Pertussis vaccination status and vaccine acceptance among medical students: multicenter study in Germany and Hungary.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
12 Feb 2019
Historique:
received: 18 01 2018
accepted: 06 02 2019
entrez: 14 2 2019
pubmed: 14 2 2019
medline: 23 2 2019
Statut: epublish

Résumé

Medical students are at risk of contracting and transmitting infectious diseases such as pertussis. Complete vaccination status is important to protect own, patient and public health. Knowing own vaccination status is elementary for following current vaccination recommendations, including boosters. We aimed to assess pertussis vaccination status and vaccination acceptance among medical students of different nationalities. A cross-sectional multicenter health survey at German and Hungarian universities enclosed international medical students in the 1st, 3rd and 5th year of study. Self-reported data from 2655 students regarding pertussis vaccination status were analyzed. Subgroup analysis enclosed data of German (n = 1217), Hungarian (n = 960) and other nationality (n = 478) students ("other"). More Hungarians reported basic immunization (39.0% vs 15.8% Germans vs 24.3% others, p ≤ 0.05). Booster vaccination was reported more by Germans (60.5% vs 43.6% Hungarians vs 36.0% others, p ≤ 0.05). Germans were more likely to report being unvaccinated (3.7% vs 0.9% Hungarians, p ≤ 0.05). More medical students of other nationalities were unaware of their pertussis vaccination status (37.4% vs 20.0% Germans/ 16.5% Hungarians, p ≤ 0.05). 75.2% (n = 1931) rated pertussis vaccinations as absolutely necessary (86.2% Hungarians vs 69.8% Germans/ 66.1% others, p ≤ 0.05). Positive attitudes towards vaccinations were reported but a large group reported insufficient vaccination status and being not aware of their status, especially among international students. Hungarians possibly have a better vaccination status than reported, based on mandatory vaccinations in childhood. The low awareness of vaccination status has implications for future booster vaccinations. All students should be informed about current recommendations and receive vaccination offers in frames of low-threshold medical services.

Sections du résumé

BACKGROUND BACKGROUND
Medical students are at risk of contracting and transmitting infectious diseases such as pertussis. Complete vaccination status is important to protect own, patient and public health. Knowing own vaccination status is elementary for following current vaccination recommendations, including boosters. We aimed to assess pertussis vaccination status and vaccination acceptance among medical students of different nationalities.
METHODS METHODS
A cross-sectional multicenter health survey at German and Hungarian universities enclosed international medical students in the 1st, 3rd and 5th year of study. Self-reported data from 2655 students regarding pertussis vaccination status were analyzed. Subgroup analysis enclosed data of German (n = 1217), Hungarian (n = 960) and other nationality (n = 478) students ("other").
RESULTS RESULTS
More Hungarians reported basic immunization (39.0% vs 15.8% Germans vs 24.3% others, p ≤ 0.05). Booster vaccination was reported more by Germans (60.5% vs 43.6% Hungarians vs 36.0% others, p ≤ 0.05). Germans were more likely to report being unvaccinated (3.7% vs 0.9% Hungarians, p ≤ 0.05). More medical students of other nationalities were unaware of their pertussis vaccination status (37.4% vs 20.0% Germans/ 16.5% Hungarians, p ≤ 0.05). 75.2% (n = 1931) rated pertussis vaccinations as absolutely necessary (86.2% Hungarians vs 69.8% Germans/ 66.1% others, p ≤ 0.05).
CONCLUSIONS CONCLUSIONS
Positive attitudes towards vaccinations were reported but a large group reported insufficient vaccination status and being not aware of their status, especially among international students. Hungarians possibly have a better vaccination status than reported, based on mandatory vaccinations in childhood. The low awareness of vaccination status has implications for future booster vaccinations. All students should be informed about current recommendations and receive vaccination offers in frames of low-threshold medical services.

Identifiants

pubmed: 30755203
doi: 10.1186/s12889-019-6516-8
pii: 10.1186/s12889-019-6516-8
pmc: PMC6373007
doi:

Substances chimiques

Pertussis Vaccine 0

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

182

Références

Med Care. 1992 Jun;30(6):473-83
pubmed: 1593914
BMC Public Health. 2008 Apr 15;8:121
pubmed: 18412957
J Hosp Infect. 2008 Sep;70(1):71-5
pubmed: 18621443
Gesundheitswesen. 2008 Jul;70(7):408-14
pubmed: 18729030
BMC Health Serv Res. 2009 Dec 03;9:219
pubmed: 19958534
Med Klin (Munich). 2010 Dec;105(12):882-6
pubmed: 21240587
Euro Surveill. 2012 May 31;17(22):null
pubmed: 22687916
Med Mal Infect. 2013 Mar;43(3):114-7
pubmed: 23498136
Vaccine. 2013 Jun 10;31(26):2835-8
pubmed: 23623864
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 May;56(5-6):845-57
pubmed: 23703506
Pediatrics. 2014 Jan;133(1):15-21
pubmed: 24344101
Vaccine. 2014 Aug 27;32(38):4814-22
pubmed: 24726251
Pediatr Infect Dis J. 2014 Oct;33(10):1057-9
pubmed: 24776519
Am J Infect Control. 2015 Feb;43(2):191-4
pubmed: 25541335
Gesundheitswesen. 2017 May;79(5):394-398
pubmed: 25806504
Dtsch Med Wochenschr. 2015 May;140(10):e101-5
pubmed: 25970420
Wkly Epidemiol Rec. 2015 Aug 28;90(35):433-58
pubmed: 26320265
Am J Infect Control. 2015 Dec 1;43(12):1363-5
pubmed: 26654238

Auteurs

Mandy Böhme (M)

Department of General Practice, Medical Clinic III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany. mandy.boehme1@uniklinikum-dresden.de.

Karen Voigt (K)

Department of General Practice, Medical Clinic III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.

Erika Balogh (E)

Department of Public Health Medicine, University of Pécs Medical School, Sziget út 12, Pécs, 7624, Hungary.

Antje Bergmann (A)

Department of General Practice, Medical Clinic III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.

Ferenc Horváth (F)

Department of Public Health, Faculty of Medicine, Semmelweis University Budapest, Nagyvárad tér 4, Budapest, 1089, Hungary.

Joachim Kugler (J)

Department of Health Sciences /Public Health, Medical Faculty, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.

Jörg Schelling (J)

Department of General Practice and Family Medicine, Ludwig-Maximilians-Universität, München, Pettenkoferstr. 8a, 80336, Munich, Germany.

Jeannine Schübel (J)

Department of General Practice, Medical Clinic III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.

Henna Riemenschneider (H)

Department of General Practice, Medical Clinic III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.

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