Primary care pediatricians' attitudes and practice towards HPV vaccination: A nationwide survey in Italy.

Primary care pediatricians' attitudes and practice towards HPV vaccination: A nationwide survey in Italy.
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DOI:
10.1371/journal.pone.0194920
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发表时间:
2018
期刊:
影响因子:
3.7
通讯作者:
Angelillo IF
Angelillo IF
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Napolitano F;Navaro M;Vezzosi L;Santagati G;Angelillo IF

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这项在意大利进行的全国在线横断面调查评估了初级保健儿科医生(PCP)对人乳头瘤病毒(HPV)疫苗接种的态度和做法以及几个特征的贡献。调查问卷于2016年9月至2017年6月通过电子邮件随机分发给640名PCP,通过互联网链接到基于网络的调查平台(Lime Survey)。只有18.4%的PCP总是推荐HPV疫苗给11-12岁的男孩。实践活动时间较长的PCP,在单独实践中工作,总是向11-12岁的女孩推荐HPV疫苗,并且认为疫苗对男孩有效,更有可能总是推荐HPV疫苗。在积极推荐疫苗接种并免费向11-12岁男孩提供疫苗接种的地区工作的PCP推荐疫苗接种的几率较高。超过三分之二的PCP(77.4%)总是推荐HPV疫苗给11-12岁的女孩。那些认为疫苗对女孩有效,对男孩和女孩都安全,总是与11-18岁的患者或他们的父母谈论HPV感染和疫苗接种,以及从科学期刊获得疫苗信息的PCP更有可能总是推荐疫苗。PCP应采用循证教育策略,以实现更好的覆盖率,降低HPV相关疾病的发病率和死亡率。
This national online cross-sectional survey in Italy assessed primary care pediatricians’ (PCPs) attitudes and practices regarding Human papillomavirus (HPV) vaccination and the contribution of several characteristics. The questionnaire was distributed from September 2016 to June 2017 to a random sample of 640 PCPs by email via an internet-link leading to a web-based survey platform (Lime Survey). Only 18.4% of PCPs always recommend the HPV vaccine to 11–12 year old boys. PCPs with longer practice activity, working in solo practice, always recommended the HPV vaccine to 11–12 year old girls, and believed that the vaccine was effective for boys were more likely to always recommend the HPV vaccine. PCPs working in a Region where the vaccination was actively recommended and provided free of charge to 11–12 year old boys had higher odds of recommending vaccination. More than two thirds of PCPs (77.4%) always recommend the HPV vaccine to 11–12 year old girls. PCPs who believed that the vaccine was effective for girls and safe in both boys and girls, who always talk with patients of 11–18 years or their parents about HPV infection and vaccination, and who obtain vaccine information from scientific journals were more likely to always recommend the vaccine. PCPs should employ evidence-based educational strategies in order to achieve a better coverage and to reduce the morbidities and mortality of diseases associated with HPV.
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