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Impact of physicians' attitude to vaccination on local vaccination coverage for pertussis and measles in Germany.
Weigel, Martin; Weitmann, Kerstin; Rautmann, Christiane; Schmidt, Judith; Bruns, Roswitha; Hoffmann, Wolfgang.
Afiliación
  • Weigel M; 1 Department Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
  • Weitmann K; 1 Department Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
  • Rautmann C; 1 Department Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
  • Schmidt J; 1 Department Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
  • Bruns R; 2 Department of Paediatrics, University Medicine Greifswald, Greifswald, Germany.
  • Hoffmann W; 1 Department Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany wolfgang.hoffmann@uni-greifswald.de.
Eur J Public Health ; 24(6): 1009-16, 2014 Dec.
Article en En | MEDLINE | ID: mdl-24599940
BACKGROUND: Vaccination rates of children in Germany are unsatisfying and regional endemic outbreaks have been reported. Few studies have analysed physicians' attitude towards vaccination. We investigated whether there is an association between physicians' attitude and vaccination coverage on the regional level for Germany. METHODS: In a representative cross-sectional survey, anonymized questionnaires were sent to random samples of all paediatricians (50%) and general practitioners (10%) in private practice in Germany. Attitude towards vaccination was operationalized in three scores. Measles and pertussis vaccination coverage rates were obtained from the 16 Federal States' Health Departments. Geographic methods and linear regression models were used for analysis. RESULTS: A total of 2010 paediatricians (response proportion: 64.1%) and 1712 general practitioners (response proportion 39.1%) were included in the analysis. We found an association of physicians' attitude towards vaccination and vaccination coverage rate (P < 0.0001). There is also an important association between vaccination coverage and the geographic location, with lower coverage rates especially in the States of former Western Germany (compared with our reference State Mecklenburg-Western Pomerania; pertussis: maximum -5.86% in Bavaria, P < 0.0001; measles: maximum -20.20% in Berlin, P = 0.0002). CONCLUSIONS: The regional association between vaccination coverage rates and physicians' attitude towards vaccination seems to be superposed by population-related variables. An increase of vaccination coverage requires better information and training of both, physicians and the general population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pautas de la Práctica en Medicina / Vacuna Antisarampión / Vacuna contra la Tos Ferina / Actitud del Personal de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Child / Humans / Middle aged País/Región como asunto: Europa Idioma: En Revista: Eur J Public Health Asunto de la revista: EPIDEMIOLOGIA / SAUDE PUBLICA Año: 2014 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pautas de la Práctica en Medicina / Vacuna Antisarampión / Vacuna contra la Tos Ferina / Actitud del Personal de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Child / Humans / Middle aged País/Región como asunto: Europa Idioma: En Revista: Eur J Public Health Asunto de la revista: EPIDEMIOLOGIA / SAUDE PUBLICA Año: 2014 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido