Table 3

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

Herzog et al.

Herzog et al. BMC Public Health 2013 13:154   doi:10.1186/1471-2458-13-154

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