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Wilhelmina L M Ruijs - One of the best experts on this subject based on the ideXlab platform.
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Negative Attitude and low intention to vaccinate universally against varicella among public health professionals and parents in the netherlands two internet surveys
BMC Infectious Diseases, 2016Co-Authors: Alies Van Lier, Alma Tostmann, Irene A Harmsen, Hester E De Melker, Jeannine L A Hautvast, Wilhelmina L M RuijsAbstract:Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the Attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents. Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive Attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge). The questionnaire was completed by 181 RPHS professionals (67 %), 260 CHC professionals (46 %), and 491 parents (33 %). Of professionals, 21 % had a positive Attitude towards universal varicella vaccination, while 72 % preferred to limit vaccination to high-risk groups only. Of parents, 28 % had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive Attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against. We showed that a majority of the Dutch public health professionals and parents in this study have a Negative Attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
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Negative Attitude and low intention to vaccinate universally against varicella among public health professionals and parents in the Netherlands: two internet surveys
BMC Infectious Diseases, 2016Co-Authors: Alies Van Lier, Alma Tostmann, Irene A Harmsen, Hester E De Melker, Jeannine L A Hautvast, Wilhelmina L M RuijsAbstract:Background Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the Attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents. Methods Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive Attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge). Results The questionnaire was completed by 181 RPHS professionals (67 %), 260 CHC professionals (46 %), and 491 parents (33 %). Of professionals, 21 % had a positive Attitude towards universal varicella vaccination, while 72 % preferred to limit vaccination to high-risk groups only. Of parents, 28 % had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive Attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against. Conclusions We showed that a majority of the Dutch public health professionals and parents in this study have a Negative Attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
Alies Van Lier - One of the best experts on this subject based on the ideXlab platform.
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Negative Attitude and low intention to vaccinate universally against varicella among public health professionals and parents in the netherlands two internet surveys
BMC Infectious Diseases, 2016Co-Authors: Alies Van Lier, Alma Tostmann, Irene A Harmsen, Hester E De Melker, Jeannine L A Hautvast, Wilhelmina L M RuijsAbstract:Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the Attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents. Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive Attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge). The questionnaire was completed by 181 RPHS professionals (67 %), 260 CHC professionals (46 %), and 491 parents (33 %). Of professionals, 21 % had a positive Attitude towards universal varicella vaccination, while 72 % preferred to limit vaccination to high-risk groups only. Of parents, 28 % had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive Attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against. We showed that a majority of the Dutch public health professionals and parents in this study have a Negative Attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
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Negative Attitude and low intention to vaccinate universally against varicella among public health professionals and parents in the Netherlands: two internet surveys
BMC Infectious Diseases, 2016Co-Authors: Alies Van Lier, Alma Tostmann, Irene A Harmsen, Hester E De Melker, Jeannine L A Hautvast, Wilhelmina L M RuijsAbstract:Background Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the Attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents. Methods Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive Attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge). Results The questionnaire was completed by 181 RPHS professionals (67 %), 260 CHC professionals (46 %), and 491 parents (33 %). Of professionals, 21 % had a positive Attitude towards universal varicella vaccination, while 72 % preferred to limit vaccination to high-risk groups only. Of parents, 28 % had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive Attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against. Conclusions We showed that a majority of the Dutch public health professionals and parents in this study have a Negative Attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
Wan Luk - One of the best experts on this subject based on the ideXlab platform.
