Evidence map›Paper›PMID 39423235›Full record

ArticlePloS one2024

Primary care physicians' perspectives on adults with diabetes and the recommended hepatitis B vaccine: A qualitative study.

Douwné L Müller, Heather Stuckey, Eileen S Flores, Li Wang, Thomas Godfrey, William A Calo, Jessica Yingst

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Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Douwné L MüllerDepartment of Family and Community Medicine, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States of America.ORCID 0000-0001-5072-7943
Heather StuckeyDepartment of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States of America.
Eileen S FloresDepartment of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States of America.
Li WangDepartment of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States of America.
Thomas GodfreyDepartment of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States of America.
William A CaloDepartment of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States of America.
Jessica YingstDepartment of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States of America.ORCID 0000-0003-3028-668X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with diabetes are at an increased risk of contracting the hepatitis B virus (HBV). However, hepatitis B (HepB) vaccination rates among adults with diabetes are low. Factors influencing HepB vaccination have not been adequately explored.

aimsThe study aims to identify and understand the barriers adults with diabetes have in receiving the recommended HepB vaccine from the physicians' perspective.

methodsThis study used semi-structured interviews to ascertain the perspective of 11 primary care physicians (PCPs) in a large academic medical group about HepB vaccination among their patients with Type 1 and 2 diabetes. Thematic analysis yielded descriptions of barriers and strategies that could potentially impact HepB vaccination among adults with diabetes.

resultsPhysician responses related to four themes: (1) Conflicting perceptions about HBV risk and the CDC recommendation for adults with diabetes; (2) PCPs don't perceive HepB vaccination as important as other adult vaccines and prioritize vaccination based on risk exposure; (3) PCPs' perceived barriers to HepB vaccination among adults with diabetes; and (4) Physician recommended strategies to increase HepB vaccination among adults with diabetes.

conclusionOur findings indicate that physicians are generally aware of the existence of the CDC guidelines, but not all physicians recommend the HepB vaccine to adults with diabetes. This is because of a wide variation in treatment concerning glucose monitoring or insulin injection due to varying opinions about actual risk. We also identified barriers adults with diabetes have in receiving the HepB vaccine and strategies to increase HepB vaccination.

Indexed as

Hepatitis BHepatitis B VaccinesPhysicians, Primary CareVaccinationAdultAttitude of Health PersonnelDiabetes MellitusFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedQualitative ResearchHepatitis B Vaccines

Identifiers

PMID39423235
PMCPMC11488695

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.