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Attitudes of the General Public and General Practitioners in Five Countries towards Pandemic and Seasonal Influenza Vaccines during Season 2009/2010

Identifieur interne : 000D54 ( Pmc/Curation ); précédent : 000D53; suivant : 000D55

Attitudes of the General Public and General Practitioners in Five Countries towards Pandemic and Seasonal Influenza Vaccines during Season 2009/2010

Auteurs : Patricia R. Blank [Suisse] ; Genevieve Bonnelye [France] ; Aurore Ducastel [France] ; Thomas D. Szucs [Suisse]

Source :

RBID : PMC:3469560

Abstract

Background

Vaccination coverage rates for seasonal influenza are not meeting national and international targets. Here, we investigated whether the 2009/2010 A/H1N1 pandemic influenza affected the uptake of influenza vaccines.

Methodology/Principal Findings

In December 2009/January 2010 and April 2010, 500 randomly selected members of the general public in Germany, France, the United States, China, and Mexico were surveyed by telephone about vaccination for seasonal and A/H1N1 pandemic influenza. Also, in April 2010, 100 randomly selected general practitioners were surveyed. Adult vaccine coverage in December 2009/January 2010 for A/H1N1 pandemic and seasonal influenza were, respectively, 12% and 29% in France, 11% and 25% in Germany, 41% and 46% in the US, 13% and 30% in Mexico, and 12% and 10% in China. Adult uptake rates in April 2010 were higher in Mexico but similar or slightly lower in the other countries. Coverage rates in children were higher than in adults in the US, Mexico, and China but mostly lower in Germany and France. Germans and French viewed the threat of A/H1N1 pandemic influenza as low to moderate, whereas Mexicans, Americans, and Chinese viewed it as moderate to serious, opinions generally mirrored by general practitioners. The recommendation of a general practitioner was a common reason for receiving the pandemic vaccine, while not feeling at risk and concerns with vaccine safety and efficacy were common reasons for not being vaccinated. Inclusion of the A/H1N1 pandemic strain increased willingness to be vaccinated for seasonal influenza in the United States, Mexico, and China but not in Germany or France.

Conclusions/Significance

The 2009/2010 A/H1N1 influenza pandemic increased vaccine uptake rates for seasonal influenza in Mexico but had little effect in other countries. Accurate communication of health information, especially by general practitioners, is needed to improve vaccine coverage rates.


