Practices and Attitudes of Michigan-Based Occupational Physicians Regarding Adult Immunization

Kirupakaran, Johnathan; Meloche, Chelsea; Upfal, Mark

doi:10.1097/jom.0000000000001420

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…Until recently, despite the underlying legal framework, and the substantial burden represented by pathogens such as HBV, HCV, and HIV, the formal education and the medical training of Italian OPs have often prioritized other topics (e.g., work-related musculoskeletal diseases, occupational pulmonary diseases, occupational neoplasia) over biological risk [15,37,39,68]. In other words, despite their professional role, scientific background, and medical training, not only may OPs fail to overcome the gaps between official recommendations and vaccine objectors [1,2,7,67,69], but their knowledge gaps could even lead to a certain degree of vaccine hesitancy [2,6,7,53,59].…”

Section: Discussionmentioning

confidence: 99%

Vaccine Hesitancy in Women of Childbearing Age and Occupational Physicians: Results from a Cross-Sectional Study (Italy, 2022)

Riccò

Baldassarre

Cerviere

et al. 2023

Women

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Italian occupational physicians (OPs) are instrumental in promoting vaccination practice in occupational settings, and this study aims to characterize their attitudes, knowledge, and practices (collectively, KAP) towards immunization practice in women of childbearing age. A convenience sample of 120 OPs (50.8% males, mean age of 48.2 ± 5.9 years old) completed a structured online questionnaire (potential recipients: 2034; response rate: 5.9%) assessing their understanding of official recommendations, their general knowledge of vaccine practice, their attitudes towards vaccines, and their risk perception about vaccine-preventable infectious diseases. The sampled OPs exhibited a good understanding of official recommendations, and they were largely favorable towards vaccination of pregnant women. Knowledge status was relatively good (potential range 0 to 100%, average score 22 74.5% ± 18.2), while risk perception towards sampled disorders was heterogenous: the greatest was the one for SARS-CoV-2 (52.7% ± 32.9), followed by seasonal influenza (45.3% ± 31.6), and pertussis (37.8% 24 ± 28.2). The main predictors for promoting vaccination were higher knowledge about seasonal influenza vaccine (SIV; adjusted Odds Ratio [aOR] 102.2, 95% Confidence Interval [95%CI] 9.68–1080.26), tetanus-diphtheria-acellular pertussis vaccine (Tdap; aOR 12.34, 95%CI 2.62; 58.22) 27 and SARS-CoV-2 vaccine (aOR 14.76, 95%CI 2.74–79.69). A better attitude towards SIV was positively associated with previous vaccination of the respondent (aOR 4.90, 95%CI 1.19–20.14), while higher risk perception towards SIV was characterized as a negative predictor (aOR 0.04, 95%CI 0.01–0.35), as was working as an OP in healthcare facilities (aOR 0.03, 95%CI 0.01–0.43). Tdap was positively associated with male gender of respondents (aOR 10.22, 95%CI 2.60 to 40.24) and higher risk perception about pertussis (aOR 10.38, 95%CI 1.47 to 73.47). Overall, our data suggest that improving the understanding of OPs about the health burden of frequently encountered pathogens could be instrumental in increasing their involvement in the promotion of vaccine practice. Because of the low rate of response to our survey, our conclusions remain tentative.

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Section: Discussionmentioning

confidence: 99%

Vaccine Hesitancy in Women of Childbearing Age and Occupational Physicians: Results from a Cross-Sectional Study (Italy, 2022)

Riccò

Baldassarre

Cerviere

et al. 2023

Women

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“…Another explanation of the participation of OPs in the preventive measures for LD may be found in the relatively low estimates for risk perception. The very low share of participants acknowledging the high frequency of LD in occupational settings not only reasonably reflects the common knowledge framework on LD [ 20 ], but could represent a potential consequence of the information otherwise conveyed by new and conventional media, a particularly critical issue when dealing with the knowledge status and risk perception of OPs [ 58 , 64 , 66 , 67 , 68 , 69 , 70 ]. Legionella infections have repetitively evoked both media and public interest, which in turn has resulted in high pressure on medical professionals.…”

Section: Discussionmentioning

confidence: 99%

“…The first has been defined as a self-limiting febrile flu-like syndrome, while LD is a severe pneumonia that can be complicated by significant extra-pulmonary manifestations, such as renal failure or pericarditis [2,3]. To date, genus Legionella encompasses a total of 60 species and almost 2 of 27 70 distinct serogroups. Even though most human cases in western countries have been associated with the L. Pneumophila serogroup 1 (Lp1) [4], the share of cases associated with the non-Lp1 serogroup has recently increased [1][2][3]5,6], especially in Australia and New Zealand [7].…”

Section: Introductionmentioning

confidence: 99%

Legionnaires’ Disease in Occupational Settings: A Cross-Sectional Study from Northeastern Italy (2019)

