WJV  Vol.1 No.3 , August 2011
Knowledge and Attitude of Family Physicians Regarding Adult Vaccination
Abstract: Objective: The aim of this study was to establish the knowledge and attitude of family physcians offering primary health care, towards adult vaccination and their own vaccination coverage. Methods: This descriptive study was performed in May 2009 in Kayseri, Turkey. 282 family physician accepted to fill a questionnaire about adult vaccination. Results: Most of the family physcians (83.0%) thought adult vaccination as a modality of protection and 66.7% wanted a vaccination scheme just like the one in childhood. Their own vaccination rate for Hepatitis B was 67.0% and 58.5% for influenza at any time. Only half of the physcians were vaccinated within the season for influenza. Only 9.2% of the doctors have stated that they ask questions to their patients about their vaccination status. When physcians were questioned about the vaccines they advise to their patients aged 65 and more; 70.6% stated influenza and 39.7% stated pneumococcus. Conclusion: In spite of being in the risk group, family physicians have low vaccination coverage rates. Suggestion of the necessary vaccines to the risk groups or to their patients at risk is low as well.
Cite this paper: nullZ. Baykan, M. Naçar, S. Özdemir, S. Poyrazoğlu and F. Çetinkaya, "Knowledge and Attitude of Family Physicians Regarding Adult Vaccination," World Journal of Vaccines, Vol. 1 No. 3, 2011, pp. 92-97. doi: 10.4236/wjv.2011.13009.

[1]   C. S. Alp, O. V..Avkan and A. Yuce, “The Seroprevalence of Diphtheria among Adults in Izmir-Turkey,” Vaccine, Vol. 25, No. 19, 2007, pp. 3851-3854. doi:10.1016/j.vaccine.2007.01.104

[2]   Morbidity and Mortality Weekly Report, “Vaccine-Pre- ventable Diseases: Improving Vaccination Coverage in Children, Adolescents, and Adults,” A Report on Recommendations from the Task Force on Community Preventive Services, Vol. 48, No. RR-8, 18 June 1999, pp. 1-15.

[3]   Centers for Disease Control, “Evidence-Based Strategies for Increasing Adult Vaccination Rates,” 2011.

[4]   Türkiye Enfeksiyon Hastal?klari ve Klinik Mikrobiyoloji Uzmanl?k Derne?i (EKMUD) Eri?kin Ba????klama Rehberi ?al??ma Grubu, “Eri?kin Ba????klama Rehberi,” Bilimsel T?p Yay?nevi, 2009.

[5]   P. A. Bovier, E. Chamot and G. M. Bouvier, “Importance of Patients’ Perceptions and General Practitioners’ Recommendations in Understanding Missed Opportunities for Immunisations in Swiss Adults,” Vaccine, Vol. 19, No. 32, 2001, pp. 4760-4767. doi:10.1016/S0264-410X(01)00223-7

[6]   Z. H. Abramson and O. Levi, “Influenza Vaccination among Primary Healthcare Workers,” Vaccine, Vol. 26, No. 20, 2008, pp. 2482-2489. doi:10.1016/j.vaccine.2008.03.011

[7]   D. Müler and T. D. Szucs, “Influenza Vaccination Coverage Rates in 5 European Countries: A Population-Based Cross- Sectional Analysis of the Seasons 02/03, 03/04 and 04/05,” Infection, Vol. 35, No.5, 2007, pp. 308-319. doi:10.1007/s15010-007-6218-5

[8]   P. R. Blank, M. Schwenkglenks and T. D. Szucs, “Influenza Vaccination Coverage Rates in Five European Countries during Season 2006/07 and Trends over Six Consecutive Seasons,” BMC Public Health, Vol. 8, No. 271, 2008, pp. 1-13.

[9]   Morbidity and Mortality Weekly Report, “Recommended Adult Immunization Schedule United States, 2009,” Morbidity and Mortality Weekly Report, Vol. 57, No. 53, 9 January 2009.

[10]   Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP), “Influenza Vaccination of Health-Care Personel,” Morbidity and Mortality Weekly Report, Vol. 55, No. RR02, 2006, pp. 1-16.

[11]   L. K. Pickering, C. J. Baker, G. L. Freed, S. A. Gall, S. E. Grogg, G. A. Poland, L. E. Rodewald, W. Schaffner, P. Stinchfield, L. Tan, R. K. Zimmerman and W. A. Orenstein, “Immunization Programs for Infants, Children, Adolescents, and Adults: Clinical Practice Guidelines by the Infectious Diseases Society of America,” Clinical Infectious Diseases, Vol. 49, 2009, pp. 817-840. doi:10.1086/605430

[12]   W. F. Carman, A. G. Elder, L. A. Wallace, K. McAulay, A. Walker, G. D. Murray and D. J. Stott, “Effects of Influenza Vaccination of Healthcare Personnel on Mortality of Elderly People in Long-Term Care: A Randomised Controlled Trial,” Lancet, Vol. 355, No. 9198, 2000, pp. 93-97. doi:10.1016/S0140-6736(99)05190-9

[13]   A. C. Hayward, R. Harling, S. Wetten, A. M. Johnson, S. Munro, J. Smedley, S. Murad and J. M. Watson, “Effectiveness of an Influenza Vaccine Programme for Care Home Staff to Prevent Death, Morbidity, and Health Service Use among Residents: Cluster Randomised Controlled Trial,” British Medical Journal, Vol. 333, 2006, pp. 1241-1244. doi:10.1136/bmj.39010.581354.55

