{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:09:36Z","timestamp":1787612976107,"version":"build-2736575974"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T00:00:00Z","timestamp":1673222400000},"content-version":"unspecified","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423622000688_as1\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>In our country, there are childhood vaccinations that are not included in the routine vaccination schedule and that families have to buy and have for a fee. In addition to income level, family physicians\u2019 recommendations also play a major role in getting these vaccines.<\/jats:p>\n\t    <jats:p>Our study was planned to determine the level of knowledge, attitudes and behaviors of family physicians about rotavirus, HPV and meningococcal vaccines, which are not included in the routine vaccination scheme of the Ministry of Health.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423622000688_as2\">\n\t    <jats:title>Materials and Methods:<\/jats:title>\n\t    <jats:p>Our cross-sectional and descriptive study was carried out between May and July 2019. The population of our study consists of approximately 30\u00a0000 family physicians working as Family Physicians in Turkey. When the sample size is calculated with 5% margin of error and 95% confidence interval, it turns out to be 381. A 15-question questionnaire prepared by scanning the literature and including socio-demographic characteristics was presented to the participants. The Likert scale, which includes 12 questions about rotavirus, meningococcus, HPV and vaccines developed for these microorganisms, was administered to physicians either face-to-face or via the internet. In our study, the statistical significance level was accepted as <jats:italic>P<\/jats:italic> &lt; 0.05, and the SPSS statistical package program was used in the calculations.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423622000688_as3\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>81 Research Assistants, 62 Family Medicine Specialists and 234 Family Physicians participated in our study, and the participants were determined by simple random sampling method. The mean age of the participating physicians was 37.96 \u00b1 9.3 (min: 25 and max: 68). 50.9% of the physicians were women, 79.8% were married, 85.1% were in the city center, and 62.1% were practicing family medicine as general practitioners. 74.82% of the participating physicians recommend rotavirus and 56.2% HPV vaccines to their patients. 10.6% (40 people) of the physicians participating in our study did not recommend any of the rotavirus, HPV, meningococcal, influenza and adult pertussis vaccines to their patients. In the evaluation of the reason for this, 58.7% (27 people) of physicians who did not recommend special vaccines state that they did not recommend vaccines because they are not included in the routine vaccination schedule of the Ministry of Health. Another important reason was that the vaccines are paid (30.4%, 14 people). To the question of having sufficient information about special vaccines that are not included in the routine vaccination schedule, 26% of the participants stated that they have sufficient knowledge, and 56.5% stated that they have partial knowledge. The Likert knowledge questions total score of those who recommended at least one vaccine to their patients was significantly higher than those who did not recommend it at all. Likert knowledge questions total score of those who had at least one vaccination was significantly higher than those who never had it (<jats:italic>P<\/jats:italic> = 0.001).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423622000688_as4\">\n\t    <jats:title>Conclusion:<\/jats:title>\n\t    <jats:p>In general, as the level of knowledge about private vaccines decreases, the rates of self-vaccination, recommending it to their patients, and asking it to be included in the national vaccine schedule decrease. For this reason, increasing the knowledge of physicians about vaccines not included in the national vaccination schedule will contribute to the dissemination of vaccines, thus increasing immunity and reducing mortality and morbidity.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423622000688","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T07:07:16Z","timestamp":1673248036000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":11,"title":["Knowledge, attitudes and behaviors of family physicians about childhood vaccinations that are not in the routine vaccination schedule: a cross-sectional 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Emre","family":"Eryilmaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,1,9]]},"reference":[{"key":"S1463423622000688_ref102","volume-title":"UpToDate","author":"Apicella","year":"2019"},{"key":"S1463423622000688_ref9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f7204"},{"key":"S1463423622000688_ref36","first-page":"457","article-title":"Family doctors and nurses\u2019 knowledge levels and awareness of cervical cancer and Hpv Vaccine in an urban area in Turkey","volume":"12","author":"\u00d6zbakir","year":"2019","journal-title":"Pamukkale T\u0131p Dergisi"},{"key":"S1463423622000688_ref24","first-page":"2760","article-title":"Facilitators and barriers for use of rotavirus vaccine amongst various stakeholders and its implications for Indian context\u2013A systematic review","volume":"14","author":"Apte","year":"2018","journal-title":"Human Vaccines and 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e2"}}