Assessing vaccine hesitancy among healthcare providers in Brazil: the influence of vaccine status and professional experience.

IF 2.8 4区医学 Q1 PEDIATRICS

Jornal de pediatria Pub Date : 2024-10-05 DOI:10.1016/j.jped.2024.09.001

Luiz Gustavo Almeida, Renato de Ávila Kfouri, Natalia Pasternak Taschner, Eduardo Jorge da Fonseca Lima, Ronaldo Pilati

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引用次数: 0

Abstract

Objective: Assess the occurrence of vaccine hesitancy among pediatricians and their patients and identify potential predictors to mitigate hesitancy among them.

Methods: The study is a cross-sectional survey using an online questionnaire sent to pediatricians affiliated with the Brazilian Society of Pediatrics. The data was analyzed using statistical methods such as exploratory factor analysis, principal component analysis, correspondence analysis, and generalized linear mixed models.

Results: A total of 982 respondents, with a majority being females (77.4%), participated in the research. Among them, the proportion of pediatricians with complete vaccine status was 41.14%, while 90.6% had undergone medical residency. Furthermore, 9.3% worked in public healthcare settings, 30.4% in private settings, and 60.3% in mixed healthcare settings. The analysis revealed a significant association between vaccine status and pediatricians' misconceptions about COVID-19 vaccines, with those having complete vaccine status showing lower misconceptions (mean difference of -0.15, p = 0.010). Moreover, pediatricians with medical residency experience exhibited fewer misconceptions about COVID-19 vaccines (mean difference of -0.33, p = 0.002). Additionally, correspondence analysis unveiled the presence of two distinct profiles among pediatricians, showcasing variations in vaccine education, professional experience, and vaccine confidence perceptions.

Conclusion: The study highlights the influence of vaccine status and medical residency experience on pediatricians' attitudes and misconceptions about vaccines, emphasizing the need for targeted educational interventions to promote vaccine confidence and combat hesitancy within the healthcare provider community.

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评估巴西医疗服务提供者对疫苗的犹豫态度：疫苗状况和专业经验的影响。

目的评估儿科医生及其患者对疫苗犹豫不决的情况，并确定潜在的预测因素以减轻他们的犹豫不决：本研究是一项横断面调查，向巴西儿科学会的儿科医生发送了一份在线问卷。采用探索性因子分析、主成分分析、对应分析和广义线性混合模型等统计方法对数据进行分析：共有 982 名受访者参与了研究，其中女性占大多数（77.4%）。其中，41.14%的儿科医生拥有完整的疫苗接种资格，90.6%的儿科医生拥有住院医师资格。此外，9.3%的儿科医生在公立医疗机构工作，30.4%在私立医疗机构工作，60.3%在混合医疗机构工作。分析表明，疫苗接种状况与儿科医生对 COVID-19 疫苗的误解之间存在显著关联，疫苗接种状况完整的儿科医生的误解程度较低（平均差异为-0.15，P = 0.010）。此外，有住院医师经历的儿科医生对 COVID-19 疫苗的错误认知较少（平均差异为-0.33，P = 0.002）。此外，对应分析揭示了儿科医生中存在两种截然不同的特征，显示了疫苗教育、专业经验和疫苗信心认知方面的差异：该研究强调了疫苗接种状况和住院医师经验对儿科医生对疫苗的态度和误解的影响，强调有必要采取有针对性的教育干预措施，以提高疫苗接种信心，消除医疗服务提供者群体中的犹豫不决情绪。

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来源期刊

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.