{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:21:09Z","timestamp":1787847669376,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Immunization is a global health success story, saving millions of lives annually. However, there is limited research in India on adult vaccination, particularly across diverse vaccine categories. Our study is the first of its kind to evaluate healthcare professionals\u2019 (HCPs) knowledge, attitudes, and practices (KAP) regarding adult immunization across two tertiary care centers in southern India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To assess the KAP regarding Adult Immunizations among Health Care Professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted from June 2023 to November 2024 at Aster MIMS, Calicut, and Kottakkal, among a total of 500 HCPs (Doctors and Nurses). Data collected using a self-administered physical questionnaire. Responses were documented in Microsoft Excel, followed by data compilation and analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among the study population (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 500), 41.6% were doctors, and 58.4% were nurses. Only 7.8% of participants demonstrated excellent knowledge of adult immunization, and 15.2% had good knowledge. Hepatitis B (71.2%) and Tetanus (46.4%) were the most recognized vaccines. While 95.6% of HCPs had a positive attitude toward recommending vaccines, but only 85.4% actively motivated others to vaccinate. Notably, 48.8% expressed willingness to vaccinate, but only 35.8% had received at least one vaccine (excluding COVID-19) in the past two years, with Hepatitis B (12%) being the most commonly administered.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study highlights a gap between KAP related to adult immunization. Family physicians can bridge this gap by promoting awareness, addressing hesitations, and ensuring continuity of care. Systematic approaches like CME programs, reinforcement initiatives, and targeted awareness campaigns are essential to improve adult vaccine uptake in India.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_300_25","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:00:31Z","timestamp":1770372031000},"page":"89-104","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["A study on knowledge, attitude and practices (KAP) towards adult immunizations among health care professionals"],"prefix":"10.4103","volume":"15","author":[{"given":"Saleema","family":"Abdul Rahiman","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Aster MIMS Hospital, Calicut, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AP","family":"Vijayan","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, HOD of Family Medicine, Aster MIMS Hospital, Calicut, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesheera","family":"Muhammed Kutty","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Aster MIMS Hospital, Calicut, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T Fathima","family":"Mubeena","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Aster MIMS Hospital, Calicut, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,7]]},"reference":[{"key":"R4-20260206","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1056\/NEJMoa1700153","article-title":"Influenza vaccine effectiveness in the United States during the 2015-2016 season","volume":"377","author":"Jackson","year":"2017","journal-title":"N Engl J Med"},{"key":"R5-20260206","doi-asserted-by":"crossref","first-page":"33","DOI":"10.15585\/mmwr.mm6701a7","article-title":"Recommendation of the advisory committee on immunization practices for use of a third dose of mumps virus-containing vaccine in persons at increased risk for mumps during an outbreak","volume":"67","author":"Marin","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"R6-20260206","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1001\/jama.2019.12739","article-title":"Adult Immunization Update","volume":"322","author":"Sha","year":"2019","journal-title":"JAMA"},{"key":"R7-20260206","doi-asserted-by":"crossref","first-page":"182","DOI":"10.7326\/M18-3600","article-title":"Recommended adult immunization schedule, United States, 2019","volume":"170","author":"Kim","year":"2019","journal-title":"Ann Intern Med"},{"key":"R8-20260206","doi-asserted-by":"crossref","first-page":"4760","DOI":"10.1016\/S0264-410X(01)00223-7","article-title":"Importance of patients'perceptions and general practitioners'recommendations in understanding missed opportunities for immunisations in Swiss adults","volume":"19","author":"Bovier","year":"2001","journal-title":"Vaccine"},{"key":"R9-20260206","doi-asserted-by":"crossref","first-page":"2482","DOI":"10.1016\/j.vaccine.2008.03.011","article-title":"Influenza vaccination among primary healthcare workers","volume":"26","author":"Abramson","year":"2008","journal-title":"Vaccine"},{"key":"R10-20260206","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1007\/s15010-007-6218-5","article-title":"Influenza vaccination coverage rates in 5 European countries: A population-based cross-sectional analysis of the seasons 02\/03, 03\/04 and 04\/05","volume":"35","author":"M\u00fcller","year":"2007","journal-title":"Infection"},{"key":"R11-20260206","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1186\/1471-2458-8-272","article-title":"Influenza vaccination coverage rates in five European countries during season 2006\/07 and trends over six consecutive seasons","volume":"8","author":"Blank","year":"2008","journal-title":"BMC Public Health"},{"key":"R12-20260206","doi-asserted-by":"crossref","first-page":"138","DOI":"10.4103\/jphpc.jphpc_6_24","article-title":"Knowledge, attitude, and practices regarding adult immunization among postgraduate resident doctors in MGM Hospital, Navi Mumbai, India","volume":"5","author":"Kashyap","year":"2024","journal-title":"J Public Health Prim Care"},{"key":"R13-20260206","author":"Al-Ghanem","journal-title":"Ministry of Health and Family &Community Medicine Department, King Khalid College of Medicine, Saudi Arabia"},{"key":"R14-20260206","first-page":"16821","volume":"57","year":"2022","journal-title":"J