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Table 5 Associations between HCWs’ beliefs and attitudes and their intentions to vaccinate in case–control studies

From: Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic review

Authors

Setting

Study population/respnse rate

Determinant

Intention to vaccinate

Measure of association

Adjustments

Salmon et al. (2008) [33]

USA

Sample size 551 (55 cases/432 controls/64 mixed c ). Primary healthcare professionals

Beliefs

Cases: Primary healthcare professionals of unvaccinated

 

Medical doctors or doctors in osteopathy

A1) Disease susceptibility

A1) OR 1.39 (95%CI:0.68–2.85) p < 0.05

A2) Disease severity

children at school entry. vs Controls: Primary healthcare professionals only of vaccinated children.

A2) OR 0.90 (0.59–1.38) p < 0.05

A3) Vaccine efficacy

A3) OR 1.37(0.65–2.86) p < 0.05

A4) Vaccine security

A4) OR 0.37 (0.19-0.72) p < 0.05

B) Benefit when a child is fully vaccinated for: B1) Child

B1) OR 0.30 (0.10–0.85) p < 0.05

B2) Community

B2) OR 0.28 (0.09–0.88) p < 0.05

B3) Primary care practitioner

B3) OR 0.59 (0.39–0.90) p < 0.05

B4) Insurance company

B4) OR 0.56 (0.32–0.99) p < 0.05

B5) Government

B5) OR 0.55 (0.32–0.96) p < 0.05

B6) Vaccine companies

B6) OR 0.57 (0.30–1.10) p < 0.05

C) Agree or completely agree with the following statements: C1) Children get more immunizations than are good for them

C1) OR 2.28 (1.56-5.10) p < 0.05

C2) A good diet is more important

C2)OR 3.68 (1.61-8.38) p < 0.05

C3) Child’s immune system could be weakened

C3) OR 4.03 (2.06-7.86) p < 0.05

C4) Better to develop immunity by getting sick

C4) OR 4.08 (1.9-8.76) p < 0.05

   

Attitudes

 
   

A) Should be allowed to send unvaccinated children to school

A) 1.72 (1.13-2.6) p < 0.05

B) Worry that many of the reports of serious side effects from vaccines are accurate

B) 2.03 (1.05-3,91) p < 0.05

   

C) Concerned the CDC/ACIP underestimates the frequency of vaccine side effects

 

C) 2.86 (1.65-4.97) p < 0.05

 
  1. CMixed providers were those who had vaccinated and unvaccinated children. A binomial framework allowed for mixed providers to contribute to the odds ratio calculation. CDC: Centres for Disease Control and Prevention. ACIP: Advisory Commitee on Immunization Practices.