Reactions of pediatricians to the recommendation for universal varicella vaccination.
To determine the rate of self-reported adherence by pediatricians to the 1995 American Academy of Pediatrics and the Advisory Committee on Immunization Practices varicella immunization recommendations and to evaluate factors that might influence adherence.
Setting and Participants
Washington State pediatricians.
Main Outcome Measure
Logistic regression was used to identify demographic characteristics, attitudes about varicella vaccine, and previous experiences with the disease that were associated with self-reported adherence to universal varicella immunization recommendations.
Completed surveys were returned by 76% of contacted pediatricians, of whom 42% reported following a policy of universal varicella immunization.
In multivariate analysis, agreement with statements regarding the effectiveness of varicella vaccine in reducing rare but serious complications of the disease (odds ratio [OR], 4.90 ; 95% confidence interval [CI], 2.30-10.50) and in decreasing work loss by parents (OR, 4.21 ; 95% Cl, 1.14-15.50) were associated with recommending universal immunization.
Disagreement with statements concerning the lack of the need for varicella immunization because complications are rare (OR, 2.54 ; 95% CI, 1.12-5.74), it is not required for school entry (OR, 2.52 ; 95% CI, 1.37-4.64), and it is not medically cost-effective (OR, 2.25 ; 95% CI, 1.21-4.18) were also associated with universally recommending the vaccine. (...)
Mots-clés Pascal : Varicelle, Virose, Infection, Virus varicelle, Alphaherpesvirinae, Herpesviridae, Virus, Immunoprophylaxie, Vaccination, Généralisation, Indication, Evaluation, Acceptation, Médecin, Spécialité médicale, Pédiatrie, Enquête, Etude statistique, Enfant, Homme, Peau pathologie
Mots-clés Pascal anglais : Varicella, Viral disease, Infection, Varicella zoster virus, Alphaherpesvirinae, Herpesviridae, Virus, Immunoprophylaxis, Vaccination, Generalization, Indication, Evaluation, Acceptance, Physician, Medical specialty, Pediatrics, Survey, Statistical study, Child, Human, Skin disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0404330
Code Inist : 002B05A02. Création : 25/01/1999.