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association of more Negative Attitude towards commencing insulin with lower glycosylated hemoglobin hba1c level a survey on insulin naive type 2 diabetes mellitus chinese patients
Journal of diabetes and metabolic disorders, 2015Co-Authors: Carlos K H Wong, W Y Chin, Wan LukAbstract:Delay in commencing insulin among type 2 Diabetes Mellitus (DM) patients is common. One of the reasons is patients' psychological insulin resistance, which is particularly prevalent in Chinese patients. This study examined the correlation between socio-demographic and clinical characteristics; and Attitudes towards commencing insulin in Chinese primary care patients. A cross-sectional survey was conducted on 303 insulin-naive Type 2 DM patients recruited from 15 primary care clinics across Hong Kong using the Chinese Attitudes to Starting Insulin Questionnaire (Ch-ASIQ). Subject selection criteria were patients on maximal oral anti-diabetes treatment who needed to commence insulin therapy. Linear regression was used to identify correlations between age, sex, educational level, occupation, body mass index, diabetes disease duration, laboratory test indicating disease control and biochemical markers including glycosylated hemoglobin (HbA1c) level, low density lipoprotein level and estimated glomeruli filtration rate, and presence of diabetic complications with the four sub-scales (self-image and stigmatization; factors promoting self-efficacy; fear of pain or needles; time and family support ) and the overall Ch-ASIQ score. The most prevalent Negative Attitude was ‘fear of needle injections’ (70.1 %). The most common positive Attitude was ‘I can manage the skill of injecting insulin’ (67.5 %). The mean Ch-ASIQ score of 2.50 (S.D. = 0.38) was equal to the mid-score, which signified an overall ambivalent Attitude among the study population. Women scored significantly higher in the fear of pain or needles subscale (p = 0.011) and had an overall more Negative Attitude towards commencing insulin (p = 0.016). Subjects with lower HbA1c levels also had a significantly lower Ch-ASIQ sum score (p = 0.048) indicating a more Negative Attitude towards commencing insulin. In Chinese primary care patients with Type 2 DM, the need to commence insulin was associated with a number of Negative emotions, which lead to a lower motivation to accept treatment. Perception of need as indicated by HbA1c level may be an important influencing factor determining a patient’s overall Attitude towards starting insulin. Fortunately, in our setting, the injection technique does not appear to be a major barrier. However, needle fears are common, especially amongst women. Target interventions to acknowledge and help them to overcome their fears are essential before insulin treatment is commenced.
Irene A Harmsen - One of the best experts on this subject based on the ideXlab platform.
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Negative Attitude and low intention to vaccinate universally against varicella among public health professionals and parents in the netherlands two internet surveys
BMC Infectious Diseases, 2016Co-Authors: Alies Van Lier, Alma Tostmann, Irene A Harmsen, Hester E De Melker, Jeannine L A Hautvast, Wilhelmina L M RuijsAbstract:Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the Attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents. Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive Attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge). The questionnaire was completed by 181 RPHS professionals (67 %), 260 CHC professionals (46 %), and 491 parents (33 %). Of professionals, 21 % had a positive Attitude towards universal varicella vaccination, while 72 % preferred to limit vaccination to high-risk groups only. Of parents, 28 % had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive Attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against. We showed that a majority of the Dutch public health professionals and parents in this study have a Negative Attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
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Negative Attitude and low intention to vaccinate universally against varicella among public health professionals and parents in the Netherlands: two internet surveys
BMC Infectious Diseases, 2016Co-Authors: Alies Van Lier, Alma Tostmann, Irene A Harmsen, Hester E De Melker, Jeannine L A Hautvast, Wilhelmina L M RuijsAbstract:Background Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the Attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents. Methods Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive Attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge). Results The questionnaire was completed by 181 RPHS professionals (67 %), 260 CHC professionals (46 %), and 491 parents (33 %). Of professionals, 21 % had a positive Attitude towards universal varicella vaccination, while 72 % preferred to limit vaccination to high-risk groups only. Of parents, 28 % had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive Attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against. Conclusions We showed that a majority of the Dutch public health professionals and parents in this study have a Negative Attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
Alma Tostmann - One of the best experts on this subject based on the ideXlab platform.
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Negative Attitude and low intention to vaccinate universally against varicella among public health professionals and parents in the netherlands two internet surveys
BMC Infectious Diseases, 2016Co-Authors: Alies Van Lier, Alma Tostmann, Irene A Harmsen, Hester E De Melker, Jeannine L A Hautvast, Wilhelmina L M RuijsAbstract:Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the Attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents. Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive Attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge). The questionnaire was completed by 181 RPHS professionals (67 %), 260 CHC professionals (46 %), and 491 parents (33 %). Of professionals, 21 % had a positive Attitude towards universal varicella vaccination, while 72 % preferred to limit vaccination to high-risk groups only. Of parents, 28 % had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive Attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against. We showed that a majority of the Dutch public health professionals and parents in this study have a Negative Attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
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Negative Attitude and low intention to vaccinate universally against varicella among public health professionals and parents in the Netherlands: two internet surveys
BMC Infectious Diseases, 2016Co-Authors: Alies Van Lier, Alma Tostmann, Irene A Harmsen, Hester E De Melker, Jeannine L A Hautvast, Wilhelmina L M RuijsAbstract:Background Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the Attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents. Methods Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive Attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge). Results The questionnaire was completed by 181 RPHS professionals (67 %), 260 CHC professionals (46 %), and 491 parents (33 %). Of professionals, 21 % had a positive Attitude towards universal varicella vaccination, while 72 % preferred to limit vaccination to high-risk groups only. Of parents, 28 % had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive Attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against. Conclusions We showed that a majority of the Dutch public health professionals and parents in this study have a Negative Attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
