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Master Thesis

Vaccination en population âgée en Martinique : enquête d’opinion auprès des professionnels de santé

Abstract : In 20 years, Martinique will be the second oldest department in France with 40% of its population over 60 years old. The aging of the population is leading to a change in the causes of morbidity and mortality. Infectious diseases are the 3rdworldwide causes concerning mortality. They are causes of decompensation of chronic pathologies, hospitalization, death. Some infections would be preventable because there is effective vaccine protection. However, this latter is far from optimal in the elderly. This work aims at learning about the opinion of the liberal health professionals onvaccines on elderly people. This is an observational, descriptive study carried out in 3 parts: a preliminary survey on the immunization coverage against tetanus and influenza in Hospital Center of Martinique, a second study with general practitioners in Martinique and a third survey of private nurses in Martinique. Preliminary survey patients were interviewed through declaratory questionnaires about their immunization status. The opinion of 91 general practitioners and 78 nurses was collected with questionnaires: phone calls for doctors and a form paper for nurses. Regarding the preliminary study, 35.2% of patients declarethey are vaccinated against tetanus and 25% against influenza. Half of the caregivers surveyed (48.7% of nurses and 45.0% of general practitioners, p = 0.63) are in favor of influenza vaccination in the elderly population. Concerning tetanus vaccination in the elderly population, nurses are favorable (79.5%) and GPs mostly unfavorable (60.5%). The lack of interest in tetanus toxoid vaccine in the elderly population is the main reason why caregivers don’t vaccine (37.5% of nurses versus 41.8% of general practitioners, p = 0.76). This work highlights the difficulties to better the immunization coverage of elderly subjects. The vaccination strategy has to be adapted for the elderly. Specific communication campaigns could be conducted thanks to the results of this study. Clearer and more easily accessible vaccine recommendations could have a positive impact on immunization coverage. We should focus more on vaccination of elderly people in medical education.
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Master Thesis
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Submitted on : Thursday, January 28, 2021 - 6:56:16 PM
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Larissa Vainqueur. Vaccination en population âgée en Martinique : enquête d’opinion auprès des professionnels de santé. Médecine humaine et pathologie. 2019. ⟨dumas-03124585⟩

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