Page 92 - Preventing pertussis in early infancy - Visser

Chapter 6
Chapter 6
overview of the determinants identified is shown in Table 1. As the importance of organisational determinants is evident, we also include these in Table 1.
Table 1. Determinants of acceptance or intention to accept a pertussis vaccination among HCWs, including changeability and relevance of the determinants
Determinants Personal determinants
Age
Pregnancy
Higher education
Length of time employed in health sector
Nurse (vs physicians)
Discusses benefits/risks of vaccination with patients Working in paediatric or obstetric ward
Previous influenza vaccination3
Previous pertussis vaccination in childhood
Previous HBV/MMR vaccination
Behavioural determinants
Knowledge Attitude
Risk perception (of disease and adverse effects) General vaccination beliefs
Importance of following governmental advice Agreement with policy
Perceived efficacy for patients4
Perceived cost benefit relation
Perceived responsibility for patients Perceived responsibility for self and family
Perceived recommendation (local/national)
Social norm
Perceived capacity3
Anticipated negative affect regarding non-
acceptance
Anticipated negative affect regarding acceptance3 Decisional uncertainty
Changeability Relevance
++/+/0/-2 ++/+/0/-2
- 0
- 0
- 0 - 0
- +
- + - +
- ++ - 0
- 0
++ + ++ ++ ++ + ++ ++ 0 + 0 ++ ++ + + + +/0 + +/0 +
- +
0/- + + + + +
+ + + +
Evidence for relevance1
OR/ β (95% CI)/LR [references]/UPD2
LR (Guthmann et al. 2012, Pulcini et al. 2013, Lu et al. 2014) LR (Paranthaman et al. 2016)
LR (Lu et al. 2014)
LR (Tuckerman et al. 2015)
LR (Goins et al. 2007, Peadon et al. 2007, Lu et al. 2014)
LR (Pulcini et al. 2013) LR (Guthmann et al. 2012)
OR 5.08 (1.65-15.67) LR (Top et al. 2010, Paranthaman et al. 2016)
LR (Pulcini et al. 2013, Tuckerman et al. 2015)
LR (Top et al. 2010) OR 9.19 (3.80–22.23) β 0.12 (0.06–0.17)
β 0.30 (0.20–0.40)
β 0.15 (0.08–0.23)
β 0.22 (0.08–0.36)
β 0.08 (0.01–0.15)
β 0.16 (0.07–0.25)
β 0.15 (0.05–0.25)
LR (Goins et al. 2007, Mir et al. 2012, Vasilevska et al. 2014, Harrison et al. 2016, Paranthaman et al. 2016)
LR (Goins et al. 2007, Mir et al. 2012, Paranthaman et al. 2016)
OR 1.66 (1.01–2.75) OR 2.04 (1.18–3.51) OR 1.64 (1.02–2.63)
OR 0.28 (0.13–0.57) OR 0.42 (0.23–0.75)
p
.008
<.001 <.001 <.001 <.001 .002 .035 <.001 .004
.046 .011 .042
.001 .004
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