{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:09:06Z","timestamp":1791310146793,"version":"4.3.1"},"reference-count":43,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,11,1]]},"abstract":"<jats:p>Context. Immunization has an essential impact on public health worldwide. Numerous studies have shown the efficacy of different vaccines to protect individuals from various diseases. However, some parents choose not to vaccinate their children for reasons such as, among others, doubts regarding their usefulness, concerns over safety or efficacy, etc. Physicians are known to exert a direct influence on immunization rates by answering questions and clarifying misconceptions. Yet, it is unknown how they immunize their own children.<\/jats:p><jats:p>Objective. We sought to assess how physicians interested in vaccination issues immunized, or would immunize, their own children.<\/jats:p><jats:p>Design, Setting, and Participants. An 11-question, Web- based survey with a total of 102 discrete answers was sent to 2070 Swiss physicians in October 2004. All physicians were subscribers to a nonprofit, Web-based expert network (InfoVac, www.infovac.ch) that distributes monthly newsletters and answers question within 2 days on immunization issues. The InfoVac network reaches &amp;gt;95% of pediatricians in Switzerland but &amp;lt;20% of general practitioners. All responses were anonymous, and no identifier could be used to trace the participants of the survey. Questions were divided into 2 parts: (1) physicians who were parents were asked which vaccines they gave to their own children and at what age, and (2) all physicians were asked which vaccines they would give to their own child and at what age if they had a newborn child in 2004. Vaccines available in Switzerland at the time of the survey were offered as possible replies, and recommended vaccines were considered as those noted in the Swiss federal immunization schedule issued yearly. One question compared their immunization practice between their own children and their patients. Sociodemographics, qualifying year, membership in different professional groups, and their type of practice were also requested.<\/jats:p><jats:p>Statistics. Standard descriptive statistics were used for sociodemographic characteristics. Univariate statistical analyses were performed for each variable to determine its relationship to the dependent variable, being a pediatrician or nonpediatrician. Logistic-regression analysis was used to calculate the adjusted odds ratios (ORs) and 95% confidence intervals (CIs), controlling for any statistically significant demographic variables that might function as confounders (gender, parenthood, workplace, year of diploma, and type of practice). For all statistical tests, differences were considered significant at P &amp;lt; .05.<\/jats:p><jats:p>Main Outcome Measure. We performed a comparison of past and projected immunization rates in the children of pediatricians and nonpediatricians.<\/jats:p><jats:p>Results. One thousand seventeen valid questionnaires were received (response rate: 49.1%; pediatricians: 53.3%). Nine hundred fifteen physicians (90%) had \u22651 child. All physicians reported immunizing children in their practice. Pediatricians were more likely to be women and to work in private practice than nonpediatricians but less likely to belong to a self-reported alternative medicine association. Among the nonpediatricians, 317 were general practitioners, 144 were internists, and 95 were other specialists. Ninety-two percent of pediatricians followed the official immunization recommendations for their own children. In contrast, after controlling for gender, workplace, type of practice, and year of diploma, nonpediatricians were more likely not to have immunized their children against measles, mumps, hepatitis B, or Haemophilus influenzae