Knowledge, Attitudes, and Practices of Postgraduate Medical Interns and Residents of Cebu Doctors University Hospital on Adult Routine Vaccination: A Cross-sectional Study
Keywords:
Adult Routine Vaccination, KAP on adult vaccination, postgraduate interns and residents KAP on vaccinationAbstract
Adult routine vaccination has been largely overlooked in the Philippines where immunization policies primarily focus on infants and children. It is crucial to recognize that concrete policies targeting adult routine vaccination are equally important. This study aims to assess the level of knowledge, attitudes, and practices of postgraduate medical interns and residents of Cebu Doctors University Hospital regarding routine adult vaccination. An observational cross-sectional study was conducted at Cebu Doctors University Hospital involving 94 participants—48 postgraduate medical interns and 46 medical residents from the departments of Internal Medicine, Pediatrics, Obstetrics and Gynecology, and Surgery. A researcher-developed questionnaire titled Adult Routine Vaccination was used for data collection. Most respondents were aged 25–29 years (69, 73.4%), female (58, 61.7%), unmarried (83, 88.3%), and taught utilizing the Problem-Based Learning (PBL) strategy (74, 78.7%). Good knowledge scores were observed among those aged 30–34 years (12, 54.5%), males (21, 58.3%), and medical residents (25, 54.3%). Negative attitudes were more common among participants aged 30–34 years (13, 59.1%), females (33, 56.9%), those taught utilizing a traditional curriculum (7, 63.6%), and medical residents (25, 54.3%). Poor vaccination practices were found among those aged 30–34 years (14, 63.6%), married (7, 63.6%), taught utilizing a traditional curriculum (7, 63.6%), and medical residents (27, 58.7%). Overall, while respondents taught utilizing the PBL strategy demonstrated good knowledge, they also exhibited negative attitudes and poor vaccination practices. These findings highlight the need for targeted educational and policy interventions to enhance attitudes and practices regarding adult routine vaccination.
References
Abdulla, E., Johnson, J., Munir, S., & O’Dwyer, R. (2020). Assessing primary health care nurses’ knowledge toward immunizations: A quantitative study. Journal of Public Health Research, 9(4), 381-387. https://doi.org/10.4081/jphr.2020.1716
Antonelli-Incalzi, R., Blasi, F., Conversano, M., Gabutti, G., Giuffrida, S., Maggi, S., Marano, C., Rossi, A., & Vicentini, M. (2021). Manifesto on the value of adult immunization: “We know, we intend, we advocate.” Vaccines, 9(11), https://doi.org/10.3390/vaccines9111232
Baig, M., Jameel, T., Alzahrani, S. H., Mirza, A. A., Gazzaz, Z. J., Ahmad, T., Baig, F., & Almurashi, S. H. (2020). Predictors of misconceptions, knowledge, attitudes, and practices of COVID-19 pandemic among a sample of Saudi population. PloS One,15(12), https://doi.org/10.1371/journal.pone.0243526
Bulut, E. A., Badak, S. O., Aksoy, H., Fadiloglu, A., & Isik, A. T. (2022). The awareness and attitude of physicians to older adult routine vaccination scheme. Clinical Interventions in Aging, 17, 1581–1588. https://doi.org/10.2147/cia.s382311
Cason, D., & Williams, P. (2021). Vaccinating the unvaccinated adult. Cleveland Clinic Journal of Medicine, 88(5), 279–285. https://doi.org/10.3949/ccjm.88a.20046
Iguacel, I., Maldonado, A. L., Ruiz-Cabello, A. L., Samatán, E., Alarcón, J., Orte, M. Á., Mateos, S. S., & Martínez-Jarreta, B. (2021). Attitudes of healthcare professionals and general population toward vaccines and the intention to be vaccinated against COVID-19 in Spain. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.739003
Hajure M., Tariku M., Bekele F., Abdu Z., Dule A., Mohammedhussein M., Tsegaye T. (2021) Attitude towards COVID-19 vaccination among healthcare workers: A systematic review. Infection and Drug Resistance, https://doi.org/10.2147/IDR.S33279
Hawk, M., Nowalk, M. P., Moehling, K. K., Pavlik, V., Raviotta, J. M., Brown, A. E., Zimmerman, R. K., & Ricci, E. M. (2017). Using a mixed methods approach to examine practice characteristics associated with implementation of an adult immunization intervention using the 4 pillars practice transformation program. Journal for Healthcare Quality, 39(3), 153-167. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422127
Jing, R., Fang, H., Wang, H., & Wang, J. (2022). The role of general attitudes and perceptions towards vaccination on the newly-developed vaccine: Results from a survey on COVID-19 vaccine acceptance in China. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.844189
