Influential Factors in HPV Vaccination Uptake Among Providers in Four States
Influential Factors in HPV Vaccination Uptake Among Providers in Four States
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DOI：
10.1007/s10900-010-9255-4
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发表时间：
2010-12-01
影响因子：
5.9
通讯作者：
McCave, Emily L.
中科院分区：
文献类型：
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作者：
McCave, Emily L.
检查卫生服务提供者在向四个州9-17岁的女性提供HPV疫苗方面的感知障碍、支持和疫苗接种行动。探讨了学龄前青少年与年龄较大的青少年在提供者接种HPV疫苗方面的差异。来自四个州的1500名儿科医生、家庭医生、妇科医生、护士从业人员和医生助理的随机样本被要求完成一项邮件调查。提供者是通过州医疗和护理委员会招募的。最终样本包括227名受访者。在这些参与者中，在所有四个州，卫生服务提供者为老年女性(13-17岁)接种疫苗的比率都明显高于青春期前(9-12岁)。报告HPV疫苗接种障碍增加的提供者显著降低了为任一年龄组的女孩接种疫苗的可能性。提供者报告的最常见的障碍包括HPV疫苗的经济负担，以及遇到对疫苗有负面看法的患者(更多是患者的父母)。最常见的支持包括个人对HPV疫苗的积极影响的信念，其次是提供者对与父母谈论疫苗的性性质感到舒服，以及遵守疾控中心关于HPV疫苗接种的建议的重要性。患者的年龄可能会影响提供者的HPV疫苗接种行为，特别是如果父母对接种前青少年的疫苗有担忧的话。当提供者意识到可能影响他们的HPV疫苗接种行为的潜在障碍和支持时，他们可以最好地为他们的患者服务。
To examine health providers' perceived barriers, supports, and vaccination actions in delivering the HPV vaccine to females ages 9-17 in four states. Differences in providers' HPV vaccination of pre-adolescents compared with older adolescents were explored. A random sample of 1,500 pediatricians, family physicians, gynecologists, nurse practitioners, and physician assistants from four states were asked to complete a mail survey. Providers were recruited through state medical and nursing boards. The final sample included 227 respondents. Among those participants, health providers vaccinated older females (ages 13-17) at significantly higher rates than pre-adolescents (ages 9-12) in all four states. Providers who reported increased barriers to HPV vaccination were significantly less likely to vaccinate girls in either age group. The most frequent barriers reported by providers included the financial burden of the HPV vaccine and encountering patients (more often patients' parents) who have negative perceptions of vaccine. Most common supports included a personal belief in the positive impact of the HPV vaccine, followed by providers feeling comfortable talking with parents about the sexual nature of the vaccine, and the importance of adhering to the CDC's recommendations on HPV vaccination. Age of patient will likely influence providers' HPV vaccination behaviors, particularly if parents have concerns about vaccinating their pre-adolescents. Providers can best serve their patients when they are aware of the potential barriers and supports that may influence their HPV vaccination behaviors.