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Table 3 Associations between HCWs’ beliefs and their intentions to vaccinate in cross-sectional studies

From: Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic review

Authors

Setting

Study population/response rate

Determinant (belief)

Intention to vaccinate

Measure of association

Adjustments

Zimmerman et al. (2002) [22]

USA

281/72,4% general practitioners, family practice, pediatricians

Perception of: A) Efficacy of the vaccine. yes vs no

Would recommend vaccination

A) To children 12–18 months: 85% vs 70% (p < 0.05)

1A, 1C, 1D, 3E, 1F

To children 4–6 years: 85% vs 80% (p < 0.05)

To children 11–12 years: 86% vs 83% (p > 0.05)

B) Storing the vaccine being a major problem. Yes vs no

B) To children 12-18m: 62% vs 86% (p < 0.05) To Children 4–6 years: 73% vs 85% (p > 0.05) To children 11–12 years: 76% vs 87% (p > 0.05)

Schupfner et al. (2002) [20]

Germany

97/73% pediatricians

Belief that: A) Official vaccination recommendations are influenced by the industry

Reported vaccine coverage rate

A) 60% of those reporting high coverage rate (>80%). 46% of those with low coverage rate (<80%). p > 0.05

2C, 4D, 4E

B) Behavior in vaccination is mostly conditioned by physician's beliefs

B) 66% of those with high coverage and 59% of those with low coverage. p > 0.05

Davis et al. (2003) [23]

USA

694/60% family physicians

Believe the new 7-valent pneumococcal vaccine will effectively prevent meningitis

Reported habit of recommending the vaccine

OR 1.86 (95% CI 0.93, 3.73) p > 0.05

4E, 1F

Milledge et al. (2003) [24]

Australia

160/67% general practitioners

Agreement that the following are a deterrent to vaccination: A) Cost- to- parent

Would recommend universal varicella vaccination

A) OR 1.54 (95% CI:0.70-3.38) p > 0.05

1B, 1C, 7E, 2F

B) Another needle

B) OR 0.79 (0.33–1.49) p > 0.05

Jungbauer-Gans et al. (2003) [25]

Germany

136/71% family physicians and pediatricians

Training in alternative medicine

Reported habit of recommending full vaccination

With training 63%, without training 78%. p > 0.05 for the difference

None

  

94/71% family physicians and pediatricians

Training in alternative medicine

Record linked vaccine coverage

Beta: -0,121 (p < 0.05)

None

Wilson et al. (2004) [26]

Canada

312/59,4% naturopathic students

Belief that: A) Vaccines are beneficial

Willingness to advise full vaccination

A) OR: 16.4 (95% CI 5.15–73.6) p < 0.05

1D, 5E

B) Vaccines are risky

B) OR: 0.30 ( 0.11–0.74) p < 0.05

Russell et al. (2004) [27]

Canada

503/78,2% chiropractors

Belief that: A) Vaccines are safe and efficacious

Reported habit of recommending vaccination

A) OR 25.2 [95% CI 8.7-72.7] p < 0.05

2D, 4E

B) Social orientation of heath

B) OR 2.9 [95% CI 1.7-5.1] p < 0.05

C) Broad view of chiropractic practice

C) OR 0.6 [95% CI 0.3-1.1] p > 0.05

D) People are informed

D) OR 1.5 [IC95 % 0.9–2.5] p > 0.05

E) Chiropractors should recommend vaccination

E) OR 0.9 [IC95 % 0.5–1.4] p > 0.05

 
   

F) I believe in physicians who think I should recommend vaccination

 

F) OR 1.5 [IC95 % 1.0–2.4] p > 0.05