Southeastern French nurses report high vaccine hesitancy, low uptake for both mandatory, recommended vaccines

  • Wilson R & al.
  • Vaccine
  • 3 dic. 2019

  • de Liz Scherer
  • Clinical Essentials
El acceso al contenido completo es sólo para profesionales sanitarios registrados. El acceso al contenido completo es sólo para profesionales sanitarios registrados.

Takeaway

  • Nurses in southeastern France possess high levels of vaccine hesitancy (VH), low levels of vaccine uptake. 

Why this matters

  • Nurses are frequently point-of-contact for patients most vulnerable to vaccine-preventable diseases.

  • Greater reliance on nurses is expected as physician per population ratio declines.

Key results

  • 85% response rate; 1539 respondents (400 community, 1139 hospital); mean age, 43 years.

  • Mandatory vaccines: 96.3% (1472) received Bacillus Calmette-Guėrin (BCG; P=.05), 73.1% (1111) diphtheria-tetanus-polio booster (P<.0001>>3 doses hepatitis B (P<.0001>

  • Recommended: 57.5% (918) pertussis (P<.0001 measles varicella influenza>

  • VH prevalence=46.7% vs 34.8%, hospital vs community, respectively (P<.0001 increasing with risk perception score declining higher ministry of health trust>.05 all).

  • Only 26% often/always discussed risk/benefits with patients (P<.001>

Study design

  • Cross-sectional questionnaire survey assessing behavior, vaccination attitudes, uptake, among hospital/community nurses practicing in southeastern France, 2017-2018.

  • Funding: French National Research Agency.

Limitations

  • Limited generalizability. 

  • Self-report bias.

  • Social desirability bias.