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  1. California pediatricians'knowledge of and response to recommendations for universal infant hepatitis B immunization.

    Article - En anglais

    Objective 

    To assess California pediatricians'level of agreement with and implementation of universal infant hepatitis B immunization.

    Research Design 

    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.

    Conclusions 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0414186

    Code Inist : 002B05C02G. Création : 01/03/1996.