Table 4. Factors associated with higher vaccine hesitancy among general practitioners', ordered logistic regressions, weighted data, France, April to July 2014 (n = 1,427a).
| Univariable regression | Multivariable regression | |
|---|---|---|
| Odds ratio (95% CI) |
Adjusted odds ratio (95% CI) |
|
| Stratification variables | ||
| Sex (ref. Male) | ||
| Female | 0.92 (0.69–1.23) | 0.94 (0.63–1.38) |
| Age in years (ref. < 50) | ||
| 50–58 | 1.12 (0.79–1.59) | 0.67 (0.44–1.03) |
| > 58 | 1.69 (1.19–2.38) | 1.00 (0.63–1.61) |
| Density of GP’s municipality of practice (ref. < −19.3% of national average) | ||
| Between −19.3% and +17.7% of national average | 0.77 (0.55–1.07) | 0.76 (0.52–1.11) |
| > +17.7% of national average | 1.09 (0.76–1.58) | 1.09 (0.72–1.66) |
| 2012 workload (ref. < 3,067 consultations/visits) | ||
| 3,067–6,028 consultations/visits | 0.39 (0.28–0.55) | 0.69 (0.46–1.04) |
| > 6,028 consultations/visits | 0.50 (0.35–0.72) | 0.91 (0.58–1.45) |
| Professional characteristics | ||
| Practice (ref. Solo) | ||
| Group | 0.59 (0.45–0.79) | 1.10 (0.77–1.57) |
| Coordinator in a retirement home (ref. No) | ||
| Yes | 0.67 (0.35–1.28) | 0.92 (0.45–1.89) |
| Work in a healthcare institution (ref. No) | ||
| Yes | 0.67 (0.44–1.02) | 0.74 (0.45–1.21) |
| Occasional practice of alternative medicineb (ref. No) | ||
| Yes | 5.68 (4.04–7.98) | 2.89 (1.94–4.31) |
| Continuing medical education on infectious diseases and vaccination in 2013 (ref. No) | ||
| Yes | 0.65 (0.49–0.88) | 0.94 (0.67–1.32) |
| Characteristics of practice population | ||
| Proportion of patients aged under 16 (0–50%) | 0.97 (0.95–0.99) | 0.99 (0.96–1.01) |
| Experience related to vaccination | ||
| Number of different vaccine-preventable diseases among the GP’s patients (0–5)c | 0.70 (0.62–0.80) | 0.78 (0.67–0.90) |
| Has had patients with a serious health problem potentially related to vaccination (ref. No) | ||
| Yes | 2.30 (1.64–3.22) | 1.82 (1.23–2.68) |
| Personal vaccinations | ||
| Vaccination against 2013–2014 seasonal influenza (ref. Yes) | ||
| No | 4.48 (3.34–6.01) | 2.51 (1.78–3.54) |
| Last diphtheria-tetanus-polio (dTPolio) booster (ref. <10 years ago) | ||
| 10–20 years ago | 2.37 (1.63–3.43) | 1.58 (1.02–2.46) |
| >20 years ago | 6.60 (3.60–12.08) | 2.23 (1.16–4.26) |
| Vaccination against hepatitis B (ref. Yes, 3 or more doses) | ||
| Yes, fewer than 3 doses | 2.76 (1.55–4.89) | 1.36 (0.72–2.57) |
| No, or don't remember | 4.22 (2.87–6.21) | 1.55 (0.94–2.55) |
| Nagelkerke R2 | 0.21 | |
CI: confidence interval; GP: general practitioner.
a 155 GPSs were excluded because of missing values about the characteristics of their practice population (n = 148) or about their vaccine hesitancy (n = 7).
b Homoeopathy and/or acupuncture.
c Five vaccine-preventable diseases were mentioned in the questionnaire: measles, acute or recently diagnosed chronic hepatitis B, bacterial meningitis, cervical cancer and complicated seasonal influenza requiring hospitalisation.