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Bianchi FP, Stefanizzi P, Trerotoli P, Tafuri S. Sex and age as determinants of the seroprevalence of anti-measles IgG among European healthcare workers: A systematic review and meta-analysis. Vaccine 2022; 40:3127-3141. [PMID: 35491343 DOI: 10.1016/j.vaccine.2022.04.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 03/14/2022] [Accepted: 04/04/2022] [Indexed: 12/25/2022]
Abstract
INTRODUCTION The international literature shows good evidence of a significant rate of measles susceptibility among healthcare workers (HCWs). As such, they are an important public health issue. METHODS We conducted a systematic review and meta-analysis to estimate the prevalence of susceptible HCWs in EU/EEA countries and in the UK and to explore the characteristics (sex and age differences) and management of those found to be susceptible. RESULTS Nineteen studies were included in the meta-analysis. The prevalence of measles-susceptible HCWs was 13.3% (95 %CI: 10.0-17.0%). In a comparison of serosusceptible female vs. male HCWs, the RR was 0.92 (95 %CI = 0.83-1.03), and in a comparison of age classes (born after vs. before 1980) the RR was 2.78 (95 %CI = 2.20-3.50). The most recent studies proposed the mandatory vaccination of HCWs. DISCUSSION According to our meta-analysis, the prevalence of serosusceptible European HCWs is 13%; HCWs born in the post-vaccination era seem to be at higher risk. Healthcare professionals susceptible to measles are a serious epidemiological concern. Greater efforts should therefore be made to identify those who have yet to be vaccinated and actively encourage their vaccination.
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Affiliation(s)
| | - Pasquale Stefanizzi
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Italy
| | - Paolo Trerotoli
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Italy
| | - Silvio Tafuri
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Italy.
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Maginot R, Esteves C, Kingsley K. Changing Perspectives on Pediatric Human Papillomavirus (HPV) Vaccination among Dental Students and Residents Reveals Recent Increase in Vaccine Hesitancy. Vaccines (Basel) 2022; 10:570. [PMID: 35455318 PMCID: PMC9029190 DOI: 10.3390/vaccines10040570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 04/01/2022] [Accepted: 04/04/2022] [Indexed: 12/02/2022] Open
Abstract
This study was a retrospective analysis of previously collected anonymous survey data regarding vaccine awareness, beliefs, and knowledge among dental (DMD) students and postgraduate (PG) residents. The protocol for this study was approved by the Institutional Review Board (IRB) as exempt. A total of 341 responses were collected from n = 293 DMD students and n = 48 PG residents. Although most respondents agreed that vaccines were necessary, safe, and effective, over the past 4 years (2017-2020) a growing percentage of respondents disagreed. In addition, although most respondents disagreed that there are too many required vaccines, vaccines can make you sick, or are dangerous, a growing percentage of respondents now agreed with these statements. Finally, although most respondents were aware of the HPV vaccine, recently a growing percentage of both students and residents reported they had insufficient information about this vaccine. These results provide novel insights into recent changes in attitudes and beliefs regarding vaccination among this population. Moreover, analysis of these shifts in attitudes and knowledge about HPV vaccination suggests that curricular integration of vaccine research and hesitancy may be needed to answer these questions in a supportive learning environment that fosters critical thinking and evidence-based practice and decision making.
