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

Identifieur interne : 000240 ( Hal/Corpus ); précédent : 000239; suivant : 000241

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

Auteurs : Michaël Schwarzinger ; Pierre Verger ; Marc-André Guerville ; Catherine Aubry ; Sophie Rolland ; Yolande Obadia ; Jean-Paul Moatti

Source :

RBID : Hal:inserm-00636175

English descriptors

Abstract

Attitudes of general practitioners (GPs) towards A/H1N1 pandemic vaccination are unknown. We conducted a cross-sectional survey with computer-assisted telephone interviewing in the French Regional Panel of General Practices from June 16 to September 22, 2009. Of 1434 respondents representative of GPs in four French regions, 885 (61.7%) were willing to accept A/H1N1 pandemic vaccination for themselves. The personal history of seasonal flu vaccination was the strongest independent predictive factor of willingness to accept A/H1N1 pandemic vaccination (p<.0001). GPs receiving seasonal vaccines every year were more likely to accept A/H1N1 pandemic vaccination than those who were never vaccinated in the prior 3 years (adjusted OR=4.38; 95% CI, 2.44-4.67). Willingness to accept pandemic vaccination was also significantly associated with being on call for emergencies; positive attitudes towards other protective measures against A/H1N1 influenza virus in the practice; and a higher readiness to provide additional consultations in response to the pandemic. In conclusion, GPs showed a high acceptability of A/H1N1 pandemic vaccination. GPs' involvement in the mass vaccination campaign, which has been neglected by French public health authorities, may have increased uptake rates in the general public.


Url:
DOI: 10.1016/j.vaccine.2010.01.027

Links to Exploration step

Hal:inserm-00636175

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<p>Attitudes of general practitioners (GPs) towards A/H1N1 pandemic vaccination are unknown. We conducted a cross-sectional survey with computer-assisted telephone interviewing in the French Regional Panel of General Practices from June 16 to September 22, 2009. Of 1434 respondents representative of GPs in four French regions, 885 (61.7%) were willing to accept A/H1N1 pandemic vaccination for themselves. The personal history of seasonal flu vaccination was the strongest independent predictive factor of willingness to accept A/H1N1 pandemic vaccination (p<.0001). GPs receiving seasonal vaccines every year were more likely to accept A/H1N1 pandemic vaccination than those who were never vaccinated in the prior 3 years (adjusted OR=4.38; 95% CI, 2.44-4.67). Willingness to accept pandemic vaccination was also significantly associated with being on call for emergencies; positive attitudes towards other protective measures against A/H1N1 influenza virus in the practice; and a higher readiness to provide additional consultations in response to the pandemic. In conclusion, GPs showed a high acceptability of A/H1N1 pandemic vaccination. GPs' involvement in the mass vaccination campaign, which has been neglected by French public health authorities, may have increased uptake rates in the general public.</p>
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<title xml:lang="en">Positive attitudes of French general practitioners towards A/H1N1 influenza-pandemic vaccination: a missed opportunity to increase vaccination uptakes in the general public?</title>
<title xml:lang="en" type="sub">Acceptability of pandemic vaccination among GPs</title>
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<forename type="first">Michaël</forename>
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<funder>The French Regional Panel of General Practices received funding from Direction de la Recherche, des Etudes, de l'Evaluation et des Statistiques (DREES ) - Ministère de la Santé et des Solidarités in the frame of the 2006-08 convention with Fédération Nationale des Observatoires Régionaux de Santé (FNORS); Direction Générale de la Santé; Institut de Recherche en Santé Publique (IReSP) in the frame of the 2008 call for proposals IReSP-Assurance Maladie-INSERM-HAS-DREES-RSI-INPES "Research on health services"; Groupement Régional de Santé Publique Provence-Alpes-Côte d'Azur(GRSP PACA); Haute Autorité de Santé (HAS); Union Régionale des Caisses d'Assurance Maladie (URCAM PACA) in the frame of the Fonds d'Aide à la Qualité des Soins de Ville (FAQSV) and Fonds d'Intervention pour la Qualité et la Coordination des Soins de la région Provence-Alpes-Côte d'Azur (FIQCS) / Union Régionale des Médecins Libéraux Provence- Alpes-Côte d'Azur (URML PACA). MS was supported by the Institut de Microbiologie et Maladies Infectieuses (IMMI) / INSERM for the A/H1N1influenza-pandemic research project</funder>
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<classCode scheme="mesh">Aged</classCode>
<classCode scheme="mesh">Influenza, Human</classCode>
<classCode scheme="mesh">Interviews as Topic</classCode>
<classCode scheme="mesh">Male</classCode>
<classCode scheme="mesh">Middle Aged</classCode>
<classCode scheme="mesh">Physicians, Family</classCode>
<classCode scheme="mesh">Vaccination</classCode>
<classCode scheme="mesh">Attitude of Health Personnel</classCode>
<classCode scheme="mesh">Cross-Sectional Studies</classCode>
<classCode scheme="mesh">Disease Outbreaks</classCode>
<classCode scheme="mesh">Female</classCode>
<classCode scheme="mesh">France</classCode>
<classCode scheme="mesh">Humans</classCode>
<classCode scheme="mesh">Influenza A Virus, H1N1 Subtype</classCode>
<classCode scheme="mesh">Influenza Vaccines</classCode>
<classCode scheme="halDomain" n="sdv.spee">Life Sciences [q-bio]/Santé publique et épidémiologie</classCode>
<classCode scheme="halTypology" n="ART">Journal articles</classCode>
</textClass>
<abstract xml:lang="en">
<p>Attitudes of general practitioners (GPs) towards A/H1N1 pandemic vaccination are unknown. We conducted a cross-sectional survey with computer-assisted telephone interviewing in the French Regional Panel of General Practices from June 16 to September 22, 2009. Of 1434 respondents representative of GPs in four French regions, 885 (61.7%) were willing to accept A/H1N1 pandemic vaccination for themselves. The personal history of seasonal flu vaccination was the strongest independent predictive factor of willingness to accept A/H1N1 pandemic vaccination (p<.0001). GPs receiving seasonal vaccines every year were more likely to accept A/H1N1 pandemic vaccination than those who were never vaccinated in the prior 3 years (adjusted OR=4.38; 95% CI, 2.44-4.67). Willingness to accept pandemic vaccination was also significantly associated with being on call for emergencies; positive attitudes towards other protective measures against A/H1N1 influenza virus in the practice; and a higher readiness to provide additional consultations in response to the pandemic. In conclusion, GPs showed a high acceptability of A/H1N1 pandemic vaccination. GPs' involvement in the mass vaccination campaign, which has been neglected by French public health authorities, may have increased uptake rates in the general public.</p>
</abstract>
</profileDesc>
</hal>
</record>

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