Cross-sectional survey: Risk-averse French ...
Type de document :
Compte-rendu et recension critique d'ouvrage
PMID :
Titre :
Cross-sectional survey: Risk-averse French general practitioners are more favorable toward influenza vaccination
Auteur(s) :
Massin, Sophie [Auteur]
Université d'Artois [UA]
Lille économie management - UMR 9221 [LEM]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
Ventelou, Bruno [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
ORS PACA
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
Nebout-Javal, Antoine [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
Verger, Pierre [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
ORS PACA
Pulcini, Céline [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]
Université de Lorraine [UL]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
Université d'Artois [UA]
Lille économie management - UMR 9221 [LEM]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
Ventelou, Bruno [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
ORS PACA
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
Nebout-Javal, Antoine [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
Verger, Pierre [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
ORS PACA
Pulcini, Céline [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]
Université de Lorraine [UL]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
Titre de la revue :
Vaccine
Pagination :
610-614
Éditeur :
Elsevier
Date de publication :
2015
ISSN :
0264-410X
Mot(s)-clé(s) en anglais :
Immunization
Pandemic influenza
Primary care
Risk aversion
Seasonal influenza
Vaccine
Pandemic influenza
Primary care
Risk aversion
Seasonal influenza
Vaccine
Discipline(s) HAL :
Sciences du Vivant [q-bio]/Santé publique et épidémiologie
Sciences du Vivant [q-bio]/Immunologie/Vaccinologie
Sciences de l'Homme et Société/Economies et finances
Sciences du Vivant [q-bio]/Immunologie/Vaccinologie
Sciences de l'Homme et Société/Economies et finances
Résumé en anglais : [en]
ObjectivesWe tested the following hypotheses: (i) risk-averse general practitioners (GPs) are more likely to be vaccinated against influenza; (ii) and risk-averse GPs recommend influenza vaccination more often to their ...
Lire la suite >ObjectivesWe tested the following hypotheses: (i) risk-averse general practitioners (GPs) are more likely to be vaccinated against influenza; (ii) and risk-averse GPs recommend influenza vaccination more often to their patients. In risk-averse GPs, the perceived benefits of the vaccine and/or the perceived risks of the infectious disease might indeed outweigh the perceived risks of the vaccine.Patients/MethodsIn 2010–2012, we conducted a cross-sectional survey of a nationwide French representative sample of 1136 GPs. Multivariate analyses adjusted for four stratification variables (age, gender, urban/suburban/rural practice location and annual patient consultations) and for GPs’ characteristics (group/solo practice, and occasional practice of alternative medicine, e.g., homeopathy) looked for associations between their risk attitudes and self-reported vaccination behavior. Individual risk attitudes were expressed as a continuous variable, from 0 (risk-tolerant) to 10 (risk-averse).ResultsOverall, 69% of GPs reported that they were very favorable toward vaccination in general. Self-reported vaccination coverage was 78% for 2009/2010 seasonal influenza and 62% for A/H1N1 pandemic influenza. Most GPs (72%) reported recommending the pandemic influenza vaccination to at-risk young adults in 2009, but few than half (42%) to young adults not at risk. In multivariate analyses, risk-averse GPs were more often vaccinated against seasonal (marginal effect = 1.3%, P = 0.02) and pandemic influenza (marginal effect = 1.5%, P = 0.02). Risk-averse GPs recommended the pandemic influenza vaccination more often than their more risk-tolerant colleagues to patients without risk factors (marginal effect = 1.7%, P = 0.01), but not to their at-risk patients and were more favorable toward vaccination in general (marginal effect = 1.5%, P = 0.04).ConclusionIndividual risk attitudes may influence GPs’ practices regarding influenza vaccination, both for themselves and their patients. Our results suggest that risk-averse GPs may perceive the risks of influenza to outweigh the potential risks related to the vaccine.Lire moins >
Lire la suite >ObjectivesWe tested the following hypotheses: (i) risk-averse general practitioners (GPs) are more likely to be vaccinated against influenza; (ii) and risk-averse GPs recommend influenza vaccination more often to their patients. In risk-averse GPs, the perceived benefits of the vaccine and/or the perceived risks of the infectious disease might indeed outweigh the perceived risks of the vaccine.Patients/MethodsIn 2010–2012, we conducted a cross-sectional survey of a nationwide French representative sample of 1136 GPs. Multivariate analyses adjusted for four stratification variables (age, gender, urban/suburban/rural practice location and annual patient consultations) and for GPs’ characteristics (group/solo practice, and occasional practice of alternative medicine, e.g., homeopathy) looked for associations between their risk attitudes and self-reported vaccination behavior. Individual risk attitudes were expressed as a continuous variable, from 0 (risk-tolerant) to 10 (risk-averse).ResultsOverall, 69% of GPs reported that they were very favorable toward vaccination in general. Self-reported vaccination coverage was 78% for 2009/2010 seasonal influenza and 62% for A/H1N1 pandemic influenza. Most GPs (72%) reported recommending the pandemic influenza vaccination to at-risk young adults in 2009, but few than half (42%) to young adults not at risk. In multivariate analyses, risk-averse GPs were more often vaccinated against seasonal (marginal effect = 1.3%, P = 0.02) and pandemic influenza (marginal effect = 1.5%, P = 0.02). Risk-averse GPs recommended the pandemic influenza vaccination more often than their more risk-tolerant colleagues to patients without risk factors (marginal effect = 1.7%, P = 0.01), but not to their at-risk patients and were more favorable toward vaccination in general (marginal effect = 1.5%, P = 0.04).ConclusionIndividual risk attitudes may influence GPs’ practices regarding influenza vaccination, both for themselves and their patients. Our results suggest that risk-averse GPs may perceive the risks of influenza to outweigh the potential risks related to the vaccine.Lire moins >
Langue :
Anglais
Vulgarisation :
Non
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