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Affiliation(s)
- Rebecca Maginot
- Department of Advanced Education in Pediatric Dentistry, School of Dental Medicine, University of Nevada, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USA;
| | - Carolina Esteves
- Department of Clinical Sciences, School of Dental Medicine, University of Nevada, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USA;
| | - Karl Kingsley
- Department of Biomedical Sciences, School of Dental Medicine, University of Nevada, 1001 Shadow Lane, Las Vegas, NV 89106, USA
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Motors of influenza vaccination uptake and vaccination advocacy in healthcare workers: A comparative study in six European countries. Vaccine 2018; 36:6546-6552. [PMID: 29605515 DOI: 10.1016/j.vaccine.2018.02.031] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 12/13/2017] [Accepted: 02/05/2018] [Indexed: 11/23/2022]
Abstract
BACKGROUND Annual vaccination is the most effective way to prevent and control the health and economic burden caused by seasonal influenza. Healthcare workers (HCWs) play a crucial role in vaccine acceptance and advocacy for their patients. This study explored the drivers of HCWs' vaccine acceptance and advocacy in six European countries. METHODS Healthcare workers (mainly general practitioners, specialist physicians, and nurses) voluntarily completed a questionnaire in Bulgaria (N = 485), Czech Republic (N = 518), Kosovo (N = 466), Poland (N = 772), Romania (N = 155), and the United Kingdom (N = 80). Twelve-item scales were used to analyse sentiment clusters for influenza vaccination acceptance and engagement with vaccination advocacy. Past vaccination behaviour and patient recommendation were also evaluated. All data were included in a single analysis. RESULTS For vaccination acceptance, the main cluster (engaged sentiment: 68%) showed strong positive attitudes for influenza vaccination. A second cluster (hesitant sentiment: 32%) showed more neutral attitudes. Cluster membership was predicted by country of origin and age. The odds ratio for past vaccination in the engaged cluster was 39.6 (95% CI 12.21-128.56) although this varied between countries. For vaccination advocacy, the main cluster (confident sentiment: 73%) showed strong positive attitudes towards advocacy; a second cluster (diffident sentiment: 27%) showed neutral attitudes. Cluster membership was predicted by country of origin, age and profession, with specialist physicians being the least likely to belong to the confident sentiment cluster. HCWs characterised by confident advocacy sentiments were also more likely recommend flu vaccination. Again, this association was moderated by country of origin. CONCLUSIONS These data show that there is room to improve both vaccination acceptance and advocacy rates in European HCWs, which would be expected to lead to higher rates of HCW vaccination. Benefits that could be expected from such an outcome are improved advocacy and better control of morbidity and mortality related to seasonal influenza infection.
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Martinez L, Fofana F, Raineri F, Arnould P, Benmedjahed K, Coindard G, Denis F, Duhot D, Gallais JL, Seyler D, Tugaut B, Arnould B. Erratum to: Scoring and psychometric validation of the 'Determinants of Intentions to Vaccinate' (DIVA ©) questionnaire. BMC FAMILY PRACTICE 2016; 17:171. [PMID: 27989234 PMCID: PMC5165706 DOI: 10.1186/s12875-016-0567-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Accepted: 11/22/2016] [Indexed: 11/24/2022]
Affiliation(s)
- Luc Martinez
- French Society of General Medicine, Issy-les-Moulineaux, France.,Department of General Medicine, University Pierre-et-Marie-Curie, Paris, France
| | - Fatoumata Fofana
- Mapi, Patient-Centered Outcomes, 27, rue de la Villette, 69003, Lyon, France.
| | - François Raineri
- French Society of General Medicine, Issy-les-Moulineaux, France.,Department of Bacteriology and Virology, University of Limoges, Limoges, France
| | - Pascale Arnould
- French Society of General Medicine, Issy-les-Moulineaux, France.,Department of General Practice, University Paris-Sud, Le Kremlin-Bicêtre, France
| | - Khadra Benmedjahed
- Mapi, Patient-Centered Outcomes, 27, rue de la Villette, 69003, Lyon, France
| | - Guillaume Coindard
- French Society of General Medicine, Issy-les-Moulineaux, France.,Department of General Practice, University Paris-Sud, Le Kremlin-Bicêtre, France
| | - François Denis
- French Society of General Medicine, Issy-les-Moulineaux, France.,Department of Bacteriology and Virology, University of Limoges, Limoges, France
| | - Didier Duhot
- French Society of General Medicine, Issy-les-Moulineaux, France.,Department of General Medicine, SMBH University of Paris 13, Bobigny, France
| | | | - Didier Seyler
- French Society of General Medicine, Issy-les-Moulineaux, France.,Specialist in general medicine, International vaccination centre (2007-2015), Marseille, France
| | - Béatrice Tugaut
- Mapi, Patient-Centered Outcomes, 27, rue de la Villette, 69003, Lyon, France
| | - Benoit Arnould
- Mapi, Patient-Centered Outcomes, 27, rue de la Villette, 69003, Lyon, France
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