Url:
DOI: 10.1371/journal.pone.0045450
PubMed: 23071519
PubMed Central: 3469560

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PMC:3469560

Le document en format XML

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<p>The 2009/2010 A/H1N1 influenza pandemic increased vaccine uptake rates for seasonal influenza in Mexico but had little effect in other countries. Accurate communication of health information, especially by general practitioners, is needed to improve vaccine coverage rates.</p>
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<publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23071519</article-id>
<article-id pub-id-type="pmc">3469560</article-id>
<article-id pub-id-type="publisher-id">PONE-D-12-04062</article-id>
<article-id pub-id-type="doi">10.1371/journal.pone.0045450</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v2">
<subject>Biology</subject>
<subj-group>
<subject>Microbiology</subject>
<subj-group>
<subject>Virology</subject>
<subj-group>
<subject>Viral Vaccines</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v2">
<subject>Medicine</subject>
<subj-group>
<subject>Clinical Immunology</subject>
<subj-group>
<subject>Immunity</subject>
<subj-group>
<subject>Vaccination</subject>
<subj-group>
<subject>Vaccines</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group>
<subject>Epidemiology</subject>
<subj-group>
<subject>Infectious Disease Epidemiology</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Global Health</subject>
</subj-group>
<subj-group>
<subject>Infectious diseases</subject>
<subj-group>
<subject>Viral Diseases</subject>
<subj-group>
<subject>Influenza</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Zoonoses</subject>
<subj-group>
<subject>Avian influenza A viruses</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group>
<subject>Public Health</subject>
<subj-group>
<subject>Behavioral and Social Aspects of Health</subject>
<subject>Immunizations</subject>
</subj-group>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Attitudes of the General Public and General Practitioners in Five Countries towards Pandemic and Seasonal Influenza Vaccines during Season 2009/2010</article-title>
<alt-title alt-title-type="running-head">Attitudes towards Influenza Vaccines in 2009/10</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Blank</surname>
<given-names>Patricia R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bonnelye</surname>
<given-names>Genevieve</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ducastel</surname>
<given-names>Aurore</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Szucs</surname>
<given-names>Thomas D.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<addr-line>Institute of Social and Preventive Medicine, Medical Economics, University of Zurich, Zurich, Switzerland</addr-line>
</aff>
<aff id="aff2">
<label>2</label>
<addr-line>Institute of Pharmaceutical Medicine, European Center of Pharmaceutical Medicine, University of Basel, Basel, Switzerland</addr-line>
</aff>
<aff id="aff3">
<label>3</label>
<addr-line>Kantar Health, Montrouge, France</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Marques</surname>
<given-names>Ernesto T.</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1">
<addr-line>University of Pittsburgh, United States of America</addr-line>
</aff>
<author-notes>
<corresp id="cor1">* E-mail:
<email>patricia.blank@ifspm.uzh.ch</email>
</corresp>
<fn fn-type="COI-statement">
<p>
<bold>Competing Interests: </bold>
The study was funded by Sanofi Pasteur (Lyon, France), who paid for the scientific writing. Kantar Health received funding from Sanofi Pasteur (Lyon, France). GB and AD are employees of Kantar Health. There are no patents, products in development or marketed products to declare. This does not alter the authors' adherence to all the PLOS ONE policies on sharing data and materials, as detailed online in the guide for authors. TDS and PRB declare no competing interests.</p>
</fn>
<fn fn-type="con">
<p>Conceived and designed the experiments: GB AD. Performed the experiments: GB AD. Analyzed the data: PRB GB AD TDS. Contributed reagents/materials/analysis tools: PRB GB AD TDS. Wrote the paper: PRB TDS.</p>
</fn>
</author-notes>
<pub-date pub-type="collection">
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>10</month>
<year>2012</year>
</pub-date>
<volume>7</volume>
<issue>10</issue>
<elocation-id>e45450</elocation-id>
<history>
<date date-type="received">
<day>6</day>
<month>2</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>8</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>© 2012 Blank et al</copyright-statement>
<copyright-year>2012</copyright-year>
<copyright-holder>Blank et al</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>Vaccination coverage rates for seasonal influenza are not meeting national and international targets. Here, we investigated whether the 2009/2010 A/H1N1 pandemic influenza affected the uptake of influenza vaccines.</p>
</sec>
<sec>
<title>Methodology/Principal Findings</title>
<p>In December 2009/January 2010 and April 2010, 500 randomly selected members of the general public in Germany, France, the United States, China, and Mexico were surveyed by telephone about vaccination for seasonal and A/H1N1 pandemic influenza. Also, in April 2010, 100 randomly selected general practitioners were surveyed. Adult vaccine coverage in December 2009/January 2010 for A/H1N1 pandemic and seasonal influenza were, respectively, 12% and 29% in France, 11% and 25% in Germany, 41% and 46% in the US, 13% and 30% in Mexico, and 12% and 10% in China. Adult uptake rates in April 2010 were higher in Mexico but similar or slightly lower in the other countries. Coverage rates in children were higher than in adults in the US, Mexico, and China but mostly lower in Germany and France. Germans and French viewed the threat of A/H1N1 pandemic influenza as low to moderate, whereas Mexicans, Americans, and Chinese viewed it as moderate to serious, opinions generally mirrored by general practitioners. The recommendation of a general practitioner was a common reason for receiving the pandemic vaccine, while not feeling at risk and concerns with vaccine safety and efficacy were common reasons for not being vaccinated. Inclusion of the A/H1N1 pandemic strain increased willingness to be vaccinated for seasonal influenza in the United States, Mexico, and China but not in Germany or France.</p>
</sec>
<sec>
<title>Conclusions/Significance</title>
<p>The 2009/2010 A/H1N1 influenza pandemic increased vaccine uptake rates for seasonal influenza in Mexico but had little effect in other countries. Accurate communication of health information, especially by general practitioners, is needed to improve vaccine coverage rates.</p>
</sec>
</abstract>
<funding-group>
<funding-statement>The study was funded by Sanofi Pasteur (Lyon, France). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts>
<page-count count="8"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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