Vaccination practices among physicians and their children

نویسندگان

  • Michael Martin
  • Vahe Badalyan
چکیده

The purpose of this study was to identify vaccination patterns of both general pediatricians and subspecialists with regards to their own children and projected progeny. A 14 question survey was sent randomly to 1000 members of the Academy of Pediatrics in 2009. Two categories of questions included 1) how physicians with children vaccinated them in the past, and 2) how all respondents would vaccinate a child in 2009. A comparison was made between the answers of general and specialty pediatricians. 582 valid questionnaires were received (58.2% response rate) of which 431 were general pediatricians and 151 subspecialists. No statistical difference was found between general and specialty pediatricians on how they vaccinated their children up until 2009 (95% vs 93%). When asked about vaccinating a future child, a significant proportion of respondents would deviate from CDC guidelines, specialists more than general pediatricians (21% vs 9%). Generalists were more likely to give a future child Hepatitis A (OR: 3.6; 95% CI 1.3 10.4), Rotavirus (OR: 2.2; 95% CI 1.1 4.4), Meningococcal (OR: 9.9; 95% CI 3.3 29.9), and influenza (OR: 5.4; 95% CI 1.1 26.7) vaccines. Specialists were more likely to postpone MMR vaccinetion (OR: 4.4 95% CI 2.3 8.6). Safety was listed by both groups as the most common reason for altering the recommended immunization schedule. Until 2009, general pediatricians and pediatric specialists have largely adhered to ACIP recommendations, but due to vaccine safety and other concerns, both groups, albeit a higher percentage of specialists, reported greater numbers willing to diverge from these recommendations.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Influenza Vaccination Practices of Physicians and Caregivers of Children with Neurologic and Neurodevelopmental Conditions — United States, 2011–12 Influenza Season

Cognitive dysfunction, seizure disorders (epilepsy), and other neurologic disorders are conditions associated with a high risk for complications of influenza virus infection. This risk was observed during the 2009 influenza pandemic; among 336 pediatric deaths, 146 occurred in children with underlying neurologic disorders, most commonly intellectual disability (76%) and epilepsy (51%). Because ...

متن کامل

Vaccination practices of Quebec family physicians. Influenza vaccination status and professional practices for influenza vaccination.

OBJECTIVE To assess influenza vaccination status and influenza vaccination practices of family physicians in Quebec. DESIGN Mail survey of a random sample of 1000 family physicians. SETTING Family practices in the province of Quebec. PARTICIPANTS Of 1000 Quebec family physicians sent questionnaires, 550 responded. After excluding physicians who worked only in institutions, had no patients...

متن کامل

Cost of universal influenza vaccination of children in pediatric practices.

OBJECTIVES The goals were to estimate nationally representative pediatric practices' costs of providing influenza vaccination during the 2006-2007 season and to simulate the costs pediatric practices might incur when implementing universal influenza vaccination for US children aged 6 months to 18 years. METHODS We surveyed a stratified, random sample of New York State pediatric practices (N =...

متن کامل

Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children: a cross-sectional study

BACKGROUND The purpose of the study was to investigate parents' perceptions of antibiotic use for their children, interactions between parents and physicians regarding treatment with antibiotics, and factors associated with parents self-medicating children with antibiotics. METHODS A cross-sectional study was conducted in vaccination clinics in two rural Chinese counties. Primary caregivers (...

متن کامل

What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and Veterans Affairs practices.

BACKGROUND Despite strong evidence of the effectiveness of influenza vaccination, immunization rates have reached a plateau that is below the 2010 national goals. Our objective was to identify facilitators of, and barriers to, vaccination in diverse groups of older patients. METHODS A survey was conducted in 2000 by computer-assisted telephone interviewing of patients from inner-city health c...

متن کامل

Preserving relationships with antivaccine parents: five suggestions from social psychology.

As pediatric vaccination concerns persist among some segments of the population, physicians might increasingly find themselves confronted by parents who do not wish to have their children vaccinated. This interaction can create tension between physicians and parents, and could threaten the integrity of ongoing therapeutic relationships.1,2 In some cases, this has led to the termination of the r...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2013