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.

Vaccines
|September 28, 2024
PubMed

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.

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