Vaccination adherence and level of knowledge: Is there a relationship?

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Abstract

BACKGROUND: Immunization coverage should be ≥95 to effectively protect the population from infectious diseases. From 2019 to 2021 global immunization coverage in the world has decreased from 86 to 81%, which is due to an increase in distrust of vaccination among both patients and medical personnel.

AIM: To assess the vaccination adherence of physicians, nurses, and other medical institutions staff and its impact on the likelihood of vaccination recommendations for patients.

MATERIALS AND METHODS: A convenient sample of employees of public and private clinics in Saint Petersburg (n = 465).

RESULTS: 80% of the study participants with higher medical education, 70% — with nurse education and 43.5% — without a medical background have a positive attitude towards vaccination. High knowledge level increases vaccination adherence. Doctors who vaccinate themselves according to the national immunization schedule are 17 times more likely to recommend vaccination to their patients.

CONCLUSIONS: Only 80% of the study participants with higher medical education, 70% — with nurse education and 43.5% — without a medical background have a positive attitude towards vaccination. The high level of knowledge of doctors about vaccination is the main factor that increases the likelihood of their recommendation of vaccination to patients.

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About the authors

Olga Yu. Kuznetsova

North-Western State Medical University named after I.I. Mechnikov

Email: olga.kuznetsova@szgmu.ru
ORCID iD: 0000-0002-2440-6959
SPIN-code: 7200-8861
Scopus Author ID: 24448739500
ResearcherId: O-4056-2014

MD, Dr. Sci. (Med.), Professor

Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015

Yuri S. Khalimov

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: yushkha@gmail.com
ORCID iD: 0000-0002-7755-7275
SPIN-code: 7315-6746

MD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg

Irina E. Moiseeva

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: irina.moiseeva@szgmu.ru
ORCID iD: 0000-0003-0236-7028
SPIN-code: 9030-7975
Scopus Author ID: 19836776500
ResearcherId: O-4125-2014

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015

Anna V. Turusheva

North-Western State Medical University named after I.I. Mechnikov

Email: anna.turusheva@gmail.com
ORCID iD: 0000-0003-3347-0984
SPIN-code: 9658-8074
Scopus Author ID: 57189466350
ResearcherId: U-3654-2017

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015

References

  1. Ten threats to global health in 2019 [Internet]. WHO. Available from: https://www.who.int/emergencies/ten-threats-toglobal-health-in-2019. Accessed: 24.06.2023.
  2. Immunization coverage [Internet]. WHO. Available from: https://www.who.int/news-room/fact-sheets/detail/. Accessed: 24.06.2023.
  3. Plakida AV, Briko NI, Namazova-Baranova LS, et al. Increasing population adherence to vaccination: evaluation and a systematic approach to implementation. Epidemiology and Vaccinal Prevention. 2022;21(3):4–26. (In Russ.) doi: 10.31631/2073-3046-2022-21-3-4-26
  4. Mats A. Information for physicians on the anti-vaccination movement and its myths in mass media. Pediatric pharmacology. 2009;6(6):12–35. (In Russ.)
  5. Briko NI, Mindlina AY, Galina NP, et al. Adherence to immunoprevention: how to change the situation? Fundamental and Clinical Medicine. 2019;4(4):8–18. (In Russ.) doi: 10.23946/2500-0764-2019-4-4-8-18
  6. Kaliuzhnaia TA. Fedoseenko MV, Namazova-Baranova LS, et al. Overcoming ‘anti-vaccination scepticism’: seeking a solution to the situation. Pediatric pharmacology. 2018;15(2):141–148. (In Russ.) doi: 10.15690/pf.v15i2.1871
  7. Weigel M, Weitmann K, Rautmann C, et al. Impact of physicians’ attitude to vaccination on local vaccination coverage for pertussis and measles in Germany. Eur J Public Health. 2014;24(6):1009–1016. doi: 10.1093/eurpub/cku013
  8. Jarrett C, Wilson R, O’Leary M, et al. Strategies for addressing vaccine hesitancy – A systematic review. Vaccine. 2015;33(34):4180–4190. doi: 10.1016/j.vaccine.2015.04.040

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2. Fig. 1. The results of assessing the level of knowledge on vaccination depending on the level of education

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3. Fig. 2. Attitudes towards vaccination in participants of study with different levels of education

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4. Fig. 1. The results of assessing the level of knowledge on vaccination depending on the level of education

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5. Fig. 2. Attitudes towards vaccination in participants of study with different levels of education

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