type b. They more frequently postponed diphtheria-tetanus-pertussis (DTP) (OR: 4.5; 95% CI: 2.0\u201310.19) and measles-mumps-rubella (MMR) vaccination. Although projected immunization rates were higher than effective rates, 10% of nonpediatricians would still not follow the official immunization recommendations in 2004. They would more frequently refrain from using combination vaccines and postpone DTP and MMR immunization to later in life. Several comparisons confirmed the weaker use of the more recently licensed vaccines by nonpediatricians. In addition to vaccines currently recommended in Switzerland, both groups of physicians added hepatitis A, influenza, and varicella vaccines to the vaccination schedule of their own children. Pediatricians were more likely to give pneumococcal (OR: 2.26; 95% CI: 1.004\u20134.68) and meningococcal C (OR: 2.26; 95% CI: 1.62\u20133.17) vaccines to their own children. In contrast, they were less likely to give tick-borne encephalitis virus vaccine (OR: 0.65; 95% CI: 0.44\u20130.95).<\/jats:p><jats:p>Conclusions. Ninety-three percent of the surveyed physicians agree with the current official vaccination recommendations and would apply them to their own children. However, the observation that 5% of nonpediatricians would not use Haemophilus influenzae type b vaccine if they had a child born in 2004 is unexpected and concerning. In contrast, both groups gave additional vaccines than those recommended to their own children. Among physicians in Switzerland interested in immunization, a significant proportion of nonpediatricians decline or delay the immunization of their own children with the recommended MMR- or DTP-based combination vaccines, which indicates that clarification of misconceptions such as fear of \u201cimmune overload\u201d has not yet reached important targets among health care providers who thus are unlikely to answer parental concerns adequately.<\/jats:p>","DOI":"10.1542\/peds.2005-0885","type":"journal-article","created":{"date-parts":[[2005,11,1]],"date-time":"2005-11-01T18:08:50Z","timestamp":1130868530000},"page":"e623-e633","source":"Crossref","is-referenced-by-count":62,"title":["How Do Physicians Immunize Their Own Children? Differences Among Pediatricians and Nonpediatricians"],"prefix":"10.1542","volume":"116","author":[{"given":"Klara M.","family":"Posfay-Barbe","sequence":"first","affiliation":[{"name":"Centre for Vaccinology and Neonatal Immunology, Departments of Pathology-Immunology and Pediatrics, University of Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Heininger","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University Children\u2019s Hospital, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Aebi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Institute for Infectious Diseases, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Desgrandchamps","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Vaudaux","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire-Anne","family":"Siegrist","sequence":"additional","affiliation":[{"name":"Centre for Vaccinology and Neonatal Immunology, Departments of Pathology-Immunology and Pediatrics, University of Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2005,11,1]]},"reference":[{"key":"2021120819514805300_R1","unstructured":"Centers for Disease Control and Prevention. Ten great public health achievements\u2014United States 1900\u20131999. MMWR Morb Mortal Wkly Rep.\u20081999;48(50):1141\u20131147"},{"key":"2021120819514805300_R2","doi-asserted-by":"crossref","unstructured":"Barquet N, Domingo P. Smallpox: the triumph over the most terrible of the ministers of death. Ann Intern Med.\u20081997;127:635\u2013642","DOI":"10.7326\/0003-4819-127-8_Part_1-199710150-00010"},{"key":"2021120819514805300_R3","doi-asserted-by":"crossref","unstructured":"Alfredsson R, Svensson E, Trollfors B, Borres MP. Why do parents hesitate to vaccinate their children against measles, mumps and rubella?Acta Paediatr.