Riccò,

Ferraro,

Ranzieri

et al. 2023

TropicalMed

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In Italy, Legionnaires’ Disease (LD) causes >1000 hospital admissions per year, with a lethality rate of 5 to 10%. Occupational exposures could reasonably explain a substantial share of total cases, but the role of Occupational Physicians (OPs) in management and prevention of LD has been scarcely investigated. The present survey therefore evaluates the knowledge, attitudes and practices (KAP) regarding LD from a convenience sample of Italian OPs, focusing on their participation in preventive interventions. A total of 165 OPs were recruited through a training event (Parma, Northeastern Italy, 2019), and completed a specifically designed structured questionnaire. The association between reported participation in preventive interventions and individual factors was analyzed using a binary logistic regression model, calculating corresponding multivariable Odds Ratio (aOR). Overall, participants exhibited satisfactory knowledge of the clinical and diagnostic aspects of LD, while substantial uncertainties were associated epidemiological factors (i.e., notification rate and lethality). Although the majority of participating OPs reportedly assisted at least one hospital (26.7%) and/or a nursing home (42.4%) and/or a wastewater treatment plant, only 41.8% reportedly contributed to the risk assessment for LD and 18.8% promoted specifically designed preventive measures. Working as OPs in nursing homes (aOR 8.732; 95% Confidence Intervals [95%CI] 2.991 to 25.487) and wastewater treatment plants (aOR 8.710; 95%CI 2.844 to 26.668) was associated with participation in the risk assessment for LD, while the promotion of preventive practice was associated with working as an OP in hospitals (aOR 6.792; 95%CI 2.026 to 22.764) and wastewater treatment plants (aOR 4.464, 95%CI 1.363 to 14.619). In other words, the effective participation of the OP in the implementation of preventive measures appears uncommon and is limited to certain occupational settings. Collectively, these results highlight the importance of tailoring specifically designed information campaigns aimed to raise the involvement of OPs in the prevention of LD in occupational settings other than healthcare.

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“…Pek çok konuda olduğu gibi aşılama konusunda da sağlık çalışanlarının bilgi ve bilinç düzeyi toplum sağlığı açısından oldukça önemlidir. Yapılan çalışmalar, sağlık çalışanlarının tetanoz aşısı da dahil olmak üzere aşılama üzerinde kritik bir rol oynadığını göstermiştir (7)(8)(9). Sağlık çalışanlarındaki aşılamaya yönelik olumlu bilgi, tutum ve uygulamalar toplumda daha yüksek bir aşılama oranına katkı sağlayabilmektedir.…”

Section: Gi̇ri̇ş Gi̇ri̇şunclassified

Sağlık Hizmetleri Meslek Yüksekokulu Öğrencilerinin Tetanoz Aşısı Hakkında Bilgi Düzeyleri, Tutumları ve Aşılanma Oranlarının İncelenmesi

URKMEZ>¹,

MIZRAKÇI

Alkan

et al. 2023

SBGY

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Amaç: Tetanoz; Clostridium tetani’nin neden olduğu sinir sistemi tutulumu ile seyreden, akut başlayan ve mortal olabilen bir hastalıktır. Her ne kadar tedavi seçenekleri kısıtlı olsa da aşı ile önlenebilir bir hastalık olması açısından oldukça önemlidir. Pek çok konuda olduğu gibi aşılama konusunda da sağlık çalışanlarının bilgi ve bilinç düzeyi toplum sağlığı açısından oldukça önemlidir ve aşılama üzerine kritik bir rol oynamaktadır. Bu araştırmada; Sağlık Hizmetleri Meslek Yüksekokulu (SHMYO) öğrencilerinin, tetanoz aşılaması hakkındaki bilgi, tutum ve davranışlarının, aşılanma oranlarının incelenmesi amaçlanmıştır. Gereç ve Yöntem: İnternet ortamında anket formu oluşturularak ve SHMYO öğrencilerine online olarak iletilmiştir. Çalışmaya ait veriler 1 Nisan 2022- 1 Haziran 2022 tarihleri arasında toplanmıştır. Bulgular: Çalışmaya 606 katılımcı dahil edilmiş olup bunların neredeyse tamamı 1. ve 2. sınıf öğrencilerinden oluşmuştur. Katılımcıların 263’ü (%43,4) erişkin dönemde tetanoz aşısının hatırlatma dozunun yapılması gerektiğini bildirmiştir. 236 katılımcı (%39) ise kendisine son 10 sene içinde tetanoz aşısı yapıldığını beyan etmiştir. Katılımcıların 411’i (%67,8) tetanozun ölümle seyredebilen bir hastalık olduğu yönünde fikir belirtmiş olup 208 katılımcı (%34,3) gebelere tetanoz aşısının yapılması gerektiğini söylemiştir. Sonuç: Tetanoz aşı ile önlenebilen bir hastalık olup sağlık çalışanlarının bilgi düzeyi ve farkındalığı, doğrudan ve dolaylı olarak toplum sağlığına da yön vermektedir. Özellikle aşı ile önlenebilen hastalıklara, sağlık personelinin öğrencilik eğitiminden itibaren önem verilmesinde ve bu konuda farkındalıklarının artırılmasında fayda vardır.

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Practices and Attitudes of Michigan-Based Occupational Physicians Regarding Adult Immunization

Abstract: Occupational physicians frequently recommend influenza, tetanus, and hepatitis B vaccines when indicated, but are less likely to order other vaccines for patients. Promotion of a more comprehensive assessment of immunity needs in the workplace may improve national vaccine coverage.

Cited by 6 publications

References 24 publications

Vaccine Hesitancy in Women of Childbearing Age and Occupational Physicians: Results from a Cross-Sectional Study (Italy, 2022)

Vaccine Hesitancy in Women of Childbearing Age and Occupational Physicians: Results from a Cross-Sectional Study (Italy, 2022)

Legionnaires’ Disease in Occupational Settings: A Cross-Sectional Study from Northeastern Italy (2019)

Sağlık Hizmetleri Meslek Yüksekokulu Öğrencilerinin Tetanoz Aşısı Hakkında Bilgi Düzeyleri, Tutumları ve Aşılanma Oranlarının İncelenmesi

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