tetano
Editor, Senior Moderator
Am J Prev Med. 2019 Mar;56(3):429-436. doi: 10.1016/j.amepre.2018.10.025.
[h=1]Vaccination Practices Among Obstetrician/Gynecologists for Non-pregnant Patients.[/h] O'Leary ST[SUP]1[/SUP], Riley LE[SUP]2[/SUP], Lindley MC[SUP]3[/SUP], Allison MA[SUP]4[/SUP], Crane LA[SUP]5[/SUP], Hurley LP[SUP]6[/SUP], Beaty BL[SUP]7[/SUP], Brtnikova M[SUP]4[/SUP], Collins M[SUP]7[/SUP], Albert AP[SUP]3[/SUP], Fisher AK[SUP]3[/SUP], Jiles AJ[SUP]3[/SUP], Kempe A[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]INTRODUCTION:[/h] Many non-pregnant women see obstetrician-gynecologists as their sole source of medical care, yet little is known about vaccination practices of obstetrician-gynecologists for non-pregnant patients. The objectives were to assess, among a national sample of obstetrician-gynecologists, practices related to vaccine delivery in non-pregnant patients and factors associated with stocking and administering more than three different vaccines to non-pregnant patients.
[h=4]METHODS:[/h] E-mail and mail surveys were administered July-October 2015, with analyses performed during October-November 2015 and April-June 2018.
[h=4]RESULTS:[/h] The response rate was 73% (353/482). Human papillomavirus (92%); influenza (82%); and tetanus, diphtheria, acellular pertussis vaccines (50%) were the vaccines most commonly assessed, with the remaining vaccines assessed by <40% of respondents. Vaccines most commonly administered by obstetrician-gynecologists to non-pregnant patients included human papillomavirus (81%); influenza (70%); and tetanus, diphtheria, acellular pertussis (54%). The remaining vaccines were administered by <30% of obstetrician-gynecologists. Factors associated with routinely administering more than three vaccines to non-pregnant patients included working in a hospital-, public health-, or university-associated clinic (RR=1.87, 95% CI=1.35, 2.58, referent to private practice); a larger practice (more than five providers; RR=1.54, 95% CI=1.05, 2.27); perceiving fewer financial barriers (RR=0.74, 95% CI=0.57, 0.96); fewer practice-associated barriers (RR=0.71, 95% CI=0.55, 0.92); and greater patient barriers (RR=1.62, 95% CI=1.33, 1.98).
[h=4]CONCLUSIONS:[/h] Human papillomavirus; influenza; and tetanus, diphtheria, acellular pertussis vaccines are the only vaccines routinely assessed and administered to non-pregnant patients by most obstetrician-gynecologists. Given their role as the sole source of care for many women, obstetrician-gynecologists could make a positive impact on the vaccination status of their non-pregnant patients.
Copyright ? 2018 American Journal of Preventive Medicine. All rights reserved.
PMID: 30777161 PMCID: PMC6383792 [Available on 2020-03-01] DOI: 10.1016/j.amepre.2018.10.025
[h=1]Vaccination Practices Among Obstetrician/Gynecologists for Non-pregnant Patients.[/h] O'Leary ST[SUP]1[/SUP], Riley LE[SUP]2[/SUP], Lindley MC[SUP]3[/SUP], Allison MA[SUP]4[/SUP], Crane LA[SUP]5[/SUP], Hurley LP[SUP]6[/SUP], Beaty BL[SUP]7[/SUP], Brtnikova M[SUP]4[/SUP], Collins M[SUP]7[/SUP], Albert AP[SUP]3[/SUP], Fisher AK[SUP]3[/SUP], Jiles AJ[SUP]3[/SUP], Kempe A[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]INTRODUCTION:[/h] Many non-pregnant women see obstetrician-gynecologists as their sole source of medical care, yet little is known about vaccination practices of obstetrician-gynecologists for non-pregnant patients. The objectives were to assess, among a national sample of obstetrician-gynecologists, practices related to vaccine delivery in non-pregnant patients and factors associated with stocking and administering more than three different vaccines to non-pregnant patients.
[h=4]METHODS:[/h] E-mail and mail surveys were administered July-October 2015, with analyses performed during October-November 2015 and April-June 2018.
[h=4]RESULTS:[/h] The response rate was 73% (353/482). Human papillomavirus (92%); influenza (82%); and tetanus, diphtheria, acellular pertussis vaccines (50%) were the vaccines most commonly assessed, with the remaining vaccines assessed by <40% of respondents. Vaccines most commonly administered by obstetrician-gynecologists to non-pregnant patients included human papillomavirus (81%); influenza (70%); and tetanus, diphtheria, acellular pertussis (54%). The remaining vaccines were administered by <30% of obstetrician-gynecologists. Factors associated with routinely administering more than three vaccines to non-pregnant patients included working in a hospital-, public health-, or university-associated clinic (RR=1.87, 95% CI=1.35, 2.58, referent to private practice); a larger practice (more than five providers; RR=1.54, 95% CI=1.05, 2.27); perceiving fewer financial barriers (RR=0.74, 95% CI=0.57, 0.96); fewer practice-associated barriers (RR=0.71, 95% CI=0.55, 0.92); and greater patient barriers (RR=1.62, 95% CI=1.33, 1.98).
[h=4]CONCLUSIONS:[/h] Human papillomavirus; influenza; and tetanus, diphtheria, acellular pertussis vaccines are the only vaccines routinely assessed and administered to non-pregnant patients by most obstetrician-gynecologists. Given their role as the sole source of care for many women, obstetrician-gynecologists could make a positive impact on the vaccination status of their non-pregnant patients.
Copyright ? 2018 American Journal of Preventive Medicine. All rights reserved.
PMID: 30777161 PMCID: PMC6383792 [Available on 2020-03-01] DOI: 10.1016/j.amepre.2018.10.025