Sistema de Salut de Catalunya
Institut Català de la Salut
[Elizondo-Alzola U] Barcelona Public Health Agency, Barcelona, Spain. Pompeu Fabra University, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Carrasco MG] Barcelona Public Health Agency, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Pinós L] Servei de Medicina Preventiva i Epidemiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Picchio CA] Barcelona Public Health Agency, Barcelona, Spain. Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain. [Rius C, Diez E] Barcelona Public Health Agency, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain. CIBER Epidemiology and Public Health (CIBERESP), Carlos III Institute, Madrid, Spain
Vall d'Hebron Barcelona Hospital Campus
2022-01-13T13:14:09Z
2022-01-13T13:14:09Z
2021-05-19
Vacunes; Infermeres; Pediatria
Vacunas; Enfermeras; Pediatría
Vaccines; Nurses; Pediatrics
Objective This study describes the prevalence of vaccine hesitancy associated with the Catalan systematic childhood vaccination calendar and some related psychosocial determinants among paediatric primary care nurses in Barcelona (Spain). Methods Cross-sectional descriptive study. In 2017 we invited the paediatric nurses (N = 165) working in Barcelona public primary health centres with paediatric departments (N = 41) to participate. They answered a questionnaire with sociodemographic and behavioural variables: severity and perceived probability of contracting the diseases of the vaccines in the vaccination schedule; safety and protection offered by each vaccine; and beliefs, social norms, and knowledge about vaccines. Outcome variable was vaccine hesitancy, dichotomized into not hesitant (nurses who would vaccinate their own offspring), and hesitant (including those who would not vaccinate them, those who had doubts and those who would delay the administration of one or more vaccines). We performed bivariate analysis and adjusted logistic regression models. Results 83% of paediatric nurses (N = 137) agreed to participate. 67.9% had the intention to vaccinate their children of all the vaccines in the systematic schedule. 32.1% of nurses experienced vaccine hesitancy, especially about the HPV (21.9%) and varicella (17.5%) vaccines. The multivariate analysis suggests associations between hesitancy and low perception of the severity of whooping cough (aOR: 3.88; 95%CI:1.32–11.4), low perception of safety of the HPV vaccine (aOR:8.5;95%CI:1.24–57.8), the belief that vaccines are administered too early (aOR:6.09;95%CI:1.98–18.8), and not having children (aOR:4.05;95%CI:1.22–13.3). Conclusions Although most paediatric nurses had the intention to vaccinate their own children, almost one-third reported some kind of vaccine hesitancy, mainly related to doubts about HPV and varicella vaccines, as well as some misconceptions. These factors should be addressed to enhance nurses’ fundamental role in promoting vaccination to families.
The authors received no specific funding for this work.
Article
Published version
English
Infermeria pediàtrica; Qüestionaris; Vacunació dels infants - Barcelona (Catalunya); NAMED GROUPS::Persons::Occupational Groups::Health Personnel::Nurses::Nurse Specialists::Nurses, Pediatric; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Biological Therapy::Immunomodulation::Immunotherapy::Immunization::Immunotherapy, Active::Vaccination; Barcelona; DENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitario::enfermeros::personal de enfermería especialista::personal de enfermería pediátrica; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapia biológica::inmunomodulación::inmunoterapia::inmunización::inmunoterapia activa::vacunación; Barcelona
Public Library of Science
PLoS One;16(5)
https://doi.org/10.1371/journal.pone.0251735
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
Articles científics - HVH [3437]
