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Pediatricians' perceptions of vaccine effectiveness and safety are significant predictors of vaccine administration in India

tetano

Editor, Senior Moderator
Int Health. 2013 Sep;5(3):205-10. doi: 10.1093/inthealth/iht018. Epub 2013 Jul 29.
Pediatricians' perceptions of vaccine effectiveness and safety are significant predictors of vaccine administration in India.
Gargano LM, Thacker N, Choudhury P, Weiss PS, Russ RM, Pazol K, Arora M, Orenstein WA, Omer SB, Hughes JM.
Source

Emory University, School of Medicine, 1462 Clifton Road NE, Room 446, Atlanta, GA 30322, USA.
Abstract
BACKGROUND:

New vaccine introduction is important to decrease morbidity and mortality in India. The goal of this study was to identify perceptions that are associated with administration of four selected vaccines for prevention of Japanese encephalitis (JE), typhoid fever, influenza and human papillomavirus (HPV) infection.
METHODS:

A random sample of 785 pediatricians from a national list of Indian Academy of Pediatrics members was selected for a survey to assess perceptions of vaccine effectiveness and safety, and vaccine administration practices. Logistic regression was used to assess factors associated with selective or routine use.
RESULTS:

Pediatricians reported administering typhoid (91.6%), influenza (60.1%), HPV (46.0%) and JE (41.9%) vaccines selectively or routinely. Pediatricians who perceived the vaccine to be safe were significantly more likely to report administration of JE (OR 2.6, 95% CI 1.3 to 5.3), influenza (OR 4.3, 95% CI 2.0 to 9.6) and HPV vaccine (OR 6.2, 95% CI 3.1 to 12.7). Pediatricians who perceived the vaccine to be effective were significantly more likely to report administration of JE (OR 3.3, 95% CI 1.6 to 6.5), influenza (OR 7.7, 95% CI 2.5 to 23.1) and HPV vaccine (OR 3.2, 95% CI 1.6 to 6.4) CONCLUSION: Understanding the role perceptions play provides an opportunity to design strategies to build support for vaccine use.
KEYWORDS:

Human papillomavirus vaccine, India, Influenza vaccine, Japanese encephalitis vaccine, Typhoid vaccine

PMID:
24030271
[PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/24030271
 
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