title: Vaccination against yellow fever in French Guiana: The impact of educational level, negative beliefs and attitude towards vaccination.
abstract: OBJECTIVE
  Analyze the impact of educational level, negative beliefs and negative attitudes on the yellow fever vaccination coverage (YFVC).
  
  
  METHODS
  This analytical study involved a sample of 2763 people from 866 households. Educational status was described in six levels: No level (Respondent had never attended school), level-1 (respondent left before intermediate school), level-2 (Respondent attended intermediate school), level-3 (respondent attended high school), level-4 (Respondent attended university), Other level (When the level could not be determined). The Attitude towards vaccination was described in terms of person's availability to recommend vaccination to third. The relationships were analyzed by multivariate mixed logistic regression.
  
  
  RESULTS
  Among the 2763 peoples, 2039 (73.8%) were vaccinated against yellow fever. People who left high school with or without the French baccalaureate were more likely to be vaccinated against YF than people without any diploma (OR = 1.4; p < 0.05). The probability of being vaccinated among people with negative attitudes was reduced by 40% (OR = 0.6; p < 0.05).
  
  
  CONCLUSIONS
  Low level of education, negative beliefs and negative attitudes have significant impacts on YFVC. Negatives beliefs and attitudes result often from a major lack of information about the benefits of vaccination. This deficit is exacerbated in persons with low educational level.
authors: Observatoire Régional de la Santé de Guyane, Cellules Etudes, Cayenne, French Guiana. Electronic address: aakoivogui@live.fr.
authors: Akoï
authors: A
authors: Koïvogui
authors: Observatoire Régional de la Santé de Guyane, Cellules Etudes, Cayenne, French Guiana.
authors: Aurel
authors: A
authors: Carbunar
authors: Observatoire Régional de la Santé de Guyane, Cellules Etudes, Cayenne, French Guiana.
authors: Laure-Manuella
authors: LM
authors: Imounga
authors: Observatoire Régional de la Santé de Guyane, Cellules Etudes, Cayenne, French Guiana.
authors: Christelle
authors: C
authors: Laruade
authors: Observatoire Régional de la Santé de Guyane, Cellules Etudes, Cayenne, French Guiana.
authors: Sylvaine
authors: S
authors: Laube
mesh_terms: D003469:Culture; D004522:Educational Status; D005260:Female; D005616:French Guiana / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data; D000072758:Vaccination Refusal; D015004:Yellow Fever / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D022341:Yellow Fever Vaccine
chemical_list: D022341:Yellow Fever Vaccine
keywords: Immunization coverage; Negative attitude; Negative beliefs; Vaccination refusal; Yellow fever