Pediatric provider vaccine hesitancy: An under-recognized obstacle to immunizing children |
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| Institution: | 1. INSERM, UMR912 “Economics and Social Sciences Applied to Health & Analysis of Medical Information” (SESSTIM), 23 rue Stanislas Torrents, 13006 Marseille, France;2. ORS PACA, Southeastern Health Regional Observatory, 23 rue Stanislas Torrents, 13006 Marseille, France;3. Aix Marseille University, IRD, UMR-S912, 58 bd Charles Livon, 13284 Marseille Cedex 07, France;4. INSERM, F-CRIN, Innovative Clinical Research Network in Vaccinology (I-REIVAC), GH Cochin Broca Hôtel Dieu, 27 rue du Faubourg Saint-Jacques, 75014 Paris, France;5. Institut national de prévention et d''éducation pour la santé, 42 boulevard de la Libération, 93203 Saint Denis Cedex, France;6. Université Paris Descartes, Sorbonne Paris Cité, Assistance Publique Hôpitaux de Paris, Hôpital Cochin, INSERM CIC 1417, 27 rue du Faubourg Saint-Jacques, 75014 Paris, France;7. EHESP Rennes, Sorbonne Paris Cité, avenue du Professeur Léon-Bernard, 35043 Rennes, France;8. Université de Lorraine, Université Paris Descartes, EA 4360 APEMAC, 34 Cours Léopold, 54000 Nancy, France;9. CHU de Nancy, Service de Maladies Infectieuses, 29 Avenue du Maréchal de Lattre de Tassigny, 54035 Nancy cedex, France |
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| Abstract: | ObjectiveTo describe vaccine attitudes among pediatric healthcare providers attending immunization conferences.Study designAttendees of 5 American Academy of Pediatrics (AAP)-sponsored vaccine conferences held between June and November 2013 anonymously completed a questionnaire assessing vaccine attitudes and practices prior to the opening of educational sessions. Pearson's chi-square tests and Fisher's exact tests were used to analyze associations between vaccine attitudes, vaccine practices and provider characteristics.Results680 providers attending AAP-sponsored vaccine conferences were included. 661/666 (99%) enrolled providers state they routinely recommend standard pediatric vaccines, yet, 30 (5%) state that they do not routinely recommend influenza and/or human papillomavirus (HPV) vaccines. These providers expressed vaccine safety (87/680 (13%)) and efficacy (21/680 (31%)) concerns and stated belief in vaccine misperceptions: vaccine causes autism (34/668, 5%), multiple vaccines at a single visit reduces vaccine efficacy (43/680, 6%) or overwhelms the immune system (63/680, 9%), and administering HPV vaccine will increase the likelihood of unprotected adolescent sexual activity (29/680, 4%). Six percent of providers who do not routinely recommend all pediatric vaccines correctly identified themselves as vaccine hesitant.ConclusionVaccine hesitancy is under-recognized among pediatric providers attending AAP-sponsored immunization conferences. Educational interventions tailored to address provider vaccine concerns are needed to improve provider vaccine confidence. |
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| Keywords: | Vaccine attitudes Vaccine hesitancy Pediatric vaccine AAP"} {"#name":"keyword" "$":{"id":"kw0025"} "$$":[{"#name":"text" "_":"American Academy of Pediatrics HPV"} {"#name":"keyword" "$":{"id":"kw0035"} "$$":[{"#name":"text" "_":"human papillomavirus MMR"} {"#name":"keyword" "$":{"id":"kw0045"} "$$":[{"#name":"text" "_":"measles mumps rubella |
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