Knowledge, attitude, practice, and barriers among physicians in the Middle East and North Africa region toward influenza vaccination for the high-risk group of patients: a cross-sectional study.

IF 2.4 Q3 INFECTIOUS DISEASES
Saadi M Saleh, Alaa Aljamala, Dina Hafez, Mosab Abu Shqeer, Islam Abukandil, Weam Aldiban, Azza Baraka
{"title":"Knowledge, attitude, practice, and barriers among physicians in the Middle East and North Africa region toward influenza vaccination for the high-risk group of patients: a cross-sectional study.","authors":"Saadi M Saleh, Alaa Aljamala, Dina Hafez, Mosab Abu Shqeer, Islam Abukandil, Weam Aldiban, Azza Baraka","doi":"10.1186/s40794-024-00241-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The influenza vaccine is a cost-effective measure to reduce morbidity and mortality, especially for high-risk patients. Healthcare providers have an essential role in patients' education about vaccines. This study aims to examine physicians' understanding, perceptions, and practices regarding influenza vaccination in the Middle East and North Africa (MENA) region for high-risk patients.</p><p><strong>Methods: </strong>We conducted a multinational cross-sectional study in 21 countries in MENA region from July 10th to September 10th, 2023. Data were collected using an online self-administered survey distributed through different social media platforms. We used a valid questionnaire designed to determine the knowledge, attitude, and practice of physicians toward influenza vaccination. A multivariable binomial logistic regression analysis was conducted to identify significant predictors for offering the influenza vaccine.</p><p><strong>Results: </strong>In this study, which involved 2017 physicians (the mean (SD) age was 29 (± 6.2); 52% were males), the majority expressed a low to medium level of knowledge about influenza vaccination, with only 4% displaying a high level of knowledge. Regarding attitude, the majority (n = 1511, 74.9%) were quite concerned. However, only (n = 509, 25.4%) offered the vaccine to patients. The main predictors for offering the vaccine were age (adjusted odd ratio (AOR) = 1.036, 95%CI = 1.003-1.07, p = 0.031), male sex (AOR = 1.39, 95%CI = 1.09-1.77, p = 0.007), living in upper-middle-income countries (AOR = 3.14, 95%CI = 2.1-4.7, p < 0.001), having PhD degree (AOR = 3.15, 95%CI = 1.47-6.71, p = 0.003), being a senior resident (AOR = 2.005, 95%CI = 1.147-3.5, p = 0.015), working two to five shifts per week (AOR = 1.55, 95%CI = 1.02-2.35, p = 0.04), working more than five shifts per week (AOR = 1.75, 95%CI = 1.06- 2.88, p = 0.027), attitude (AOR = 1.33, 95%CI = 1.243- 1.44, p < 0.001), following these practices regarding influenz vaccination with the other office staff: Encourage and offer (AOR = 5.73, 95%CI = 4.11- 8.007, p < 0.001), require but do not offer (AOR = 3.73, 95%CI = 2.59- 5.38, p < 0.001), and require and offer the influenza vaccine (AOR = 6.79, 95%CI = 4.88- 9.45, p < 0.001) to the office staff. The main barriers to influenza vaccination were unawareness of vaccine availability (32%), cost (25%), and forgetfulness (23.4%).</p><p><strong>Conclusions: </strong>Approximately half of the physicians were knowledgeable about the flu vaccine, but practice was deficient and impeded by barriers like unawareness and forgetfulness.</p>","PeriodicalId":23303,"journal":{"name":"Tropical Diseases, Travel Medicine and Vaccines","volume":"11 1","pages":"6"},"PeriodicalIF":2.4000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tropical Diseases, Travel Medicine and Vaccines","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40794-024-00241-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The influenza vaccine is a cost-effective measure to reduce morbidity and mortality, especially for high-risk patients. Healthcare providers have an essential role in patients' education about vaccines. This study aims to examine physicians' understanding, perceptions, and practices regarding influenza vaccination in the Middle East and North Africa (MENA) region for high-risk patients.

Methods: We conducted a multinational cross-sectional study in 21 countries in MENA region from July 10th to September 10th, 2023. Data were collected using an online self-administered survey distributed through different social media platforms. We used a valid questionnaire designed to determine the knowledge, attitude, and practice of physicians toward influenza vaccination. A multivariable binomial logistic regression analysis was conducted to identify significant predictors for offering the influenza vaccine.

Results: In this study, which involved 2017 physicians (the mean (SD) age was 29 (± 6.2); 52% were males), the majority expressed a low to medium level of knowledge about influenza vaccination, with only 4% displaying a high level of knowledge. Regarding attitude, the majority (n = 1511, 74.9%) were quite concerned. However, only (n = 509, 25.4%) offered the vaccine to patients. The main predictors for offering the vaccine were age (adjusted odd ratio (AOR) = 1.036, 95%CI = 1.003-1.07, p = 0.031), male sex (AOR = 1.39, 95%CI = 1.09-1.77, p = 0.007), living in upper-middle-income countries (AOR = 3.14, 95%CI = 2.1-4.7, p < 0.001), having PhD degree (AOR = 3.15, 95%CI = 1.47-6.71, p = 0.003), being a senior resident (AOR = 2.005, 95%CI = 1.147-3.5, p = 0.015), working two to five shifts per week (AOR = 1.55, 95%CI = 1.02-2.35, p = 0.04), working more than five shifts per week (AOR = 1.75, 95%CI = 1.06- 2.88, p = 0.027), attitude (AOR = 1.33, 95%CI = 1.243- 1.44, p < 0.001), following these practices regarding influenz vaccination with the other office staff: Encourage and offer (AOR = 5.73, 95%CI = 4.11- 8.007, p < 0.001), require but do not offer (AOR = 3.73, 95%CI = 2.59- 5.38, p < 0.001), and require and offer the influenza vaccine (AOR = 6.79, 95%CI = 4.88- 9.45, p < 0.001) to the office staff. The main barriers to influenza vaccination were unawareness of vaccine availability (32%), cost (25%), and forgetfulness (23.4%).

Conclusions: Approximately half of the physicians were knowledgeable about the flu vaccine, but practice was deficient and impeded by barriers like unawareness and forgetfulness.

求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
5.20
自引率
0.00%
发文量
25
审稿时长
17 weeks
期刊介绍: Tropical Diseases, Travel Medicine and Vaccines is an open access journal that considers basic, translational and applied research, as well as reviews and commentary, related to the prevention and management of healthcare and diseases in international travelers. Given the changes in demographic trends of travelers globally, as well as the epidemiological transitions which many countries are experiencing, the journal considers non-infectious problems including chronic disease among target populations of interest as well as infectious diseases.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信