Veille documentaire MTPH

Médecine du travail du personnel hospitalier

Personal attitudes and misconceptions, not official recommendations guide occupational physicians’ vaccination decisions

Auteur     Cornelia Betsch
Auteur     Sabine Wicker
Volume     32
Numéro     35
Pages     4478-4484
Publication     Vaccine
ISSN     1873-2518
Date     Jul 31, 2014
Résumé     INTRODUCTION: Healthcare personnel (HCP) are often under-vaccinated. The aim of this study was to evaluate occupational physicians’ potential role by assessing relations between their knowledge and attitudes regarding HCP vaccination and the extent to which official vaccination recommendations are communicated. METHODS: Cross-sectional survey, n=135 occupational physicians. RESULTS: Occupational physicians who treat HCP recommend vaccinations more often to HCP when they have better knowledge of official vaccination recommendations and a more positive attitude towards vaccination compared to physicians with less such knowledge or a more negative attitude. The attitude towards vaccination most strongly affects whether occupational physicians recommend the measles, mumps, and rubella (MMR) vaccination: physicians with less positive attitudes recommend MMR to HCP in a more restricted way. A more positive attitude towards vaccination also relates to fewer misconceptions. Occupational physicians’ knowledge and attitude further influence the extent to which pregnant HCP receive vaccinations against influenza. Knowledge about official recommendations does not influence the recommendation of influenza vaccination for pregnant women. CONCLUSIONS: Reasons for vaccination gaps in HCP might have their roots in occupational physicians’ incomplete knowledge of vaccination recommendations. Attitudes, which are related to misperceptions, also influence which vaccinations are recommended to HCP. Official recommendations, and not personal attitudes and misconceptions, should guide occupational vaccination behavior.

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doi:10.1016/j.vaccine.2014.06.046

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