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Article Dans Une Revue Vaccines Année : 2021

Immunization Catch-Up for Newly Arrived Migrants in France: A Cross-Sectional Study among French General Practitioners

Anne Marie Aurousseau
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  • PersonId : 1103757
Sylvain Nappez
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  • PersonId : 1103758
Julian Cornaglia
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  • PersonId : 1103759
Gaylord Delobre
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  • PersonId : 1103760
Sophie Blanchi
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  • PersonId : 1103761
Louise Luan
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Odile Launay
Louise Nutte
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  • PersonId : 1103764
Roxane Liard
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  • PersonId : 1103765
Mariela Skendi
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  • PersonId : 1103766
Matthieu Mechain
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  • PersonId : 1103767

Résumé

Background: Migrants often undergo an incomplete vaccination program in regards to the French recommendations. The aim of this study was to evaluate the practices of French General Practitioners’ (GPs) in terms of catch-up vaccination. Methods: A cross-sectional study was carried-out in 2017–2018 in France. An online questionnaire was disseminated by email through scholarly societies to GPs involved in the care and the vaccination of migrants. Analyses included univariate and multivariate analysis with a logistic regression model. Results: A total of 216 GPs completed the survey. A majority identified themselves with an average level regarding the prevention of infectious diseases among migrant populations (56.7%) and confirmed this is part of their daily practice (83.3%). The majority of respondents do not perform more than two injections on the same day. When compared to GPs working in health centres, those with a private practice are more likely to report returning to a full primary vaccination schedule (adjusted OR = 2.90, 95% CI [1.29–6.53]). Aside from the serology for hepatitis B and to a lesser extent for measles, other pre-vaccination serologies were not frequently used by GPs. When a migrant declares to be up-to-date with his immunisations, only 56.5% of doctors consider this information reliable. Conclusions: This study clarified the vaccination practices of GPs receiving migrant patients in consultation and showed its heterogeneity. An important need for benchmarks has been identified and these results were used for the elaboration of the French guidelines on vaccines catch-up.
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Dates et versions

hal-03274579 , version 1 (30-06-2021)

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Sohela Moussaoui, Anne Marie Aurousseau, Sylvain Nappez, Julian Cornaglia, Gaylord Delobre, et al.. Immunization Catch-Up for Newly Arrived Migrants in France: A Cross-Sectional Study among French General Practitioners. Vaccines, 2021, 9 (6), pp.681. ⟨10.3390/vaccines9060681⟩. ⟨hal-03274579⟩
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