High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022

In a context of recently decreasing childhood immunization coverage and low uptake of COVID-19 vaccines in Bulgaria, this study measures vaccine hesitancy among general practitioners (GPs) in the country, as they are central to forming patients’ attitudes. In 2022, a face-to-face survey was conducte...

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Main Authors: Veronika Dimitrova, Savina Stoitsova, Vanya Rangelova, Ralitsa Raycheva, Maria Martinova, Gergana Nenova, Milena Iakimova, Irina Georgieva, Ivo Georgiev, Stefka Krumova, Antoaneta Minkova, Nadezhda Vladimirova, Lubomira Nikolaeva-Glomb
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2023.2265640
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author Veronika Dimitrova
Savina Stoitsova
Vanya Rangelova
Ralitsa Raycheva
Maria Martinova
Gergana Nenova
Milena Iakimova
Irina Georgieva
Ivo Georgiev
Stefka Krumova
Antoaneta Minkova
Nadezhda Vladimirova
Lubomira Nikolaeva-Glomb
author_facet Veronika Dimitrova
Savina Stoitsova
Vanya Rangelova
Ralitsa Raycheva
Maria Martinova
Gergana Nenova
Milena Iakimova
Irina Georgieva
Ivo Georgiev
Stefka Krumova
Antoaneta Minkova
Nadezhda Vladimirova
Lubomira Nikolaeva-Glomb
author_sort Veronika Dimitrova
collection DOAJ
description In a context of recently decreasing childhood immunization coverage and low uptake of COVID-19 vaccines in Bulgaria, this study measures vaccine hesitancy among general practitioners (GPs) in the country, as they are central to forming patients’ attitudes. In 2022, a face-to-face survey was conducted through a simple random sample from an exhaustive national database of Bulgarian GPs. This study measured attitudes on vaccine importance, safety, and effectiveness, and attitudes toward the Bulgarian immunization schedule. Information was collected on demographic and GP practice characteristics and possible predictors of vaccine confidence in order to test for associations with attitudes toward immunization. GP attitudes toward vaccines and the immunization schedule in Bulgaria were generally positive. Among 358 respondents, 351 (98%,95%CI96–99%) strongly agreed/agreed that vaccines are important, 352 (98%,95%CI96–99%) that vaccines are effective, and 341 (95%,95%CI93–97%) that vaccines are safe. 347 respondents (97%,95%CI95–98%) affirmed that “it’s good that vaccines from the children’s immunization schedule are mandatory”, and 331 (92%,95%CI89–95%) agreed with the statement “Bulgaria’s childhood immunization has my approval”. Trust in information from official institutions was among the strongest predictors of vaccine confidence. Respondents’ vaccine confidence levels are within the ranges reported by GPs in other European countries and above those reported within the general Bulgarian population. GPs’ vaccine confidence is highly associated with trust in official institutions. It is important to maintain trust in official institutions and to support GPs in communicating vaccine knowledge with patients so that vaccine hesitancy in the general population is countered.
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spelling doaj.art-57add15b1a39443ea3a9e5c9da1d52e82023-11-08T12:12:53ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2023-12-0119310.1080/21645515.2023.22656402265640High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022Veronika Dimitrova0Savina Stoitsova1Vanya Rangelova2Ralitsa Raycheva3Maria Martinova4Gergana Nenova5Milena Iakimova6Irina Georgieva7Ivo Georgiev8Stefka Krumova9Antoaneta Minkova10Nadezhda Vladimirova11Lubomira Nikolaeva-Glomb12Sofia University “St. Kliment Ohridski”National Center of Infectious and Parasitic DiseasesNational Center of Infectious and Parasitic DiseasesMedical University PlovdivBulgarian Academy of SciencesSofia University “St. Kliment Ohridski”Sofia University “St. Kliment Ohridski”National Center for Infectious and Parasitic DiseasesNational Center of Infectious and Parasitic DiseasesNational Center for Infectious and Parasitic DiseasesNational Center of Infectious and Parasitic DiseasesNational Center of Infectious and Parasitic DiseasesNational Center for Infectious and Parasitic DiseasesIn a context of recently decreasing childhood immunization coverage and low uptake of COVID-19 vaccines in Bulgaria, this study measures vaccine hesitancy among general practitioners (GPs) in the country, as they are central to forming patients’ attitudes. In 2022, a face-to-face survey was conducted through a simple random sample from an exhaustive national database of Bulgarian GPs. This study measured attitudes on vaccine importance, safety, and effectiveness, and attitudes toward the Bulgarian immunization schedule. Information was collected on demographic and GP practice characteristics and possible predictors of vaccine confidence in order to test for associations with attitudes toward immunization. GP attitudes toward vaccines and the immunization schedule in Bulgaria were generally positive. Among 358 respondents, 351 (98%,95%CI96–99%) strongly agreed/agreed that vaccines are important, 352 (98%,95%CI96–99%) that vaccines are effective, and 341 (95%,95%CI93–97%) that vaccines are safe. 347 respondents (97%,95%CI95–98%) affirmed that “it’s good that vaccines from the children’s immunization schedule are mandatory”, and 331 (92%,95%CI89–95%) agreed with the statement “Bulgaria’s childhood immunization has my approval”. Trust in information from official institutions was among the strongest predictors of vaccine confidence. Respondents’ vaccine confidence levels are within the ranges reported by GPs in other European countries and above those reported within the general Bulgarian population. GPs’ vaccine confidence is highly associated with trust in official institutions. It is important to maintain trust in official institutions and to support GPs in communicating vaccine knowledge with patients so that vaccine hesitancy in the general population is countered.http://dx.doi.org/10.1080/21645515.2023.2265640vaccine hesitancyvaccine hesitancy among gpvaccine confidencepredictors of vaccine hesitancytrust
spellingShingle Veronika Dimitrova
Savina Stoitsova
Vanya Rangelova
Ralitsa Raycheva
Maria Martinova
Gergana Nenova
Milena Iakimova
Irina Georgieva
Ivo Georgiev
Stefka Krumova
Antoaneta Minkova
Nadezhda Vladimirova
Lubomira Nikolaeva-Glomb
High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022
Human Vaccines & Immunotherapeutics
vaccine hesitancy
vaccine hesitancy among gp
vaccine confidence
predictors of vaccine hesitancy
trust
title High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022
title_full High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022
title_fullStr High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022
title_full_unstemmed High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022
title_short High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022
title_sort high vaccine confidence and strong approval of the mandatory immunization schedule among bulgarian general practitioners in 2022
topic vaccine hesitancy
vaccine hesitancy among gp
vaccine confidence
predictors of vaccine hesitancy
trust
url http://dx.doi.org/10.1080/21645515.2023.2265640
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