[14]   G. A. Poland, P. Tosh and R. M. Jacobson, “Requiring Influenza Vaccination for Health Care Workers: Seven Truths We Must Accept,” Vaccine, Vol. 23, 2005, pp. 2251-2255. doi:10.1016/j.vaccine.2005.01.043

[15]   H. Saxen and M. Virtanen, “Randomized, Placebo-Con- trolled Double Blind Study on the Efficacy of Influenza Immunization on Absenteeism of Health Care Workers,” Pediatric Infectious Disease Journal, Vol. 18, No. 9, 1999, pp. 779-783. doi:10.1097/00006454-199909000-00007

[16]   T. D. Szucs, C. Ruef, D. Müller, E. Sokolovic, I. Beeler and W. Ostermayer, “The Economic Impact of Influenza in a University Hospital Setting,” Infection Control & Hospital Epidemiology, Vol. 22, No. 8, 2001, pp. 472-474. doi:10.1086/503405

[17]   S. B. Murray and S. A. Skull, “Poor Health Care Workers Vaccination Coverage and Knowledge of Vaccination Recommendations in a Tertiary Australian Hospital,” Australian and New Zealand Journal of Public Health, Vol. 26, No. 1, 2002, pp. 65-68. doi:10.1111/j.1467-842X.2002.tb00273.x

[18]   K. A. Bryant, B. Stover, L. Cain, G. L. Levine, J. Siegel and W. R. Jarvis, “Improving Influenza Immunization Rates among Healthcare Workers Caring for High-Risk Pediatric Patients,” Infection Control & Hospital Epidemiology, Vol. 25, No. 11, 2004, pp. 912-917. doi:10.1086/502319

[19]   F. Hofmann, C. Ferracin, G. Marsh and R. Dumas, “Influenza Vaccination of Healthcare Workers: A Literature Review of Attitudes and Beliefs,” Infection, Vol. 34, No. 3, 2006, pp. 142-147. doi:10.1007/s15010-006-5109-5

[20]   I. J. Takajanagi, M. R. A. Cordoso, S. F. Costa, M. E. S. Araya and C. M. Machado, “Attitudes of Health Care Workers to Influenza Vaccination: Why Are They Not Vaccinated?” American Journal of Infection Control, Vol. 35, No. 1, 2007, pp. 56-61. doi:10.1016/j.ajic.2006.06.002

[21]   S. Esposito, S. Bosis, C. Pelucchi, E. Tremolati, C. Sabatini, M. Semino, P. Marchisio, F. della Croce and N. Principi, “Influenza Vaccination among Healthcare Workers in a Multidisciplinary University Hospital in Italy,” BMC Public Health, Vol. 8, 2008, pp. 422-432. doi:10.1186/1471-2458-8-422

[22]   P. Loulergue, F. Moulin, G. Vidal-Trecan, Z. Absi, C. Demontpion, C. Menager, M. Gorodetsky, D. Gendrel, L. Guillevin and O. Launay, “Knowledge, Attitudes and Vaccination Coverage of Health Care Workers Regarding Occupational Vaccinations,” Vaccine, Vol. 27, No. 31, 2009, pp. 4240-4243. doi:10.1016/j.vaccine.2009.03.039

[23]   F. Aka and V. Dündar, “Knowledge and Attitude for Transmission Risk of Hepatitis B and HIV and Universal Precautions in Health Care Workers,” Klimik Journal, Vol. 8, No. 3, 1995, pp. 114-119.

[24]   ?. Demir, S. Kaya, M. Demirci and B. Ar?do?an, “Investigation of Seropositivity of Hepatitis B Virus in Healthcare Workers in Isparta, Türkiye,” Turkish Journal of Infection, Vol.20, No. 3, 2006, pp. 183-187.

[25]   E. Uzun, F. Ak?am, E. Zengin, A. N. Ki?io?lu and G. Yayli, “Evaluation of the Hepatitis B Infection Status, Knowledge and Behaviours of the Research Assistants of SDU School of Medicine,” SDU School of Medicine, Vol. 5, No. 1, 2008, pp. 22-27.

[26]   E. P. Simard, J. T. Miller, P. A. George, A. Wasley, M. J. Alter, B. P. Bell and L. Fellini, “Hepatitis B Vaccination Coverage Levels among Health Care Workers in the United States, 2002-2003,” Infection Control & Hospital Epidemiology, Vol. 28, 2007, pp. 783-790. doi:10.1086/518730

[27]   F. Denis, V. Agabeytol and A. Aufrere, “Evaluation of Strategy and Coverage Rates for Hepatitis B Vaccination in France, a Country with Low Endemicity,” Médecine et Maladies Infectieuses, Vol. 34, No. 4, 2004, pp. 149-158. doi:10.1016/j.medmal.2003.12.010

[28]   K. L. Nichol, “Improving Influenza Vaccination Rates among Adults,” Cleveland Clinic Journal of Medicine, Vol. 73, No. 11, 2006, pp.1009-1015. doi:10.3949/ccjm.73.11.1009

[29]   D. R. Johnson, K. L. Nichol and K. Lipczynski, “Barriers to Adult Immunization,” American Journal of Medicine, Vol. 121, No. 7, 2008, pp. 28-35. doi:10.1016/j.amjmed.2008.05.005

[30]   E. Uskun, S. B. Uskun, M. Uysalgen? and M. Yag?z, “Effectiveness of a Training Intervention on Immunization to Increase Knowledge of Primary Healthcare Workers and Vaccination Coverage Rates,” Public Health, Vol. 122, No. 9, 2008, pp. 949-958. doi:10.1016/j.puhe.2007.10.005