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评估巴西医疗保健人员对疫苗的犹豫态度:疫苗接种状况和专业经验的影响。

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

作者信息

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

机构信息

Instituto Questão de Ciência, São Paulo, SP, Brazil.

Sociedade Brasileira de Imunizações, São Paulo, SP, Brazil.

出版信息

J Pediatr (Rio J). 2025 Mar-Apr;101(2):216-223. doi: 10.1016/j.jped.2024.09.001. Epub 2024 Oct 5.

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.

摘要

目的

评估儿科医生及其患者中疫苗犹豫的发生率,并确定潜在的预测因素以减轻他们的犹豫情绪。

方法

该研究是一项横断面调查,使用在线问卷发送给巴西儿科学会附属的儿科医生。数据采用探索性因素分析、主成分分析、对应分析和广义线性混合模型等统计方法进行分析。

结果

共有982名受访者参与了研究,其中大多数为女性(77.4%)。在他们当中,疫苗接种状态完整的儿科医生比例为41.14%,而90.6%的人完成了住院医师培训。此外,9.3%在公共医疗机构工作,30.4%在私立机构工作,60.3%在混合医疗机构工作。分析显示疫苗接种状态与儿科医生对新冠疫苗的误解之间存在显著关联,疫苗接种状态完整的医生误解程度较低(平均差异为-0.15,p = 0.010)。此外,有住院医师培训经验的儿科医生对新冠疫苗的误解较少(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不同的特征,展示了疫苗教育、专业经验和疫苗信心认知方面的差异。

结论

该研究强调了疫苗接种状态和住院医师培训经验对儿科医生对疫苗的态度和误解的影响,强调需要有针对性的教育干预措施,以增强医疗服务提供者群体中的疫苗信心并消除犹豫情绪。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3b/11889690/a9f69b311a58/gr1.jpg

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