Influenza and pneumococcal immunization in the elderly: knowledge, attitudes, and practices among general practitioners in Italy

Pavia, Maria; Foresta, Maria Rita; Carbone, Vincenzo; Angelillo, Italo Francesco

doi:10.1016/s0033-3506(03)00066-0

Cited by 38 publications

(24 citation statements)

References 9 publications

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“…The high rates of recommendation of influenza vaccination may reflect a positive attitude of PCPs, and are in accordance with findings of a previous study conducted by some of us in the same area, that indicated positive knowledge, attitudes and behaviours on vaccinations in the elderly in a large majority of PCPs [51]. …”

Section: Discussionsupporting

confidence: 90%

“…The reasons for the observed demographic disparities are complex and vary according to outcomes. For instance, age-difference may be attributable to the awareness that the elderly are more susceptible to flu or pneumococcal disease [51] and hypertension [25], whereas early diagnosis of breast cancer has an attributable best benefit for younger groups [29]. Gender-related differences for screening for drinking problems may relate to perceived differences in alcohol intake between males and females [59] while colon cancer screening may reflect the preference among women to avoid invasive tests [58].…”

Section: Discussionmentioning

confidence: 99%

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The quality of preventive health care delivered to adults: results from a cross-sectional study in Southern Italy

et al. 2010

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BackgroundIt is assumed that providing clinical preventive services to patients can identify or detect early important causes of adult mortality. The aim of this study was to quantify access to preventive services in Southern Italy and to assess whether and how the provision of preventive care was influenced by any specific characteristics of patients.MethodsIn a cross-sectional study adults aged 18 years and over attending primary care physician (PCP) offices located in Southern Italy were interviewed from June through December 2007. Quality indicators of preventive health care developed from RAND's Quality Assessment Tools and Behavioral Risk Factor Surveillance System (BRFSS) were used. Multivariate analysis was performed to identify and to assess the role of patients' characteristics on delivery of clinical preventive services.ResultsA total of 1467 subjects participated in the study. Excepting blood pressure preventive check (delivered to 64.4% of eligible subjects) and influenza vaccination (recommended to 90.2% of elderly), the rates of delivery of clinical preventive services were low across all measures, particularly for screening and counseling on health habits. Rates for providing cancer screening tests at recommended times were 21.3% for colonoscopy, 51.5% for mammography and 52.4% for Pap smear. Statistical analysis showed clear disparities in the provision of clinical preventive services associated with age, gender, education level, perceived health status, current health conditions and primary care access measures.ConclusionsThere is overwhelming need to develop and implement effective interventions to improve delivery of routine clinical preventive services.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

The quality of preventive health care delivered to adults: results from a cross-sectional study in Southern Italy

et al. 2010

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“…It is well known that unfounded rumors and misinformation, in particular, may severely impede immunization efforts, 7 and healthcare professionals, properly trained, should handle the communication of evidence-based information to the public. 30 Indeed, earlier published findings from 2 previous studies conducted by some of us in similar arenas of argument, have reported significant associations between correct knowledge, positive attitudes and appropriate behaviors on vaccinations in the elderly in a large majority of physicians, 31 that was also associated with high recommendation of influenza vaccination to older patients attending primary care physicians. 32 The prime opportunities to increase adolescent vaccination rates will be in assessing systemic and structural barriers that retard the implementation of effective ways to encourage health care professionals to offer routine but strong recommendations for all adolescent platform vaccines.…”

Section: Discussionmentioning

confidence: 83%

Vaccination against Human Papilloma Virus infection in male adolescents: Knowledge, attitudes, and acceptability among parents in Italy

