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Differences in PCV13 Recommendation Practices between Pediatric Care Providers and Primary Care Providers in China: A
Yuan Dang1, Lin Wang2, Yuming Liu1
1School of Public Health, Peking University, Beijing 100191, China.
Insights
Healthcare workers
Area of Science:
- Public Health
- Vaccinology
- Health Services Research
Background:
- The 13-valent Pneumococcal Conjugate Vaccine (PCV13) is crucial for preventing pneumococcal disease.
- Understanding healthcare workers' (HCWs) recommendation behaviors for PCV13 is vital for improving vaccination rates.
- Chinese healthcare workers, including pediatric and primary care providers, were surveyed on PCV13 recommendations.
Purpose of the Study:
- To examine PCV13 recommendation behaviors among Chinese HCWs.
- To identify factors influencing PCV13 recommendations by pediatric care providers (Peds-PCPs) and primary care providers (PCPs).
Main Methods:
- A national cross-sectional survey was conducted from May to July 2023.
- Structured questionnaires collected data from 3579 HCWs (1775 Peds-PCPs, 1804 PCPs).
- Data were analyzed using descriptive statistics, chi-square tests, Wilcoxon rank-sum tests, and multivariate logistic regression.
Main Results:
- PCPs were more likely to recommend PCV13 than Peds-PCPs, who showed vaccine hesitancy.
- Factors positively influencing HCWs' PCV13 recommendations included higher influenza vaccination intention, salary, consultation frequency, immunization familiarity, work ethic, and flexible schedules.
- Specific factors for Peds-PCPs included vaccine training, safety recognition, concern over rejection, and vaccine cost.
- For PCPs, influencing factors were perceived child susceptibility to pneumonia, herd immunity acceptance, and belief in parental acceptance based on socioeconomic status.
Conclusions:
- Tailored interventions are needed to address differing perceptions and enhance vaccine confidence among HCWs.
- Specific strategies should target Peds-PCPs to overcome hesitancy and improve PCV13 recommendations.
- Enhancing HCWs' confidence in vaccine safety and efficacy is crucial for public health.
Abstract:
Objectives: This study examines the recommendation behaviors and influencing factors for the 13-valent Pneumococcal Conjugate Vaccine (PCV13) among 3579 Chinese healthcare workers (HCWs), including 1775 pediatric care providers (Peds-PCPs) and 1804 primary care providers (PCPs). Data were collected from May to July 2023 through a national cross-sectional survey using a structured questionnaire, distributed across hospitals providing pediatric services in five provincial-level administrative divisions. Methods: The sociodemographic data, vaccine knowledge, and recommendation practices were analyzed using Pearson's chi-square test, Wilcoxson rank-sum test, and multivariate logistic regression. Results show that while PCPs are more likely to recommend PCV13, vaccine hesitancy persists among Peds-PCPs. Logistic regression revealed that higher influenza vaccination intention, salary, vaccine consultation frequency, familiarity with immunization, work ethic, and flexible schedules positively impacted HCWs' recommendation behavior. Results: Factors influencing Peds-PCPs' recommendations include vaccine training (OR: 1.470, CI: 1.049-2.509), safety recognition (OR: 1.986, CI: 1.163-3.391), concern over rejection (OR = 1.274, CI: 1.076-1.508) and vaccine cost (OR = 1.203, CI: 1.023-1.414). For PCPs, influencing factors were the perceived susceptibility of children to pneumonia (OR = 2.185, CI: 1.074-4.445), acceptance of herd immunity (OR: 1.717, CI: 1.101-2.677), and belief that parents with better family conditions are more likely to accept vaccine recommendations (OR = 1.229, CI: 1.024-1.477). Conclusion: This survey underscores the need for tailored interventions to address differing perceptions and enhance confidence in the safety and efficacy of vaccines among HCWs, particularly Peds-PCPs.
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