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Master Thesis

Vaccination : attitudes, pratiques et connaissances des médecins des soins de santé primaire des Îles du Vent de la Polynésie Française

Abstract : Introduction: an inventory of the vaccination practices of general practitioners (GPs) is required before the COVID-19 vaccine campaign in the Windward Islands of French Polynesia. Materials & methods: an online questionnaire is sent to private and public registered physicians in primary health care in the Windward Islands from January 4 to 14, 2021. The aim is to analyze their attitudes and practices about recommended vaccines from childhood to adulthood. GPs' positions on COVID-19 vaccination are also studied. Results: response rate is 61 %. More than 9 GPs out of 10 recommend the entire vaccine program to patients, which they recommend to their relatives. More than 9 GPs out of 10 do not recommend the entire vaccine program to relatives, which they do not recommend to patients. GPs are in favor of vaccination (99 %). Half consider that they have insufficient initial medical training in vaccinology. An "authorized" vaccine is safe for 89 %. GPs are less confident in explaining vaccine safety (83%) and adjuvants’ role (50%) with patients. For COVID-19 vaccination, 18% do not know, due to lack of information whether they will vaccinate their patients. Among them, two thirds cite insufficient initial medical training and 92% believe that pharmaceutical industry influences health authorities. An "authorized" vaccine is safe for 71 % of these GPs. Nearly 3 GPs in 10 do not trust the Polynesian and French health ministries and 2 GPs in 10 the European Medicines Agency. Conclusion: these results should be contextualized in January 2021, before the vaccine campaign in French Polynesia. Vaccinated GPs readily offer vaccines to their patients and are mostly young with sufficient initial studies about vaccines. GPs who do not vaccinate their patients do not vaccinate themselves, they are represented by older doctors with insufficient initial studies. Confidence in health policies and vaccine safety hamper the implementation of recommendations. For those who are reluctant to vaccinate patients against COVID-19, the impediments are similar but pharmaceutical industry’s influence is stronger. It seems urgent to develop continuing medical training In Polynesia on vaccinology to avoid a drop in vaccination coverage and a risk of emergence of infections in insufficient vaccinated patients in the territory.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03380206
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Submitted on : Friday, October 15, 2021 - 12:55:08 PM
Last modification on : Thursday, November 25, 2021 - 3:15:46 AM

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Grégory Perrault. Vaccination : attitudes, pratiques et connaissances des médecins des soins de santé primaire des Îles du Vent de la Polynésie Française. Médecine humaine et pathologie. 2021. ⟨dumas-03380206⟩

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