitude du personnel soignant (MeSH), Enquêtes et questionnaires (MeSH), Facteurs âges (MeSH), Femelle (MeSH), France (MeSH), Humains (MeSH), Mâle (MeSH), Médecins généralistes (psychologie), Sujet âgé (MeSH), Types de pratiques des médecins (MeSH), Vaccination (psychologie), Vaccins (administration et posologie).
- MESH :
- administration et posologie : Vaccins.
- psychologie : Médecins généralistes, Vaccination.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Enquêtes et questionnaires, Facteurs âges, Femelle, France, Humains, Mâle, Sujet âgé, Types de pratiques des médecins.
English descriptors
- KwdEn :
- Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Attitude of Health Personnel (MeSH), Female (MeSH), France (MeSH), General Practitioners (psychology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Practice Patterns, Physicians' (MeSH), Surveys and Questionnaires (MeSH), Vaccination (psychology), Vaccines (administration & dosage).
- MESH :
- chemical , administration & dosage : Vaccines.
- psychology : General Practitioners, Vaccination.
- Adult, Age Factors, Aged, Attitude of Health Personnel, Female, France, Humans, Male, Middle Aged, Practice Patterns, Physicians', Surveys and Questionnaires.
Abstract
To gain knowledge about vaccine hesitancy among general practitioners (GPs), we conducted a survey to compare their vaccination attitudes for themselves, their children and their patients. A questionnaire survey was sent to GPs working in private practice in the Rhône-Alpes region, France, between October 2013 and January 2014. GPs' immunisation practices for diphtheria-tetanus-poliomyelitis (DTP), measles-mumps-rubella (MMR), pneumococcal, pertussis, hepatitis B (hepB), human papillomavirus (HPV), seasonal and H1N1 influenza and meningococcal C (menC) vaccines were considered. Divergence was defined by the presence of at least one different immunisation practice between their patients and their children. A total of 693 GPs answered the questionnaire. When considering all investigated vaccines, 45.7 % of divergence was found. Individually, divergence was highest for the newest and more controversial, i.e. HPV (11.8 %), hepB (13.1 %), menC (23.7 %) and pneumococcal (19.8 %) vaccines. Only 73.9 % of GPs declared that they recommended HPV vaccine for their daughters. After multivariate analysis, older age was associated with higher risk of divergence. According to the French 2012 recommendations, GPs were insufficiently immunised, with 88 % for DTP and 72 % for pertussis. GPs declared to recommend vaccination against DTP, pertussis and MMR for their patients and their children in more than 95 % of cases. The declared rates of recommendation were lower than 90 % for other vaccines. These results bring new insight about vaccine hesitancy. GPs have divergent immunisation attitudes toward their relatives and their patients, especially when considering the newest and most controversial vaccines, with HPV vaccine being the main focus of controversies.
DOI: 10.1007/s10096-016-2735-4
PubMed: 27488435
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Charles</name><affiliation wicri:level="3"><nlm:affiliation>General Practice Department, University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>General Practice Department, University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Gagneux Brunon, A" sort="Gagneux Brunon, A" uniqKey="Gagneux Brunon A" first="A" last="Gagneux-Brunon">A. Gagneux-Brunon</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Lucht, F" sort="Lucht, F" uniqKey="Lucht F" first="F" last="Lucht">F. Lucht</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Pulcini, C" sort="Pulcini, C" uniqKey="Pulcini C" first="C" last="Pulcini">C. Pulcini</name><affiliation wicri:level="3"><nlm:affiliation>University of Lorraine, Paris Descartes University, EA 4360 APEMAC, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University of Lorraine, Paris Descartes University, EA 4360 APEMAC, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Infectious and Tropical Diseases Department, University Hospital of Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious and Tropical Diseases Department, University Hospital of Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Barbois, S" sort="Barbois, S" uniqKey="Barbois S" first="S" last="Barbois">S. Barbois</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Botelho Nevers, E" sort="Botelho Nevers, E" uniqKey="Botelho Nevers E" first="E" last="Botelho-Nevers">E. Botelho-Nevers</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France. e.botelhonevers@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France. e.botelhonevers@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France. e.botelhonevers@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27488435</idno><idno type="pmid">27488435</idno><idno type="doi">10.1007/s10096-016-2735-4</idno><idno type="wicri:Area/Main/Corpus">000151</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000151</idno><idno type="wicri:Area/Main/Curation">000151</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000151</idno><idno type="wicri:Area/Main/Exploration">000151</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Vaccine hesitancy among general practitioners: evaluation and comparison of their immunisation practice for themselves, their patients and their children.