Canadian paediatricians’ opinions on rotavirus vaccination

Autor: Julie A. Bettinger, Vladimir Gilca, François D. Boucher, Nicole Boulianne, Richard Bradet, Ian Gemmill, Chantal Sauvageau, Shelly A. McNeil, F. Lavoie, Eve Dubé
Rok vydání: 2011
Předmět:
Zdroj: Vaccine. 29:3177-3182
ISSN: 0264-410X
DOI: 10.1016/j.vaccine.2011.02.044
Popis: Rotavirus is the leading cause of dehydration and hospitalization due to gastroenteritis (GE) in young children. Almost all children are affected by the age of 5 years. Two safe and effective rotavirus vaccines are available for clinical use in Canada. In the context where rotavirus vaccination is recommended, but not publicly funded, we have assessed paediatricians’ knowledge, attitudes and beliefs (KAB) regarding rotavirus disease and its prevention by vaccination. A self-administered anonymous questionnaire based upon the Health Belief Model and the Analytical framework for immunization programs was mailed to all 1852 Canadian paediatricians. The response rate was 50%. The majority of respondents rated consequences of rotavirus infection for young patients as moderate. Sixty-six percent considered that rotavirus disease occur frequently without vaccination and 62% estimated that the disease generates a significant economic burden. Sixty-nine percent of respondents considered rotavirus vaccines to be safe and 61%, to be effective. The reduction of severe GE cases was seen as the main benefit of rotavirus vaccination, while the risk of adverse events was the principal perceived barrier. Fifty-three percent (53%) indicated a strong intention to recommend rotavirus vaccines. In multivariate analysis, main determinant of paediatricians’ intention to recommend rotavirus vaccines was the perceived health and economic burden of rotavirus diseases (partial R2 = 0.49, p
Databáze: OpenAIRE