title: [A survey about determinants of 2009 pandemic influenza A(H1N1) vaccination among French general practionners patients. Motivac study].
abstract: The influenza A/H1N1 2009 immunization campaign did not have the accession of the French population resulting in a very low rate of immunization coverage. We conducted a cross-sectional study in spring 2010 to identify factors that led general practitionners (GPs) and their adult patients to be vaccinated or not; 43 GPs in France, included 668 patients; 29 GPs (67%) and 108 patients (16.5%) have been vaccinated; among 238 patients under vaccine priority indication 17% were vaccinated; 48% of patients thought they could receive effective treatment for influenza, 36% felt that the vaccine protected against influenza but 27% thought it did not meet usual safety criteria. A higher level of education, the belief of an effective protection with vaccination, the positive GP's opinion and behavior (OR 4,21 IC95% [1.4-14]; p=0.012), the receipt of an invitation to immunization (OR 7, 1 IC95% [1.73-58.4] and the active seek of information (OR 8.05, IC95% [2.8-27]) were significantly associated with vaccination. Regarding this immunization campaign few patients n=87 (13.7%) did trust the state heath agency. Our study confirms the distrust of the vaccine and suggests the decisive role of the GPs to achieve adequate levels of immunization coverage.
authors.affiliation: Département de médecine générale, Université Paris Descartes, Sorbonne Paris Cité, faculté de médecine, Paris. henri.part@wanadoo.fr
authors.forename: Henri
authors.initials: H
authors.lastname: Partouche
authors.forename: Olivier
authors.initials: O
authors.lastname: Benainous
authors.forename: Juliette
authors.initials: J
authors.lastname: Barthe
authors.forename: Janine
authors.initials: J
authors.lastname: Pierret
authors.forename: Laurent
authors.initials: L
authors.lastname: Rigal
authors.forename: Maud
authors.initials: M
authors.lastname: Michaloux
authors.forename: Serge
authors.initials: S
authors.lastname: Gilberg
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005602:France; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000276:immunology*; D007252:Influenza Vaccines; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D058873:Pandemics; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires
chemical_list: D007252:Influenza Vaccines