To assess California pediatricians'level of agreement with and implementation of universal infant hepatitis B immunization.
Mailed questionnaire in the summer and fall of 1993 to a random sample of 1030 California pediatricians to determine whether they universally immunize infants with hepatitis B vaccine.
The response rate was 71%. Results : More than 81% said they universally immunize infants against hepatitis B infection ; however, 18.3% stated that they do not.
Pediatricians were more likely to immunize infants universally against hepatitis B if they (1) agreed with the recommendations (90% vs 54%, P<. 01), (2) practiced in a health maintenance organization setting vs private group practice (92% vs 79%, P<. 05), or (3) practiced in settings with predominantly low-income patients (89% vs 78%, P=01).
Pediatricians who universally immunize infants against hepatitis B virus were in practice an average of 1.7 years longer than those who do not (13.3 years vs 11.6 years, P=01).
In multivariate analyses, the most powerful predictor of universal immunization was agreement with the recommendations.
A majority (81.6%) of our sample of California pediatricians universally immunize infants against hepatitis B ; however, a significant minority (18.4%) do not agree with the recommendations and do not plan to implement them.
Many of their objections are being addressed through combination vaccine development and ongoing research.
Mots-clés Pascal : Hépatite virale B, Virose, Infection, Nourrisson, Homme, Prévention, Vaccination, Pratique professionnelle, Pédiatrie, Médecin, Californie, Etats Unis, Amérique du Nord, Amérique, Evaluation, Connaissance, Appareil digestif pathologie, Foie pathologie
Mots-clés Pascal anglais : Viral hepatitis B, Viral disease, Infection, Infant, Human, Prevention, Vaccination, Professional practice, Pediatrics, Physician, California, United States, North America, America, Evaluation, Knowledge, Digestive diseases, Hepatic disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0414186
Code Inist : 002B05C02G. Création : 01/03/1996.