\u20082004;93:1232\u20131237","DOI":"10.1111\/j.1651-2227.2004.tb02755.x"},{"key":"2021120819514805300_R4","unstructured":"Fredrickson DD, Davis TC, Arnould CL, et al. Childhood immunization refusal: provider and parent perceptions. Fam Med.\u20082004;36:431\u2013439"},{"key":"2021120819514805300_R5","doi-asserted-by":"crossref","unstructured":"Freed GL, Clark SJ, Hibbs BF, Santoli JM. Parental vaccine safety concerns. The experiences of pediatricians and family physicians. Am J Prev Med.\u20082004;26:11\u201314","DOI":"10.1016\/j.amepre.2003.09.004"},{"key":"2021120819514805300_R6","doi-asserted-by":"crossref","unstructured":"Poland GA, Jacobson RM. Understanding those who do not understand: a brief review of the anti-vaccine movement. Vaccine.\u20082001;19:2440\u20132445","DOI":"10.1016\/S0264-410X(00)00469-2"},{"key":"2021120819514805300_R7","doi-asserted-by":"crossref","unstructured":"Taylor JA, Darden PM, Brooks DA, Hendricks JW, Wasserman RC, Bocian AB. Association between parents\u2019 preferences and perceptions of barriers to vaccination and the immunization status of their children: a study from Pediatric Research in Office Settings and the National Medical Association. Pediatrics.\u20082002;110:1110\u20131116","DOI":"10.1542\/peds.110.6.1110"},{"key":"2021120819514805300_R8","unstructured":"Sharkness CM, Goun BD, Davis LA, Sykes LE. Do we practice what we teach about childhood immunization in New Jersey?Fam Med.\u20081998;30:727\u2013732"},{"key":"2021120819514805300_R9","doi-asserted-by":"crossref","unstructured":"Zimmerman RK, Bradford BJ, Janosky JE, Mieczkowski TA, DeSensi E, Grufferman S. Barriers to measles and pertussis immunization: the knowledge and attitudes of Pennsylvania primary care physicians. Am J Prev Med.\u20081997;13:89\u201397","DOI":"10.1016\/S0749-3797(18)30204-6"},{"key":"2021120819514805300_R10","doi-asserted-by":"crossref","unstructured":"Althouse LA, Stritter FT, Steiner BD. Attitudes and approaches of influential role models in clinical education. Adv Health Sci Educ Theory Pract.\u20081999;4:111\u2013122","DOI":"10.1023\/A:1009768526142"},{"key":"2021120819514805300_R11","doi-asserted-by":"crossref","unstructured":"Everett WW, Zaoutis TL, Halpern SD, Strom BL, Coffin SE. Preevent vaccination against smallpox: a survey of pediatric emergency health care providers. Pediatr Infect Dis J.\u20082004;23:332\u2013337","DOI":"10.1097\/00006454-200404000-00011"},{"key":"2021120819514805300_R12","doi-asserted-by":"crossref","unstructured":"Davis MM, Ndiaye SM, Freed GL, Clark SJ. One-year uptake of pneumococcal conjugate vaccine: a national survey of family physicians and pediatricians. J Am Board Fam Pract.\u20082003;16:363\u2013371","DOI":"10.3122\/jabfm.16.5.363"},{"key":"2021120819514805300_R13","doi-asserted-by":"crossref","unstructured":"Askew GL, Finelli L, Lutz J, DeGraaf J, Siegel B, Spitalny K. Beliefs and practices regarding childhood vaccination among urban pediatric providers in New Jersey. Pediatrics.\u20081995;96:889\u2013892","DOI":"10.1542\/peds.96.5.889"},{"key":"2021120819514805300_R14","unstructured":"Centers for Disease Control and Prevention. Measles outbreak\u2014Netherlands, April 1999\u2013January 2000. MMWR Morb Mortal Wkly Rep.\u20082000;49:299\u2013303"},{"key":"2021120819514805300_R15","unstructured":"Centers for Disease Control and Prevention. Measles epidemic attributed to inadequate vaccination coverage\u2014Campania, Italy, 2002. MMWR Morb Mortal Wkly Rep.\u20082003;52:1044\u20131047"},{"key":"2021120819514805300_R16","doi-asserted-by":"crossref","unstructured":"Richard JL, Boubaker K, Doutaz M, Schubiger G. De\u0301claration obligatoire de la rougeole en Suisse: forte augmentation du nombre de cas au printemps 2003. Schweiz Arzteztg.\u20082003;84(27):1439\u20131444","DOI":"10.4414\/saez.2003.09824"},{"key":"2021120819514805300_R17","doi-asserted-by":"crossref","unstructured":"Hellenbrand W, Siedler A, Tischer A, et al. Progress toward measles elimination in Germany. J Infect Dis.\u20082003;187(suppl 1):S208\u2013S216","DOI":"10.1086\/368046"},{"key":"2021120819514805300_R18","doi-asserted-by":"crossref","unstructured":"Jansen VA, Stollenwerk N, Jensen HJ, Ramsay ME, Edmunds WJ, Rhodes CJ. Measles outbreaks in a population with declining vaccine uptake. Science.\u20082003;301:804","DOI":"10.1126\/science.1086726"},{"key":"2021120819514805300_R19","doi-asserted-by":"crossref","unstructured":"Siegrist C, Desgrandchamps D, Heininger U, Vaudaux B. How to improve communication on vaccine issues at the national level? INFOVAC-PED: an example from Switzerland. Vaccine.\u20082001;20(suppl 1):S98\u2013S100","DOI":"10.1016\/S0264-410X(01)00305-X"},{"key":"2021120819514805300_R20","unstructured":"Office Fe\u0301de\u0301ral de la Sante\u0301 Publique et Commission Suisse Pour les Vaccinations. Plan de vaccination suisse 2004. Available at: www.bag.admin.ch\/infekt\/publ\/supplementa\/f\/suppl8_impfpl.pdf. 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Scand J Infect Dis.\u20081996;28:265\u2013268","DOI":"10.3109\/00365549609027169"},{"key":"2021120819514805300_R24","unstructured":"Vaccination des adolescents contre l\u2019he\u0301patite B en Suisse: impact important sur l\u2019incidence de la maladie dans le groupe d\u2019a\u0304ge concerne\u0301. Bull OFSP.\u20082004;49:923\u2013931"},{"key":"2021120819514805300_R25","unstructured":"Vaccination des e\u0301coliers contre la rougeole. Les oreillons et la rube\u0301ole en Suisse, 1991\u20131998. Bull OFSP.\u20082001;4:65\u201367"},{"key":"2021120819514805300_R26","unstructured":"Vaccination des enfants en bas a\u0302ge: enque\u0302te repre\u0301sentative sur la couverture vaccinale en Suisse 1998. Bull OFSP.\u20081999;20:356\u2013361"},{"key":"2021120819514805300_R27","unstructured":"Henderson R, Oates K, Macdonald H, Smith WC. General practitioners\u2019 concerns about childhood immunisation and suggestions for improving professional support and vaccine uptake. Commun Dis Public Health.\u20082004;7:260\u2013266"},{"key":"2021120819514805300_R28","unstructured":"Petrovic M, Roberts RJ, Ramsay M, Charlett A. Parents\u2019 attitude towards the second dose of measles, mumps and rubella vaccine: a case-control study. Commun Dis Public Health.\u20082003;6:325\u2013329"},{"key":"2021120819514805300_R29","doi-asserted-by":"crossref","unstructured":"Miller E. Measles-mumps-rubella vaccine and the development of autism. Semin Pediatr Infect Dis.\u20082003;14:199\u2013206","DOI":"10.1016\/S1045-1870(03)00034-7"},{"key":"2021120819514805300_R30","doi-asserted-by":"crossref","unstructured":"Bellaby P. Has the UK government lost the battle over MMR?BMJ.\u20082005;330:552\u2013553","DOI":"10.1136\/bmj.330.7491.552"},{"key":"2021120819514805300_R31","doi-asserted-by":"crossref","unstructured":"Fitzpatrick M. MMR: risk, choice, chance. Br Med Bull.\u20082004;69:143\u2013153","DOI":"10.1093\/bmb\/ldh002"},{"key":"2021120819514805300_R32","doi-asserted-by":"crossref","unstructured":"Dannetun E, Tegnell A, Hermansson G, Torner A, Giesecke J. Timeliness of MMR vaccination\u2014influence on vaccination coverage. Vaccine.\u20082004;22:4228\u20134232","DOI":"10.1016\/j.vaccine.2004.04.018"},{"key":"2021120819514805300_R33","doi-asserted-by":"crossref","unstructured":"Meissner HC, Strebel PM, Orenstein WA. Measles vaccines and the potential for worldwide eradication of measles. Pediatrics.\u20082004;114:1065\u20131069","DOI":"10.1542\/peds.2004-0440"},{"key":"2021120819514805300_R34","doi-asserted-by":"crossref","unstructured":"Offit PA, Quarles J, Gerber MA, et al. 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