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  1. Varicella immunization practices and the factors that influence them.

    Article - En anglais

    Objectives 

    To evaluate the varicella immunization practices of physicians in Rochester, NY, and to identify factors that predict whether physicians administer varicella vaccine to children.

    Design 

    Evaluation of a 40-item survey addressing varicella immunization practices and opinions about varicella immunization that was sent to 241 pediatricians and family physicians.

    Results 

    A total of 172 physicians (71.4%) completed the survey.

    Sixty-three percent administer the vaccine to some or all varicella-susceptible children aged 1 through 5 years. while 57% administer it to children aged 6 through 11 years, and 74% administer it to adolescents 12 years and older.

    Physicians who did not offer the immunization were more likely to believe that (1) the vaccine should not be given to preadolescent children because « varicella is anormal part of childhood » ; (2) by giving the vaccine, varicella may shift from being primarily a childhood illness to being primarily an adult illness ; (3) children get enough immunizations already and should not be given additional immunizations to prevent varicella ; (4) it may be preferable to only immunize immunocompromised individuals and their close contacts :

    • Physicians who did not offer the immunization were more likely to believe that (1) the vaccine should not be given to preadolescent children because « varicella is anormal part of childhood » ;

    • (2) by giving the vaccine, varicella may shift from being primarily a childhood illness to being primarily an adult illness ;

    • (3) children get enough immunizations already and should not be given additional immunizations to prevent varicella ;

    • and (5) it would cost too much to immunize all American children who have not had varicella.

    Physicians most likely to offer the vaccine were pediatricians and those whose patients were covered primarily by private insurance plans. (...)

    Mots-clés Pascal : Varicelle, Virose, Infection, Vaccination, Pratique professionnelle, Médecin, Epidémiologie, Evaluation, Enfant, Homme, Prévention, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire

    Mots-clés Pascal anglais : Varicella, Viral disease, Infection, Vaccination, Professional practice, Physician, Epidemiology, Evaluation, Child, Human, Prevention, United States, North America, America, Health staff

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

    Cote : 99-0227223

    Code Inist : 002B05A02. Création : 16/11/1999.