Meningococcal Disease and Related Vaccinations: Knowledge, Attitudes, and Practices among Healthcare Workers Who Provide Care to Patients with Underlying High-Risk Medical Conditions
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Survey Instrument
2.3. Statistical Analysis
3. Results
3.1. Study Population
3.2. Knowledge and Attitudes on Meningococcal Disease and Related Vaccinations
3.3. Behaviors Related to Meningococcal Disease and Related Vaccinations
3.4. Sources of Information
4. Discussion
4.1. Knowledge and Attitudes on Meningococcal Disease and Related Vaccinations
4.2. Behaviors Related to Meningococcal Disease and Related Vaccinations
4.3. Limitations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Characteristics | n ** | % |
---|---|---|
Gender | ||
Female | 233 | 57.2 |
Male | 174 | 42.8 |
Age, years | 47.4 ± 10.1 (25−70) * | |
<36 | 60 | 15.5 |
36–45 | 93 | 24 |
46–55 | 142 | 36.7 |
>55 | 92 | 23.8 |
Marital status | ||
Married/cohabitants | 262 | 63.7 |
Unmarried/separated/divorced/widowed | 149 | 36.3 |
Children | ||
No | 150 | 36.5 |
Yes | 261 | 63.5 |
Profession | ||
Nurses | 286 | 70.6 |
Physicians | 119 | 29.4 |
Length of practice in the present unit, years | 10.9 ± 9.9 (0−40) * | |
Ward | ||
Pediatric/neonatal | 84 | 20.8 |
Other | 320 | 79.2 |
Model 1. Good Knowledge about Meningococcal Disease and Related Vaccinations | OR | SE | 95% CI | p |
Log likelihood = -200.17; χ2 = 43.98 (8 df); p < 0.0001 | ||||
Profession | ||||
Nurses | 1 * | |||
Physicians | 2.1 | 0.56 | 1.24–3.54 | 0.005 |
Age (years) | ||||
<36 | 0.38 | 0.18 | 0.15–0.97 | 0.043 |
36–45 | 0.57 | 0.23 | 0.26–1.24 | 0.159 |
46–55 | 1.41 | 0.47 | 0.73–2.72 | 0.309 |
>55 * | 1 * | |||
Fewer years of practice in the present unit | 0.96 | 0.01 | 0.93–0.99 | 0.015 |
Need of additional information about meningococcal vaccinations | 2.8 | 1.03 | 1.37–5.75 | 0.005 |
Information from scientific journals, scientific activities or professional associations | 2.03 | 0.52 | 1.23–3.35 | 0.006 |
Being immunized against meningococcal disease | 1.71 | 0.48 | 0.98–2.97 | 0.058 |
Model 2. Belief that HCWs Should Promote Adherence to Recommended Vaccinations even in Hesitant Patients | OR | SE | 95% CI | p |
Log likelihood = −174.1; χ2 = 79.74 (8 df); p < 0.0001 | ||||
Working in pediatric/neonatal wards | 4.81 | 1.63 | 2.47–9.37 | <0.001 |
Fewer years of practice in the present unit | 0.96 | 0.01 | 0.93–0.99 | 0.008 |
Age (years) | ||||
<36 | Backward elimination | |||
36–45 | 0.4 | 0.14 | 0.2–0.8 | 0.010 |
46–55 | 0.44 | 0.14 | 0.24–0.81 | 0.009 |
>55 * | 1 * | |||
Being immunized against meningococcal disease | 3.03 | 0.93 | 1.65–5.53 | <0.001 |
No need of additional information about meningococcal vaccinations | 0.4 | 0.14 | 0.21–0.79 | 0.008 |
Profession | ||||
Nurses | 1 * | |||
Physicians | 1.66 | 0.49 | 0.93–2.96 | 0.086 |
Information from scientific journals, educational activities or professional associations | 1.28 | 0.35 | 0.75–2.19 | 0.367 |
Model 3. Having Recommended the Meningococcal Vaccinations to Patients with Underlying High-Risk Medical Conditions | OR | SE | 95% CI | p |
Log likelihood = −203.55; χ2 = 88.25 (8 df); p < 0.0001 | ||||
Working in pediatric/neonatal wards | 2.75 | 0.83 | 1.51–4.99 | 0.001 |
Age (years) | ||||
<36 | 0.59 | 0.21 | 0.29–1.2 | 0.144 |
36–45 | 0.5 | 0.16 | 0.27–0.93 | 0.030 |
46–55 | Backward elimination | |||
>55 * | 1 * | |||
Good knowledge about meningococcal disease and related vaccinations | 1.72 | 0.45 | 1.02–2.88 | 0.040 |
Belief that HCWs should promote adherence to recommended vaccinations even in hesitant patients | 4.04 | 1.08 | 2.39–6.83 | <0.001 |
No need of additional information about meningococcal vaccination | 0.47 | 0.14 | 0.26–0.85 | 0.013 |
Profession | ||||
Nurses | 1 * | |||
Physicians | 0.61 | 0.18 | 0.34–1.08 | 0.090 |
Gender | ||||
Male | 1 * | |||
Females | 1.32 | 0.34 | 0.8–2.2 | 0.276 |
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Di Giuseppe, G.; Pelullo, C.P.; Della Polla, G.; Pavia, M. Meningococcal Disease and Related Vaccinations: Knowledge, Attitudes, and Practices among Healthcare Workers Who Provide Care to Patients with Underlying High-Risk Medical Conditions. Vaccines 2020, 8, 543. https://doi.org/10.3390/vaccines8030543
Di Giuseppe G, Pelullo CP, Della Polla G, Pavia M. Meningococcal Disease and Related Vaccinations: Knowledge, Attitudes, and Practices among Healthcare Workers Who Provide Care to Patients with Underlying High-Risk Medical Conditions. Vaccines. 2020; 8(3):543. https://doi.org/10.3390/vaccines8030543
Chicago/Turabian StyleDi Giuseppe, Gabriella, Concetta P. Pelullo, Giorgia Della Polla, and Maria Pavia. 2020. "Meningococcal Disease and Related Vaccinations: Knowledge, Attitudes, and Practices among Healthcare Workers Who Provide Care to Patients with Underlying High-Risk Medical Conditions" Vaccines 8, no. 3: 543. https://doi.org/10.3390/vaccines8030543
APA StyleDi Giuseppe, G., Pelullo, C. P., Della Polla, G., & Pavia, M. (2020). Meningococcal Disease and Related Vaccinations: Knowledge, Attitudes, and Practices among Healthcare Workers Who Provide Care to Patients with Underlying High-Risk Medical Conditions. Vaccines, 8(3), 543. https://doi.org/10.3390/vaccines8030543