Vaccination Practices Among Obstetrician/Gynecologists for Non-pregnant Patients
| Autor: | Allison Kennedy Fisher, Alison P. Albert, Michaela Brtnikova, Mandy A. Allison, Allison Kempe, Laura E. Riley, Laura P. Hurley, Brenda L. Beaty, Megan C. Lindley, Sean T. O’Leary, Angela J. Jiles, Lori A. Crane, Margaret Collins |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Epidemiology MEDLINE Diphtheria-Tetanus-acellular Pertussis Vaccines Acellular pertussis vaccines 01 natural sciences Article Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology medicine Humans Papillomavirus Vaccines 030212 general & internal medicine Practice Patterns Physicians' 0101 mathematics Physician's Role reproductive and urinary physiology Response rate (survey) business.industry Tetanus Diphtheria Vaccination 010102 general mathematics Public Health Environmental and Occupational Health Middle Aged medicine.disease Non pregnant Gynecology Influenza Vaccines Female business |
| Zdroj: | American Journal of Preventive Medicine. 56:429-436 |
| ISSN: | 0749-3797 |
| Popis: | Many non-pregnant women see obstetrician-gynecologists as their sole source of medical care, yet little is known about vaccination practices of obstetrician-gynecologists for non-pregnant patients. The objectives were to assess, among a national sample of obstetrician-gynecologists, practices related to vaccine delivery in non-pregnant patients and factors associated with stocking and administering more than three different vaccines to non-pregnant patients.E-mail and mail surveys were administered July-October 2015, with analyses performed during October-November 2015 and April-June 2018.The response rate was 73% (353/482). Human papillomavirus (92%); influenza (82%); and tetanus, diphtheria, acellular pertussis vaccines (50%) were the vaccines most commonly assessed, with the remaining vaccines assessed by40% of respondents. Vaccines most commonly administered by obstetrician-gynecologists to non-pregnant patients included human papillomavirus (81%); influenza (70%); and tetanus, diphtheria, acellular pertussis (54%). The remaining vaccines were administered by30% of obstetrician-gynecologists. Factors associated with routinely administering more than three vaccines to non-pregnant patients included working in a hospital-, public health-, or university-associated clinic (RR=1.87, 95% CI=1.35, 2.58, referent to private practice); a larger practice (more than five providers; RR=1.54, 95% CI=1.05, 2.27); perceiving fewer financial barriers (RR=0.74, 95% CI=0.57, 0.96); fewer practice-associated barriers (RR=0.71, 95% CI=0.55, 0.92); and greater patient barriers (RR=1.62, 95% CI=1.33, 1.98).Human papillomavirus; influenza; and tetanus, diphtheria, acellular pertussis vaccines are the only vaccines routinely assessed and administered to non-pregnant patients by most obstetrician-gynecologists. Given their role as the sole source of care for many women, obstetrician-gynecologists could make a positive impact on the vaccination status of their non-pregnant patients. |
| Databáze: | OpenAIRE |
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