Jenitha, B., Subbiah, M., & Revwathy, S. (2020). Knowledge and awareness of cervical cancer, its prevention and attitude towards human papillomavirus vaccine among medical students. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(2), 613-617. https://doi.org/10.18203/2320-1770.ijrcog20200346
Laupèze, B., Del Giudice, G., Doherty, M. T., & Van der Most, R. (2021). Vaccination as a preventative measure contributing to immune fitness. Npj Vaccines, 6. https://doi.org/10.1038/s41541-021-00354-z
Lim, X., Madhumitha A., Zaw, M., Mandyam, N. K., Chia, H. X., & Lucero-Prisno, D. E. (2023). Geospatial mapping of 2-hour access to timely essential surgery in the Philippines. BMJ Open, 13(12), 1-8. https://doi.org/10.1136/bmjopen-2023-074521
MacDougall, D. M., Halperin, B. A., MacKinnon-Cameron, D., Li, L., McNeil, S. A., Langley, J. M., & Halperin, S. A. (2015). The challenge of vaccinating adults: attitudes and beliefs of the Canadian public and healthcare providers. BMJ Open, 5. https://doi.org/10.1136/bmjopen-2015-009062
Mohamed, N. A., Solehan, H. M., Mohd Rani, M. D., Ithnin, M., & Che Isahak, C. I. (2021). Knowledge, acceptance and perception on COVID-19 vaccine among Malaysians: A web-based survey. PloS One, 16(8). https://doi.org/10.1371/journal.pone.0256110
Özışık, L., Calik Basaran, N., Oz, S. G., Sain Guven, G., & Durusu Tanriover, M. (2017). Perceptions and attitudes of patients about adult vaccination and their vaccination status: Still a long way to go? Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 23, 3178–3184. https://doi.org/10.12659/msm.901856
Panaligan, M., Rosario, M. C., Zotomayor, R., Zamora, G., Bibera, G. L., Alejo, A. D., & Javier, J. (2023). The landscape of herpes zoster management and prevention in the Philippines: Proceedings from two advisory boards. Human Vaccines & Immunotherapeutics, 19(2). https://doi.org/10.1080/21645515.2023.2263989
Pelullo, C. P., Della Polla, G., Napolitano, F., Di Giuseppe, G., & Angelillo, I. F. (2020). Healthcare workers’ knowledge, attitudes, and practices about vaccinations: A cross-sectional study in Italy. Vaccines, 8(2), 148. https://doi.org/10.3390/vaccines8020148
Vanathy, K., Priyadarshini, R., Bhosale, N. K., Sreenivasan, S., & Easow, J. M. (2022). Knowledge, attitude and practice towards COVID-19 vaccination among medical students in a Tertiary care hospital of Southern India. Journal of Clinical and Diagnostic Research, 16(9), 1-6 https://doi.org/10.7860/jcdr/2022/55780.16821
Whitaker, J. A., Poland, C. M., Beckman, T. J., Bundrick, J. B., Chaudhry, R., Grill, D. E., Halvorsen, A. J., Huber, J. M., Kasten, M. J., Mauck, K. F., Mehta, R. A., Olson, T., Thomas, K. G., Thomas, M. R., Virk, A., Wingo, M. T., & Poland, G. A. (2018). Immunization education for internal medicine residents: A cluster-randomized controlled trial. Vaccine, 36(14), 1823–1829. https://doi.org/10.1016/j.vaccine.2018.02.082
Whitaker, J., Poland, C., Thomas, K., Chaudhry, R., Halvorsen, A., Wingo, M., Huber, J., Olson, T., Thomas, M., Mauck, K., Bundrick, J., Kasten, M. J., Virk, A., Grill, D., Mehta, R., & Poland, G. (2015). Mind the gap: Knowledge, attitudes, and practices of internal medicine residents toward adult immunizations. Open Forum Infectious Diseases, 2(suppl_1). https://doi.org/10.1093/ofid/ofv133.1409
Wiley, R., Shelal, Z., Bernard, C., Urbauer, D., Toy, E., & Ramondetta, L. (2017). Team-based learning module for undergraduate medical education: A module focused on the human papilloma virus to increase willingness to vaccinate. Journal of Cancer Education, 34, 357–362. https://doi.org/10.1007/s13187-017-1311-7
Winarto, H., Habiburrahman, M., Dorothea, M., Wijaya, A., Nuryanto, K. H.,Kusuma, F., Utami, T. W., & Anggraeni, T. D. (2022). Knowledge, attitudes, and practices among Indonesian urban communities regarding HPV infection, cervical cancer, and HPV vaccination. PloS One, 17(5). https://doi.org/10.1371/journal.pone.0266139
World Health Organization. (n.d.). WHO immunization data portal. https://immunizationdata.who.int/listing.html?topic=vaccine-schedule&location=PHL
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Copyright (c) 2024 Algeo Andrew Olmilla, Psalm S. Elaco, Edward G. Fiel Jr. , Vianca Louise H. Garcia, Trini Laura S. Javellana, Anthony Omar O. Martinez, Ashley M. Mejias, Gian Marrsen C. Noel, Frederick F. Sarmen Jr., Bryan Albert Lim

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