Correlates of general practitioners' recommendations to patients regarding vaccination for the 2009-2010 pandemic influenza (A/H1N1) in France: Implications for future vaccination campaigns
Identifieur interne : 000457 ( France/Analysis ); précédent : 000456; suivant : 000458Correlates of general practitioners' recommendations to patients regarding vaccination for the 2009-2010 pandemic influenza (A/H1N1) in France: Implications for future vaccination campaigns
Auteurs : Rémi Flicoteaux [France] ; Céline Pulcini [France] ; Patrizia Carrieri [France] ; Michael Schwarzinger [France] ; Catherine Leport [France] ; Pierre Verger [France]Source :
- Vaccine [ 0264-410X ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : France.
- topic : Homme, Vaccination.
English descriptors
- KwdEn :
Abstract
Background: General practitioners' (GPs) recommendations to their patients regarding influenza vaccination is a key determinant of patient uptake of influenza vaccination. Objectives: To study factors associated with GPs' recommendations regarding pandemic vaccination (pvaccination) to adults ≤65 years of age (hereafter referred to as adults) at risk and not at risk of severe complications of the 2009-2010 A/H1N1 influenza. Patients/Methods: National cross-sectional survey of 1431 French GPs. Pvaccination recommendations by GPs to adults were studied according to three categories: recommended pvaccination to at-risk adults only; recommended pvaccination to all adults; recommended against pvaccination or did not provide any advice to any adult. Results: GPs were more likely to recommend pvaccination to at-risk than not-at-risk adults (73.4% vs 40.1 %, p < 0.01). GPs who consulted official sources of information rather than news media during the pandemic were more likely to recommend pvaccination to at-risk adults only (OR = 1.78; CI 95% = 1.27-2.48) and to all adults (OR = 2.03; CI 95% = 1.42-2.92) than other GPs. GPs' unfavorable perceptions of the risk/efficacy balance of the pandemic vaccine (pvaccine) together with their perceptions of the low severity of the disease were negatively associated with recommending pvaccination. Hospitalization of GPs' patients because of the influenza was specifically associated with pvaccine recommendation to all adults (OR = 2.81; CI 95% = 1.98-3.99) but not with pvaccine recommendation to at-risk adults only. Conclusion: In the pandemic context, GPs' perceptions of disease severity and the risk/efficacy balance of the pvaccine were the major determinants of French GPs recommending pvaccination or not. To increase the general public's acceptability of vaccination policies, GPs should be adequately informed about the course of the epidemics and the safety of the vaccine.
Affiliations:
- France
- Provence-Alpes-Côte d'Azur, Île-de-France
- Marseille, Nice, Paris
- Université Nice Sophia Antipolis, Université d'Aix-Marseille
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Pascal:14-0097241Le document en format XML
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region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Departement de Biostatistique et Information Médicale, UMR-S717, Hôpital Saint Louis, APHP</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Pulcini, Celine" sort="Pulcini, Celine" uniqKey="Pulcini C" first="Céline" last="Pulcini">Céline Pulcini</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Université Nice-Sophia Antipolis, Faculté de Médecine de Nice</s1><s2>Nice</s2><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Nice</settlement></placeName><orgName type="university">Université Nice Sophia Antipolis</orgName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>CHU de Nice, Service d'Infectiologie</s1><s2>Nice</s2><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Nice</settlement></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Aix Marseille Université (Aix Marseille School of Economics-SESSTIM UMR 912, INSERM, IRD)</s1><s2>Marseille</s2><s3>FRA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Carrieri, Patrizia" sort="Carrieri, Patrizia" uniqKey="Carrieri P" first="Patrizia" last="Carrieri">Patrizia Carrieri</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Aix Marseille Université (Aix Marseille School of Economics-SESSTIM UMR 912, INSERM, IRD)</s1><s2>Marseille</s2><s3>FRA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>ORS PACA (Observatoire Regional de la Santé Provence-Alpes-Côte d'Azur)</s1><s2>Marseille</s2><s3>FRA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Schwarzinger, Michael" sort="Schwarzinger, Michael" uniqKey="Schwarzinger M" first="Michael" last="Schwarzinger">Michael Schwarzinger</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>IAME (Infection, Antimicrobien, Modélisation, Evolution), UMR 1137, Université Paris Diderot, Sorbonne Paris Cité</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="07"><s1>IAME, UMR 1137, INSERM</s1><s2>Paris</s2><s3>FRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Leport, Catherine" sort="Leport, Catherine" uniqKey="Leport C" first="Catherine" last="Leport">Catherine Leport</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>IAME (Infection, Antimicrobien, Modélisation, Evolution), UMR 1137, Université Paris Diderot, Sorbonne Paris Cité</s1><s2>Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="07"><s1>IAME, UMR 1137, INSERM</s1><s2>Paris</s2><s3>FRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>AP-HP (Assistance Publique des Hôpitaux de Paris), Unité de Coordination du Risque Epidémique et Biologique</s1><s2>Paris</s2><s3>FRA</s3><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Verger, Pierre" sort="Verger, Pierre" uniqKey="Verger P" first="Pierre" last="Verger">Pierre Verger</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Aix Marseille Université (Aix Marseille School of Economics-SESSTIM UMR 912, INSERM, IRD)</s1><s2>Marseille</s2><s3>FRA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>ORS PACA (Observatoire Regional de la Santé Provence-Alpes-Côte d'Azur)</s1><s2>Marseille</s2><s3>FRA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Vaccine</title><title level="j" type="abbreviated">Vaccine</title><idno type="ISSN">0264-410X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Vaccine</title><title level="j" type="abbreviated">Vaccine</title><idno type="ISSN">0264-410X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>France</term><term>Human</term><term>Influenza A</term><term>Influenza A virus</term><term>Influenzavirus A(H1N1)</term><term>Subtype</term><term>Vaccination</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Homme</term><term>Virus grippal A</term><term>Vaccination</term><term>France</term><term>Soustype</term><term>Grippe A</term><term>Virus grippal A(H1N1)</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Vaccination</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: General practitioners' (GPs) recommendations to their patients regarding influenza vaccination is a key determinant of patient uptake of influenza vaccination. Objectives: To study factors associated with GPs' recommendations regarding pandemic vaccination (pvaccination) to adults ≤65 years of age (hereafter referred to as adults) at risk and not at risk of severe complications of the 2009-2010 A/H1N1 influenza. Patients/Methods: National cross-sectional survey of 1431 French GPs. Pvaccination recommendations by GPs to adults were studied according to three categories: recommended pvaccination to at-risk adults only; recommended pvaccination to all adults; recommended against pvaccination or did not provide any advice to any adult. Results: GPs were more likely to recommend pvaccination to at-risk than not-at-risk adults (73.4% vs 40.1 %, p < 0.01). GPs who consulted official sources of information rather than news media during the pandemic were more likely to recommend pvaccination to at-risk adults only (OR = 1.78; CI 95% = 1.27-2.48) and to all adults (OR = 2.03; CI 95% = 1.42-2.92) than other GPs. GPs' unfavorable perceptions of the risk/efficacy balance of the pandemic vaccine (pvaccine) together with their perceptions of the low severity of the disease were negatively associated with recommending pvaccination. Hospitalization of GPs' patients because of the influenza was specifically associated with pvaccine recommendation to all adults (OR = 2.81; CI 95% = 1.98-3.99) but not with pvaccine recommendation to at-risk adults only. Conclusion: In the pandemic context, GPs' perceptions of disease severity and the risk/efficacy balance of the pvaccine were the major determinants of French GPs recommending pvaccination or not. To increase the general public's acceptability of vaccination policies, GPs should be adequately informed about the course of the epidemics and the safety of the vaccine.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li><li>Île-de-France</li></region><settlement><li>Marseille</li><li>Nice</li><li>Paris</li></settlement><orgName><li>Université Nice Sophia Antipolis</li><li>Université d'Aix-Marseille</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Flicoteaux, Remi" sort="Flicoteaux, Remi" uniqKey="Flicoteaux R" first="Rémi" last="Flicoteaux">Rémi Flicoteaux</name></region><name sortKey="Carrieri, Patrizia" sort="Carrieri, Patrizia" uniqKey="Carrieri P" first="Patrizia" last="Carrieri">Patrizia Carrieri</name><name sortKey="Carrieri, Patrizia" sort="Carrieri, Patrizia" uniqKey="Carrieri P" first="Patrizia" last="Carrieri">Patrizia Carrieri</name><name sortKey="Flicoteaux, Remi" sort="Flicoteaux, Remi" uniqKey="Flicoteaux R" first="Rémi" last="Flicoteaux">Rémi Flicoteaux</name><name sortKey="Leport, Catherine" sort="Leport, Catherine" uniqKey="Leport C" first="Catherine" last="Leport">Catherine Leport</name><name sortKey="Leport, Catherine" sort="Leport, Catherine" uniqKey="Leport C" first="Catherine" last="Leport">Catherine Leport</name><name sortKey="Leport, Catherine" sort="Leport, Catherine" uniqKey="Leport C" first="Catherine" last="Leport">Catherine Leport</name><name sortKey="Pulcini, Celine" sort="Pulcini, Celine" uniqKey="Pulcini C" first="Céline" last="Pulcini">Céline Pulcini</name><name sortKey="Pulcini, Celine" sort="Pulcini, Celine" uniqKey="Pulcini C" first="Céline" last="Pulcini">Céline Pulcini</name><name sortKey="Pulcini, Celine" sort="Pulcini, Celine" uniqKey="Pulcini C" first="Céline" last="Pulcini">Céline Pulcini</name><name sortKey="Schwarzinger, Michael" sort="Schwarzinger, Michael" uniqKey="Schwarzinger M" first="Michael" last="Schwarzinger">Michael Schwarzinger</name><name sortKey="Schwarzinger, Michael" sort="Schwarzinger, Michael" uniqKey="Schwarzinger M" first="Michael" last="Schwarzinger">Michael Schwarzinger</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></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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