Physician Attitudes and Practice Toward Human Papillomavirus Vaccination
Physician Attitudes and Practice Toward Human Papillomavirus Vaccination
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DOI：
10.1097/lgt.0b013e3181dca59c
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发表时间：
2010-10-01
影响因子：
3.7
通讯作者：
Johnson, Natasha R.
中科院分区：
文献类型：
--
作者：
Ko, Emily M.;Missmer, Stacey;Johnson, Natasha R.
目标。比较医生的做法，态度，以及对人乳头瘤病毒（HPV）疫苗接种的障碍。材料与方法。一项基于网络的调查评估了HPV疫苗接种的实践、感知到的障碍以及疫苗潜在效果的意见，该调查被分发给了单一卫生保健系统内的产科医生/妇科医生、内科医生和儿科医生。共有1488名来自高等教育、社区和私人机构的医生接受了调查。数据采用多因素logistic回归分析。1488名医生中，共有424名（28.9%）参与了调查。在这些医生中，80%提供疫苗。与男性、亚专科和三级保健医生相比，女性、初级保健医生、社区和私人执业医生分别与疫苗接种率增加有关。报告接种疫苗没有障碍的医生更有可能提供疫苗（优势比= 1.74,95% CI = 1.04-2.93, p = 0.04）。疫苗接种的最大障碍是报销问题。大多数医生提供HPV疫苗。解决接种疫苗的障碍和解决实际问题可能会增加HPV疫苗接种。
Objective. To compare physician practices, attitudes, and barriers toward human papillomavirus (HPV) vaccination.Materials and Methods. A Web-based survey that assessed the practice of HPV vaccination, perceived barriers, and opinions of potential vaccine effects was distributed to obstetrician/gynecologists, internists, and pediatricians within a single health care system. A total of 1,488 physicians located in tertiary, community, and private settings were sent the survey. Data were analyzed using multivariate logistic regression.Results. A total of 424 (28.9%) of 1,488 physicians participated. Of these physicians, 80% offer the vaccine. Female, primary care, and community and private practice physicians were associated with increased vaccination, compared with male, subspecialty, and tertiary care physicians, respectively. Physicians who reported no barriers to vaccination were more likely to offer the vaccine (odds ratio = 1.74, 95% CI = 1.04-2.93, p = .04). The greatest barrier to vaccination was reimbursement concerns.Conclusions. Most physicians offer the HPV vaccine. Addressing barriers to vaccination and resolving practical concerns may increase HPV vaccination.