Recommending Human Papillomavirus Vaccination at Age 9: A National Survey of Primary Care Professionals.
Recommending Human Papillomavirus Vaccination at Age 9: A National Survey of Primary Care Professionals.
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DOI：
10.1016/j.acap.2022.01.008
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发表时间：
2022-05
影响因子：
3.1
通讯作者：
Gilkey, Melissa B.
中科院分区：
文献类型：
--
作者：
Kong, Wei Yi;Huang, Qian;Thompson, Peyton;Grabert, Brigid K.;Brewer, Noel T.;Gilkey, Melissa B.
包括美国儿科学会在内的几个美国卫生组织现在鼓励初级保健专业人员建议在传统目标年龄11-12岁之前接种HPV疫苗，作为提高疫苗接种及时性的策略。为了了解这种方法的可行性，我们试图评估初级保健专业人员目前推荐9岁时接种HPV疫苗的时间和意愿。我们于2021年完成了全国1，047名初级保健专业人员的在线调查。受访者是医生（71%），高级从业人员（17%）和护士（12%）。大约五分之一（21%）的初级保健专业人员报告说，他们已经常规建议在9-10岁时接种HPV疫苗。在剩下的822名受访者中，超过一半（61%）的人表示在9岁时就开始推荐。家庭医学工作者的意愿高于儿科工作者（aOR：1.40，95% CI 1.03，1.92），但≥20年实践经验者低于≤9年实践经验者（aOR：0.65，95% CI 0.44，0.96）。许多初级保健专业人员认为，9岁的建议将有利于在HPV暴露前保护青少年（67%）或提高疫苗接种的及时性（55%）。最常见的缺点是父母还没有准备好在9岁时谈论HPV疫苗接种（73%）。在我们的国家样本中，超过三分之二的初级保健专业人员报告说，他们建议在9-10岁时接种HPV疫苗，或者在某种程度上或更愿意这样做。可能需要培训，以帮助初级保健专业人员解决感知父母对9岁的建议犹豫不决。
Several U.S. health organizations, including the American Academy of Pediatrics, now encourage primary care professionals to recommend HPV vaccination before the traditionally targeted ages of 11-12 years as a strategy to increase vaccination timeliness. To understand the feasibility of this approach, we sought to evaluate primary care professionals’ current recommendation timing and willingness to recommend HPV vaccination at age 9. A national sample of 1,047 primary care professionals completed our online survey in 2021. Respondents were physicians (71%), advanced practitioners (17%), and nurses (12%). About one-fifth (21%) of primary care professionals reported that they already routinely recommend HPV vaccination at ages 9-10. Among the remaining 822 respondents, over half (61%) reported being somewhat or more willing to start recommending at age 9. Willingness was higher among those working in family medicine versus pediatrics (aOR: 1.40, 95% CI 1.03, 1.92), but lower among those with ≥20 years of practice experience versus ≤9 years (aOR: 0.65, 95% CI 0.44, 0.96). Many primary care professionals believed age 9 recommendations would have the advantage of protecting adolescents before HPV exposure (67%) or increasing vaccination timeliness (55%). The most commonly perceived disadvantage was that parents are not ready to talk about HPV vaccination at age 9 (73%). Over two-thirds of primary care professionals in our national sample reported they recommend HPV vaccination at ages 9-10 or are somewhat or more willing to do so. Training may be needed to help primary care professionals address perceived parental hesitancy toward age 9 recommendations.
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影响因子：
26.1
作者：
Dempsey, Amanda F.;Pyrznawoski, Jennifer;O'Leary, Sean T.
通讯作者：
O'Leary, Sean T.
影响因子：
5.5
作者：
Vadaparampil, Susan T.;Kahn, Jessica A.;Giuliano, Anna R.
通讯作者：
Giuliano, Anna R.
影响因子：
8
作者：
Perkins, Rebecca B.;Clark, Jack A.;Pierre-Joseph, Natalie
通讯作者：
Pierre-Joseph, Natalie
影响因子：
3.1
作者：
Goleman, Martha J.;Dolce, Millie;Morack, Jennifer
通讯作者：
Morack, Jennifer
影响因子：
8
作者：
Allison MA;Hurley LP;Markowitz L;Crane LA;Brtnikova M;Beaty BL;Snow M;Cory J;Stokley S;Roark J;Kempe A
通讯作者：
Kempe A