Clin Diagn Res"},{"key":"R15-20260206","doi-asserted-by":"crossref","first-page":"148","DOI":"10.3390\/vaccines8020148","article-title":"Knowledge, attitude, and practice toward adult vaccination","volume":"8","author":"Pelullo","year":"2020","journal-title":"Vaccines"},{"key":"R16-20260206","doi-asserted-by":"crossref","first-page":"148","DOI":"10.18203\/2349-3291.ijcp20230026","article-title":"Knowledge, attitude and practice of health care workers towards COVID-19 vaccination","volume":"10","author":"Sharma","year":"2023","journal-title":"Int J Contemp Pediatr"},{"key":"R17-20260206","first-page":"120","article-title":"A study of knowledge, attitude, and practice patterns of adult immunization","volume":"4","author":"Patel","year":"2021","journal-title":"Int J Health Clin Res"},{"key":"R18-20260206","doi-asserted-by":"crossref","first-page":"92","DOI":"10.4236\/wjv.2011.13009","article-title":"Knowledge and attitude of family physicians regarding adult vaccination","volume":"01","author":"Baykan","year":"2011","journal-title":"World J Vaccines"},{"key":"R19-20260206","doi-asserted-by":"crossref","first-page":"836","DOI":"10.18203\/2394-6040.ijcmph20220248","article-title":"Attitude and practice towards COVID-19 vaccination among healthcare workers in Kerala","volume":"9","author":"Thomas","year":"2022","journal-title":"Int J Community Med Public Health"},{"key":"R20-20260206","doi-asserted-by":"crossref","first-page":"642636","DOI":"10.3389\/fpubh.2021.642636","article-title":"Knowledge, attitude, and acceptance of healthcare workers and the public regarding the COVID-19 vaccine: A cross-sectional study","volume":"9","author":"Vora","year":"2021","journal-title":"Front Public Health"},{"key":"R21-20260206","doi-asserted-by":"crossref","first-page":"602","DOI":"10.3390\/vaccines9060602","article-title":"Knowledge, attitudes, and practices (KAP) toward the COVID-19 vaccine in Oman: A pre-campaign cross-sectional study","volume":"9","author":"Al-Marshoudi","year":"2021","journal-title":"Vaccines"},{"key":"R22-20260206","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1038\/s41591-020-1124-9","article-title":"A global survey of potential acceptance of a COVID-19 vaccine","volume":"27","author":"Lazarus","year":"2021","journal-title":"Nat Med"},{"key":"R23-20260206","doi-asserted-by":"crossref","first-page":"482","DOI":"10.3390\/vaccines8030482","article-title":"Acceptance of COVID-19 vaccination during the COVID-19 pandemic in China","volume":"8","author":"Wang","year":"2020","journal-title":"Vaccines (Basel)"},{"key":"R24-20260206","doi-asserted-by":"crossref","first-page":"113414","DOI":"10.1016\/j.socscimed.2020.113414","article-title":"The French public's attitudes to a future COVID-19 vaccine: The politicization of a public health issue","volume":"265","author":"Ward","year":"2020","journal-title":"Soc Sci Med"},{"key":"R25-20260206","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.2147\/JMDH.S276771","article-title":"Determinants of COVID-19 vaccine acceptance in Saudi Arabia: A web-based National survey","volume":"13","author":"Al-Mohaithef","year":"2020","journal-title":"J Multidiscip Healthc"},{"key":"R26-20260206","doi-asserted-by":"crossref","first-page":"964","DOI":"10.7326\/M20-3569","article-title":"Attitudes toward a potential SARS-CoV-2 vaccine: A survey of U. S. adults","volume":"173","author":"Fisher","year":"2020","journal-title":"Ann Intern Med"},{"key":"R27-20260206","first-page":"183","article-title":"Investigation of seropositivity of hepatitis B virus in healthcare workers in Isparta, T\u00fcrkiye","volume":"20","author":"Dem\u0130r","year":"2006","journal-title":"Turk J Infect"},{"key":"R28-20260206","first-page":"22","article-title":"Evaluation of the Hepatitis B infection status, knowledge and behaviours of the research assistants of SDU School of Medicine","volume":"5","author":"Uzun","year":"2008","journal-title":"SDU School of Med"},{"key":"R29-20260206","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.medmal.2003.12.010","article-title":"Evolution des strat\u00e9gies vaccinales et couverture vaccinale contre l'h\u00e9patite B en France, pays de faible end\u00e9mie [Evolution of strategy and coverage rates for hepatitis B vaccination in France, a country with low endemicity","volume":"34","author":"Denis","year":"2004","journal-title":"Med Mal Infect"},{"key":"R30-20260206","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1086\/518730","article-title":"Hepatitis B vaccination coverage levels among healthcare workers in the United States, 2002-2003","volume":"28","author":"Simard","year":"2007","journal-title":"Infect Control Hosp Epidemiol"},{"key":"R31-20260206","doi-asserted-by":"crossref","first-page":"463","DOI":"10.2147\/IJWH.S449979","article-title":"HPV vaccine uptake, willingness to receive, and causes of vaccine hesitancy: A national study conducted in Saudi Arabia among female healthcare professionals","volume":"16","author":"AlShamlan","year":"2024","journal-title":"Int J Womens Health"},{"key":"R32-20260206","first-page":"1132","article-title":"Knowledge, attitudes, beliefs and barriers of healthcare professionals and adults \u226565 years about vaccine-preventable diseases in Spain: the ADult Vaccination drIverS and barriErs (ADVISE) study","volume":"9","author":"Redondo","year":"2021","journal-title":"Vaccines (Basel)"},{"key":"R33-20260206","doi-asserted-by":"crossref","first-page":"632","DOI":"10.3390\/vaccines12060632","article-title":"Knowledge and attitudes about contraindications and precautions to vaccination among healthcare professionals working in vaccination clinics in Ningbo, China: A Cross-Sectional Survey","volume":"12","author":"Ye","year":"2024","journal-title":"Vaccines (Basel)"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_300_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:27:20Z","timestamp":1787844440000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_300_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_300_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-02-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}