Characteristics of Oklahoma Pediatricians Who Dismiss Families for Refusing Vaccines

Autor:	Christine G. Nguyen, Mark I. Pogemiller, Michael T. Cooper, M. Connor Garbe, Paul M. Darden
Rok vydání:	2022
Předmět:	Vaccines Health Knowledge Attitudes Practice Vaccination Refusal Surveys and Questionnaires Vaccination Pediatrics Perinatology and Child Health Humans Oklahoma Pediatricians United States
Zdroj:	Clinical Pediatrics. 62:24-32
ISSN:	1938-2707 0009-9228
Popis:	Vaccine refusal is increasing. Objectives were to assess frequency of declining or dismissing patients who refuse vaccines, which vaccine(s) prompt pediatricians to decline/dismiss patients, and demographics of pediatricians who decline/dismiss patients. Active members of the Oklahoma American Academy of Pediatricians (AAP) were surveyed. Chi-square tests with non-overlapping 95% confidence intervals compared proportions of providers across various metrics. In all, 47% (48/103) versus 35% (34/98) reported declining versus dismissing patients for refusing vaccines, respectively. Pediatricians were unlikely to decline/dismiss patients if they refused influenza, human papilloma virus (HPV), or MenB vaccines. Pediatricians with more years in practice were less likely to decline 15% (9/62) versus 44% (16/36), P = 0.002 and dismiss 8% (5/62) versus 33% (12/36), P = 0.002 patients. Rural pediatricians were less likely than urban to decline 12% (2/17) versus 29% (26/89), P = NS and dismiss patients 0% (0/17) versus 21% (19/89), P = 0.04. Dismissing/declining patients for vaccine refusal is more common among Oklahoma pediatricians than nationally reported. Patterns differ by practice setting, years in practice, and specific vaccine refused.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::551fe2b78cbf37ca16f8b00a91c9b747 https://doi.org/10.1177/00099228221108801 Zobrazit plný text záznamu