</title><author><name sortKey="Killian, M" sort="Killian, M" uniqKey="Killian M" first="M" last="Killian">M. Killian</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Detoc, M" sort="Detoc, M" uniqKey="Detoc M" first="M" last="Detoc">M. Detoc</name><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Berthelot, P" sort="Berthelot, P" uniqKey="Berthelot P" first="P" last="Berthelot">P. Berthelot</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Charles, R" sort="Charles, R" uniqKey="Charles R" first="R" last="Charles">R. Charles</name><affiliation wicri:level="3"><nlm:affiliation>General Practice Department, University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>General Practice Department, University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Gagneux Brunon, A" sort="Gagneux Brunon, A" uniqKey="Gagneux Brunon A" first="A" last="Gagneux-Brunon">A. Gagneux-Brunon</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Lucht, F" sort="Lucht, F" uniqKey="Lucht F" first="F" last="Lucht">F. Lucht</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Pulcini, C" sort="Pulcini, C" uniqKey="Pulcini C" first="C" last="Pulcini">C. Pulcini</name><affiliation wicri:level="3"><nlm:affiliation>University of Lorraine, Paris Descartes University, EA 4360 APEMAC, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University of Lorraine, Paris Descartes University, EA 4360 APEMAC, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Infectious and Tropical Diseases Department, University Hospital of Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious and Tropical Diseases Department, University Hospital of Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Barbois, S" sort="Barbois, S" uniqKey="Barbois S" first="S" last="Barbois">S. Barbois</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Botelho Nevers, E" sort="Botelho Nevers, E" uniqKey="Botelho Nevers E" first="E" last="Botelho-Nevers">E. Botelho-Nevers</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France. e.botelhonevers@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France. e.botelhonevers@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France. e.botelhonevers@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author></analytic><series><title level="j">European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology</title><idno type="eISSN">1435-4373</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Attitude of Health Personnel (MeSH)</term><term>Female (MeSH)</term><term>France (MeSH)</term><term>General Practitioners (psychology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Practice Patterns, Physicians' (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Vaccination (psychology)</term><term>Vaccines (administration & dosage)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Attitude du personnel soignant (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Médecins généralistes (psychologie)</term><term>Sujet âgé (MeSH)</term><term>Types de pratiques des médecins (MeSH)</term><term>Vaccination (psychologie)</term><term>Vaccins (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Vaccines</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Médecins généralistes</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>General Practitioners</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Attitude of Health Personnel</term><term>Female</term><term>France</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Practice Patterns, Physicians'</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude du personnel soignant</term><term>Enquêtes et questionnaires</term><term>Facteurs âges</term><term>Femelle</term><term>France</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Types de pratiques des médecins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To gain knowledge about vaccine hesitancy among general practitioners (GPs), we conducted a survey to compare their vaccination attitudes for themselves, their children and their patients. A questionnaire survey was sent to GPs working in private practice in the Rhône-Alpes region, France, between October 2013 and January 2014. GPs' immunisation practices for diphtheria-tetanus-poliomyelitis (DTP), measles-mumps-rubella (MMR), pneumococcal, pertussis, hepatitis B (hepB), human papillomavirus (HPV), seasonal and H1N1 influenza and meningococcal C (menC) vaccines were considered. Divergence was defined by the presence of at least one different immunisation practice between their patients and their children. A total of 693 GPs answered the questionnaire. When considering all investigated vaccines, 45.7 % of divergence was found. Individually, divergence was highest for the newest and more controversial, i.e. HPV (11.8 %), hepB (13.1 %), menC (23.7 %) and pneumococcal (19.8 %) vaccines. Only 73.9 % of GPs declared that they recommended HPV vaccine for their daughters. After multivariate analysis, older age was associated with higher risk of divergence. According to the French 2012 recommendations, GPs were insufficiently immunised, with 88 % for DTP and 72 % for pertussis. GPs declared to recommend vaccination against DTP, pertussis and MMR for their patients and their children in more than 95 % of cases. The declared rates of recommendation were lower than 90 % for other vaccines. These results bring new insight about vaccine hesitancy. GPs have divergent immunisation attitudes toward their relatives and their patients, especially when considering the newest and most controversial vaccines, with HPV vaccine being the main focus of controversies.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27488435</PMID><DateCompleted><Year>2017</Year><Month>02</Month><Day>16</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1435-4373</ISSN><JournalIssue CitedMedium="Internet"><Volume>35</Volume><Issue>11</Issue><PubDate><Year>2016</Year><Month>Nov</Month></PubDate></JournalIssue><Title>European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology</Title><ISOAbbreviation>Eur. J. Clin. Microbiol. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Vaccine hesitancy among general practitioners: evaluation and comparison of their immunisation practice for themselves, their patients and their children.