Bianco¹,

Pileggi²,

Iozzo

et al. 2014

Human Vaccines & Immunotherapeutics

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Objectives: To elicit information about parents' knowledge, attitudes, and acceptability toward HPV infection and vaccination of male adolescents in Italy; to identify subgroups of this population who exhibit poor knowledge about prevention of HPV infection and reveal negative attitudes toward HPV vaccination in relation to their male sons.Study design: Data were collected via self-administered anonymous questionnaire from 1021 parents of males aged 10 to 14 y who were recruited from a random sample of public secondary schools in the South of Italy.Results: Three-quarters (72.6%) reported that the vaccine is a preventive measure for HPV infection and 55.8% that condom use reduces the risk of HPV infection. A high education level, abundant sources of information about HPV infection received from physicians, and knowledge about HPV infection were factors significantly associated with high level of knowledge about preventive measures for HPV infection. 71% revealed their intentions to vaccinate their sons, and this intention was significantly associated with perceived benefits both for HPV vaccination for girls and for childhood recommended vaccinations as well as a need for additional information about HPV vaccination. 53.7% of the eligible parents reported that their daughters had been vaccinated against HPV.Conclusion: Results of the study suggest that the risk of acquiring HPV infection and HPV-related diseases is sorely underestimated. Knowledge on the benefits of adolescents' HPV vaccination in cancer prevention in both sexes should be improved to maximize uptake of HPV vaccination.

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“…Several instruments for measuring knowledge and practices regarding immunizations have been developed in various countries at different times [20, 21, 25, 26], using these instruments and/or comparing these studies can provide interesting results but must be done with caution. Indeed, because many factors can influence parents’ knowledge, their attitudes and practices regarding immunization should be taken into account, such as their different socioeconomic characteristics, and the cultural and religious beliefs of different populations.…”

Section: Discussionmentioning

confidence: 99%

Immunization knowledge and practice among Malaysian parents: a questionnaire development and pilot-testing

et al. 2014

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BackgroundParents are the main decision makers for their children vaccinations. This fact makes parents’ immunization knowledge and practices as predictor factors for immunization uptake and timeliness. The aim of this pilot study was to develop a reliable and valid instrument in Malaysian language to measure immunization knowledge and practice (KP) of Malaysian parents.MethodsA cross-sectional prospective pilot survey was conducted among 88 Malaysian parents who attended public health facilities that provide vaccinations. Translated immunization KP questionnaires (Bahasa Melayu version) were used. Descriptive statistics were applied, face and content validity were assessed, and internal consistency, test-retest reliability, and construct validity were determined.ResultsThe mean ± standard deviation (SD) of the knowledge scores was 7.36 ± 2.29 and for practice scores was 7.13 ± 2.20. Good internal consistency was found for knowledge and practice items (Cronbach’s alpha = 0.757 and 0.743 respectively); the test-retest reliability value was 0.740 (p = 0.014). A panel of three specialist pharmacists who are experts in this field judged the face and content validity of the final questionnaire. Parents with up-to-date immunized children had significantly better knowledge and practice scores than parents who did not (p < 0.001 and p = 0.001 respectively), suggesting a good construct validity. A significant difference was found in knowledge and practice scores among parents’ age (p = 0.006 and p = 0.029 respectively) and place of living (p = 0.037 and p = 0.043). The parents’ knowledge level was positively associated with their practice toward immunization (Spearman’s rank correlation coefficient 0.310, p = 0.003).ConclusionsThe pilot study concluded that the Bahasa Melayu version of the immunization KP questionnaire has good reliability and validity for measuring the knowledge and practices of Malaysian parents and therefore this version can be used in future research.

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Influenza and pneumococcal immunization in the elderly: knowledge, attitudes, and practices among general practitioners in Italy

Cited by 38 publications

References 9 publications

The quality of preventive health care delivered to adults: results from a cross-sectional study in Southern Italy

The quality of preventive health care delivered to adults: results from a cross-sectional study in Southern Italy

Vaccination against Human Papilloma Virus infection in male adolescents: Knowledge, attitudes, and acceptability among parents in Italy

Immunization knowledge and practice among Malaysian parents: a questionnaire development and pilot-testing

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