Table 4 Associations between HCWs’ attitudes and their intentions to vaccinate in cross-sectional studies
Authors | Setting | Study population/response rate | Determinant (attitude) | Intention to vaccinate | Measure of association | Adjustments |
|---|---|---|---|---|---|---|
Gonik et al. (2000) [19] | USA | 313/43% Obstetrician-gynecologists | Assess routinely the patients for vaccine- preventable diseases | Reported habit to administer vaccines | Spearman rho correlation 0.30–0.70; p < 0.05 | None |
Zimmerman et al. (2002) [22] | USA | 281/72,4% general practitioners, family practice, pediatricians | Agreement with the national recommendations on varicella vaccination. Yes vs no | Would recommend the vaccination | In children 12–18 months: 98% | 1A,1C, 1D,3E, 1F |
vs 3%, p < 0.05 | ||||||
Children 4–6 years: 93% | ||||||
vs 19%, p < 0.05 | ||||||
Children 11–12 years: | ||||||
86% vs 68%, p < 0.05 | ||||||
Taylor et al. (2002) [21] | USA | 112/? pediatricians | A) Number of injections willing to give in one visit. Range 1 to 6 (>5) | Increase of record linked vaccine coverage | A) Per each injection more: Increase at 8 months of 3.6% (95% CI 0.4-6.8) p > 0.05, at 19 months 1.5% (95% CI −2.8 - 5.5) p > 0.05 | 2B, 1C, 3E |
B) Recommendation of inactivated polio vaccine (IPV) vs oral vaccine | B) Using IPV: Increase at 8 months of 8.9% (95% CI 3.3-15.4) p < 0.05, at 19 months 15.4% (95% CI 7.7 - 23.1) p < 0.05 | |||||
Schupfner et al. (2002) [20] | Germany | 97/73% pediatricians | Prefer to give combined vaccines than separate | Reported vaccine coverage rate | 100% in those with high reported coverage (>80%) vs 81% in low coverage (<80%) p > 0.05 | 2C,4D,4E |
Milledge et al. (2003) [24] | Australia | 160/67% general practitioners | Concerns about varicella vaccine: A) Immunity may not be life-long | Would recommend universal varicella vaccination | A) OR 0.60 (95%CI 0.33-1.21) p > 0.05 | 1B, 1C, 7E, 2F |
B) Increase in herpes zoster | B) OR 1.08 (0.33-3.6) p > 0.05 | |||||
C) More serious varicella disease in adults | C) OR 0.92 (0.37-2.27) p > 0.05 | |||||
D) Possible, unknown side effects | D) OR: 0.31 (0.15–0.63) p > 0.05 | |||||
Davis et al. (2003) [23] | USA | 694/60% family physicians | A) Considers giving 5 injections at 1 visit vs less | Reported habit of recommending the vaccine | A) OR 17.29 (95% CI 6.35, 47.05) p < 0.05 | 4E, 1F |
B) Considers giving 4 injections at 1 visit vs less | B) OR 8.69(95% CI 4.21, 17.94) p < 0.05 | |||||
Jungbauer-Gans et al. (2003) [25] | Germany | 136/71% family physicians and pediatricians | Importance of the officially recommended vaccinations (Index: 1 = not at all, 5 = very) | Reported habit of recommending full vaccination | Index of 4.8 in those recommending full vaccination vs 3.9 in those who did not. p < 0.05 | None |
94/71% family physicians and pediatricians | Importance of the officially recommended vaccinations (same Index) | Record linked vaccine coverage | One point increase in the Index was associated with an increase of 25.8% in the coverage. p < 0.05 | None | ||
Wilson et al. (2004) [26] | Canada | 312/59,4% naturopathic students | Trust in Public Health information | Willingness to advise full vaccination | OR 3.72 (95% CI 1.42–10.7) p < 0.05 | 1D, 5E |
Clark et al. (2006) [29] | USA | 183/54% obstetricians | Perceive to have a role in promote Tdap vaccination to other adults (not mothers) in contact with infants | Report to recommend Tdap vaccine to pregnant women | 77% perceive having a role in those recommending vaccine to pregnant women vs 50% in those who do not. p < 0.05 | None |
Davis et al. (2007) [30] | USA | 336/49% family physicians, general internists | Agree that pertoussis is serious enough to warrant using Tdap in adults. Yes vs no or neutral | Would recommend the vaccination if recommended | 93% vs 68%. p < 0.05 | None |
Gust et al. (2008) [31] | USA | 733/65% family physicians, pediatricians | Have some concerns about immunization | Recommend full immunization | OR 0.32 (95% CI 0.56-0.19) p < 0.05 | 1C, 1D, 1E |