</ArticleTitle><Pagination><MedlinePgn>1837-1843</MedlinePgn></Pagination><Abstract><AbstractText>To gain knowledge about vaccine hesitancy among general practitioners (GPs), we conducted a survey to compare their vaccination attitudes for themselves, their children and their patients. A questionnaire survey was sent to GPs working in private practice in the Rhône-Alpes region, France, between October 2013 and January 2014. GPs' immunisation practices for diphtheria-tetanus-poliomyelitis (DTP), measles-mumps-rubella (MMR), pneumococcal, pertussis, hepatitis B (hepB), human papillomavirus (HPV), seasonal and H1N1 influenza and meningococcal C (menC) vaccines were considered. Divergence was defined by the presence of at least one different immunisation practice between their patients and their children. A total of 693 GPs answered the questionnaire. When considering all investigated vaccines, 45.7 % of divergence was found. Individually, divergence was highest for the newest and more controversial, i.e. HPV (11.8 %), hepB (13.1 %), menC (23.7 %) and pneumococcal (19.8 %) vaccines. Only 73.9 % of GPs declared that they recommended HPV vaccine for their daughters. After multivariate analysis, older age was associated with higher risk of divergence. According to the French 2012 recommendations, GPs were insufficiently immunised, with 88 % for DTP and 72 % for pertussis. GPs declared to recommend vaccination against DTP, pertussis and MMR for their patients and their children in more than 95 % of cases. The declared rates of recommendation were lower than 90 % for other vaccines. These results bring new insight about vaccine hesitancy. GPs have divergent immunisation attitudes toward their relatives and their patients, especially when considering the newest and most controversial vaccines, with HPV vaccine being the main focus of controversies.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Killian</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Detoc</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berthelot</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Charles</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>General Practice Department, University of Lyon, Saint-Etienne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gagneux-Brunon</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lucht</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pulcini</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>University of Lorraine, Paris Descartes University, EA 4360 APEMAC, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Infectious and Tropical Diseases Department, University Hospital of Nancy, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barbois</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Botelho-Nevers</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Infectious Diseases Department, University Hospital of Saint-Etienne, Saint-Etienne, France. e.botelhonevers@gmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>GIMAP EA 3064 (Groupe Immunité des Muqueuses et Agents Pathogènes), University of Lyon, Saint-Etienne, France. e.botelhonevers@gmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Clinical Investigation Vaccinology (CIC) 1408 INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France. e.botelhonevers@gmail.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>08</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur J Clin Microbiol Infect Dis</MedlineTA><NlmUniqueID>8804297</NlmUniqueID><ISSNLinking>0934-9723</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D014612">Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058005" MajorTopicYN="N">General Practitioners</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></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="Y">Practice Patterns, Physicians'</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" 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name="Auvergne-Rhône-Alpes"><name sortKey="Killian, M" sort="Killian, M" uniqKey="Killian M" first="M" last="Killian">M. Killian</name></region><name sortKey="Barbois, S" sort="Barbois, S" uniqKey="Barbois S" first="S" last="Barbois">S. Barbois</name><name sortKey="Berthelot, P" sort="Berthelot, P" uniqKey="Berthelot P" first="P" last="Berthelot">P. Berthelot</name><name sortKey="Berthelot, P" sort="Berthelot, P" uniqKey="Berthelot P" first="P" last="Berthelot">P. Berthelot</name><name sortKey="Berthelot, P" sort="Berthelot, P" uniqKey="Berthelot P" first="P" last="Berthelot">P. Berthelot</name><name sortKey="Botelho Nevers, E" sort="Botelho Nevers, E" uniqKey="Botelho Nevers E" first="E" last="Botelho-Nevers">E. Botelho-Nevers</name><name sortKey="Botelho Nevers, E" sort="Botelho Nevers, E" uniqKey="Botelho Nevers E" first="E" last="Botelho-Nevers">E. Botelho-Nevers</name><name sortKey="Botelho Nevers, E" sort="Botelho Nevers, E" uniqKey="Botelho Nevers E" first="E" last="Botelho-Nevers">E. Botelho-Nevers</name><name sortKey="Charles, R" sort="Charles, R" uniqKey="Charles R" first="R" last="Charles">R. Charles</name><name sortKey="Detoc, M" sort="Detoc, M" uniqKey="Detoc M" first="M" last="Detoc">M. Detoc</name><name sortKey="Detoc, M" sort="Detoc, M" uniqKey="Detoc M" first="M" last="Detoc">M. Detoc</name><name sortKey="Gagneux Brunon, A" sort="Gagneux Brunon, A" uniqKey="Gagneux Brunon A" first="A" last="Gagneux-Brunon">A. Gagneux-Brunon</name><name sortKey="Gagneux Brunon, A" sort="Gagneux Brunon, A" uniqKey="Gagneux Brunon A" first="A" last="Gagneux-Brunon">A. Gagneux-Brunon</name><name sortKey="Gagneux Brunon, A" sort="Gagneux Brunon, A" uniqKey="Gagneux Brunon A" first="A" last="Gagneux-Brunon">A. Gagneux-Brunon</name><name sortKey="Killian, M" sort="Killian, M" uniqKey="Killian M" first="M" last="Killian">M. Killian</name><name sortKey="Killian, M" sort="Killian, M" uniqKey="Killian M" first="M" last="Killian">M. Killian</name><name sortKey="Lucht, F" sort="Lucht, F" uniqKey="Lucht F" first="F" last="Lucht">F. Lucht</name><name sortKey="Lucht, F" sort="Lucht, F" uniqKey="Lucht F" first="F" last="Lucht">F. Lucht</name><name sortKey="Lucht, F" sort="Lucht, F" uniqKey="Lucht F" first="F" last="Lucht">F. Lucht</name><name sortKey="Pulcini, C" sort="Pulcini, C" uniqKey="Pulcini C" first="C" last="Pulcini">C. Pulcini</name><name sortKey="Pulcini, C" sort="Pulcini, C" uniqKey="Pulcini C" first="C" last="Pulcini">C. Pulcini</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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