Practice patterns and knowledge among California pediatricians regarding human papillomavirus and its relation to head and neck cancer
Practice patterns and knowledge among California pediatricians regarding human papillomavirus and its relation to head and neck cancer
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DOI：
10.1016/j.amjoto.2019.04.011
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发表时间：
2019-07-01
影响因子：
2.5
通讯作者：
Tjoa, Tjoson
中科院分区：
文献类型：
--
作者：
Berger, Michael H.;Haidar, Yarah M.;Tjoa, Tjoson
目的：确定在头颈癌预防背景下，人乳头瘤病毒（HPV）疫苗接种工作和接种率的实践模式，确定疫苗接种的障碍，并确定儿科医生人群中关于HPV与头颈癌之间联系的知识差距。研究设计/方法：一项包含27个问题的横断面调查被分发给美国儿科学会加州四个分会的成员。结果：在完成的应答中，89.4%确定“总是”向患者推荐HPV疫苗，但只有19.5%的儿科医生估计其符合条件的患者中有75%完成了HPV疫苗接种系列。71.5%的受访者认为，进一步了解HPV与头颈癌的联系，使他们更愿意讨论疫苗接种。执业时间较长的医生不太可能回答，关于HPV及其与头颈癌的联系的额外教育将使他们更愿意与患者讨论疫苗接种（p = 0.043）。执业时间较长的医生更有可能正确地回答HPV 16型是与头颈癌相关的最常见的毒株（p = 0.021）。结论：儿科医生在疫苗推荐过程中对患者进行咨询的知识基础和舒适度有待提高。耳鼻喉科医生在向医生、培训生和公众提供教育方面发挥着关键作用，努力抗击hpv相关头颈癌的流行。
Objective: To identify practice patterns regarding human papillomavirus (HPV) vaccination efforts and vaccination rates in context of head and neck cancer prevention, identify barriers to vaccination, and identify gaps in knowledge regarding the link between HPV and head and neck cancer in the pediatrician population.Study design/Methods: A 27-question cross-sectional survey was distributed to members of the four California chapters of the American Academy of Pediatrics.Results: Of the completed responses, 89.4% identified as "always" recommending the HPV vaccine to patients, but only 19.5% of pediatricians estimated that >75% of their eligible patients had completed the HPV vaccination series. 71.5% of respondents felt that further education about HPV's link to head and neck cancer them more comfortable discussing vaccination. Physicians who were in practice longer were less likely to respond that additional education about HPV and its link to head and neck cancer would make them more comfortable discussing vaccination with patients (p = 0.043). Physicians who were in practice longer were more likely to correctly respond that HPV type 16 is the most common strain linked to head and neck cancer (p = 0.021).Conclusion: There is need to improve both the knowledge base and comfort level of pediatricians in counseling their patients during vaccine recommendations. Otolaryngologists have a critical role in providing education to physicians, trainees, and the general public in the effort to combat the epidemic of HPV-associated head and neck cancer.