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Vaccine hesitancy among paediatric nurses: Prevalence and associated factors

OBJECTIVE: This study describes the prevalence of vaccine hesitancy associated with the Catalan systematic childhood vaccination calendar and some related psychosocial determinants among paediatric primary care nurses in Barcelona (Spain). METHODS: Cross-sectional descriptive study. In 2017 we invit...

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Autores principales: Elizondo-Alzola, Usue, G. Carrasco, Mireia, Pinós, Laia, Picchio, Camila Andrea, Rius, Cristina, Diez, Elia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8133484/
https://www.ncbi.nlm.nih.gov/pubmed/34010321
http://dx.doi.org/10.1371/journal.pone.0251735
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author Elizondo-Alzola, Usue
G. Carrasco, Mireia
Pinós, Laia
Picchio, Camila Andrea
Rius, Cristina
Diez, Elia
author_facet Elizondo-Alzola, Usue
G. Carrasco, Mireia
Pinós, Laia
Picchio, Camila Andrea
Rius, Cristina
Diez, Elia
author_sort Elizondo-Alzola, Usue
collection PubMed
description OBJECTIVE: This study describes the prevalence of vaccine hesitancy associated with the Catalan systematic childhood vaccination calendar and some related psychosocial determinants among paediatric primary care nurses in Barcelona (Spain). METHODS: Cross-sectional descriptive study. In 2017 we invited the paediatric nurses (N = 165) working in Barcelona public primary health centres with paediatric departments (N = 41) to participate. They answered a questionnaire with sociodemographic and behavioural variables: severity and perceived probability of contracting the diseases of the vaccines in the vaccination schedule; safety and protection offered by each vaccine; and beliefs, social norms, and knowledge about vaccines. Outcome variable was vaccine hesitancy, dichotomized into not hesitant (nurses who would vaccinate their own offspring), and hesitant (including those who would not vaccinate them, those who had doubts and those who would delay the administration of one or more vaccines). We performed bivariate analysis and adjusted logistic regression models. RESULTS: 83% of paediatric nurses (N = 137) agreed to participate. 67.9% had the intention to vaccinate their children of all the vaccines in the systematic schedule. 32.1% of nurses experienced vaccine hesitancy, especially about the HPV (21.9%) and varicella (17.5%) vaccines. The multivariate analysis suggests associations between hesitancy and low perception of the severity of whooping cough (aOR: 3.88; 95%CI:1.32–11.4), low perception of safety of the HPV vaccine (aOR:8.5;95%CI:1.24–57.8), the belief that vaccines are administered too early (aOR:6.09;95%CI:1.98–18.8), and not having children (aOR:4.05;95%CI:1.22–13.3). CONCLUSIONS: Although most paediatric nurses had the intention to vaccinate their own children, almost one-third reported some kind of vaccine hesitancy, mainly related to doubts about HPV and varicella vaccines, as well as some misconceptions. These factors should be addressed to enhance nurses’ fundamental role in promoting vaccination to families.
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spelling pubmed-81334842021-05-27 Vaccine hesitancy among paediatric nurses: Prevalence and associated factors Elizondo-Alzola, Usue G. Carrasco, Mireia Pinós, Laia Picchio, Camila Andrea Rius, Cristina Diez, Elia PLoS One Research Article OBJECTIVE: This study describes the prevalence of vaccine hesitancy associated with the Catalan systematic childhood vaccination calendar and some related psychosocial determinants among paediatric primary care nurses in Barcelona (Spain). METHODS: Cross-sectional descriptive study. In 2017 we invited the paediatric nurses (N = 165) working in Barcelona public primary health centres with paediatric departments (N = 41) to participate. They answered a questionnaire with sociodemographic and behavioural variables: severity and perceived probability of contracting the diseases of the vaccines in the vaccination schedule; safety and protection offered by each vaccine; and beliefs, social norms, and knowledge about vaccines. Outcome variable was vaccine hesitancy, dichotomized into not hesitant (nurses who would vaccinate their own offspring), and hesitant (including those who would not vaccinate them, those who had doubts and those who would delay the administration of one or more vaccines). We performed bivariate analysis and adjusted logistic regression models. RESULTS: 83% of paediatric nurses (N = 137) agreed to participate. 67.9% had the intention to vaccinate their children of all the vaccines in the systematic schedule. 32.1% of nurses experienced vaccine hesitancy, especially about the HPV (21.9%) and varicella (17.5%) vaccines. The multivariate analysis suggests associations between hesitancy and low perception of the severity of whooping cough (aOR: 3.88; 95%CI:1.32–11.4), low perception of safety of the HPV vaccine (aOR:8.5;95%CI:1.24–57.8), the belief that vaccines are administered too early (aOR:6.09;95%CI:1.98–18.8), and not having children (aOR:4.05;95%CI:1.22–13.3). CONCLUSIONS: Although most paediatric nurses had the intention to vaccinate their own children, almost one-third reported some kind of vaccine hesitancy, mainly related to doubts about HPV and varicella vaccines, as well as some misconceptions. These factors should be addressed to enhance nurses’ fundamental role in promoting vaccination to families. Public Library of Science 2021-05-19 /pmc/articles/PMC8133484/ /pubmed/34010321 http://dx.doi.org/10.1371/journal.pone.0251735 Text en © 2021 Elizondo-Alzola et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Elizondo-Alzola, Usue
G. Carrasco, Mireia
Pinós, Laia
Picchio, Camila Andrea
Rius, Cristina
Diez, Elia
Vaccine hesitancy among paediatric nurses: Prevalence and associated factors
title Vaccine hesitancy among paediatric nurses: Prevalence and associated factors
title_full Vaccine hesitancy among paediatric nurses: Prevalence and associated factors
title_fullStr Vaccine hesitancy among paediatric nurses: Prevalence and associated factors
title_full_unstemmed Vaccine hesitancy among paediatric nurses: Prevalence and associated factors
title_short Vaccine hesitancy among paediatric nurses: Prevalence and associated factors
title_sort vaccine hesitancy among paediatric nurses: prevalence and associated factors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8133484/
https://www.ncbi.nlm.nih.gov/pubmed/34010321
http://dx.doi.org/10.1371/journal.pone.0251735
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