Discrepancies between general practitioners' vaccination recommendations for their patients and practices for their children

  • Author Footnotes
    ∗ N. Agrinier and M. Le Maréchal contributed equally to this work.
    N. Agrinier
    Footnotes
    ∗ N. Agrinier and M. Le Maréchal contributed equally to this work.
    Affiliations
    Université de Lorraine, EA 4360 APEMAC, Nancy, France

    INSERM, CIC-1433 Epidémiologie clinique, CHRU de Nancy, Nancy, France
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  • Author Footnotes
    ∗ N. Agrinier and M. Le Maréchal contributed equally to this work.
    M. Le Maréchal
    Correspondence
    Corresponding author. M. Le Maréchal, Faculté de médecine de Nancy, EA 4360 APEMAC, 9 avenue de la forêt de Haye, 54505 Vandoeuvre-Lès-Nancy, France.
    Footnotes
    ∗ N. Agrinier and M. Le Maréchal contributed equally to this work.
    Affiliations
    Université de Lorraine, EA 4360 APEMAC, Nancy, France
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  • L. Fressard
    Affiliations
    INSERM, UMR_S912, Sciences Economiques & Sociales de la Santé et Traitement de l'Information Médicale (SESSTIM), Marseille, France

    Aix Marseille Université, UMR_S912, IRD, Marseille, France

    ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France
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  • P. Verger
    Affiliations
    INSERM, UMR_S912, Sciences Economiques & Sociales de la Santé et Traitement de l'Information Médicale (SESSTIM), Marseille, France

    Aix Marseille Université, UMR_S912, IRD, Marseille, France

    ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France

    INSERM, F-CRIN, I-Reivac (Innovative Clinical Research Network in Vaccinology), Paris, France
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  • C. Pulcini
    Affiliations
    Université de Lorraine, EA 4360 APEMAC, Nancy, France

    INSERM, UMR_S912, Sciences Economiques & Sociales de la Santé et Traitement de l'Information Médicale (SESSTIM), Marseille, France

    CHRU de Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, France
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  • Author Footnotes
    ∗ N. Agrinier and M. Le Maréchal contributed equally to this work.
Open ArchivePublished:September 03, 2016DOI:https://doi.org/10.1016/j.cmi.2016.08.019

      Abstract

      Objectives

      The objectives of our study were to describe the vaccination recommendations by general practitioners (GPs) for their patients and practices for their children, and to identify any discrepancies between them.

      Methods

      Applying multiple correspondence analysis and agglomerative hierarchical cluster analysis to data from a 2014 cross-sectional survey of a national sample of GPs, we constructed a typology based on the patterns of associations between GPs' vaccine recommendations to their patients and practices to their own children's vaccinations.

      Results

      This study includes the 1038 GPs who reported that they had at least one child aged 2–25 years. Nearly half (47%, 482/1021) reported that all of their children were vaccinated against hepatitis B but that they did not always recommend that vaccine to patients; the same discordance was observed among 36% (369/1027) for the measles–mumps–rubella vaccine, 19% (194/1013) to 28% (290/1019) for routine and catch-up meningococcal C vaccination, and 27% (136/496) for the human papillomavirus vaccine. Cluster analysis showed that 37% (95% CI 33%–39%) of GPs reported an above-average rate of systematic vaccine recommendations for their patients, and most reported that all their children were vaccinated (low level of discordance), whereas 60% (95% CI 58%–64%) had a high level of discordance, that is, most reported that their children were vaccinated, but did not always recommend the same vaccines to their patients.

      Conclusions

      Many GPs do not report the same attitude concerning the vaccination of their children and their patients. The reasons underlying these discrepancies, possibly including vaccine hesitancy, should be investigated.

      Keywords

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