To determine the causes of low childhood immunization rates based on physicians'knowledge, attitudes, and self-reported practices concerning childhood immunization.
A standardized telephone survey conducted by trained interviewers.
Primary care physicians across the United States.
A stratified random sample of office-based family physicians, pediatricians, and general practitioners younger than 65 years was selected from the American Medical Association master file list that includes nonmembers.
Physicians seeing 5 or more patients per week younger than 6 years and having 50% or more primary care patients were eligible for study.
Of 1769 eligible physicians who spoke directly with the interviewers, 70% (N=1241) completed the questionnaire.
The interview was designed to determine physicians'likelihood of recommending vaccination in common clinical scenarios and to probe reasons behind these decisions.
Only 4% of physicians who thought the risk for side effects was increased by upper respiratory tract infection (URI) were likely to vaccinate a child with URI vs 55% of physicians who thought there would be no increased risk (P<. 001).
Eighty-three percent of those who thought the efficacy of measles, mumps, and rubella vaccine would not be affected by a URI recommended vaccination vs only 8% of physicians who thought efficacy would decrease (P<. 001). (...)
Mots-clés Pascal : Vaccination, Enfant, Homme, Nourrisson, Questionnaire, Pratique professionnelle, Connaissance, Médecin généraliste, Etats Unis, Amérique du Nord, Amérique, Contreindication, Risque, Maladie
Mots-clés Pascal anglais : Vaccination, Child, Human, Infant, Questionnaire, Professional practice, Knowledge, General practitioner, United States, North America, America, Counter indication, Risk, Disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0398419
Code Inist : 002B30A03B. Création : 12/09/1997.