Obstetrician/gynecologists' HPV vaccination recommendations among women and girls 26 and younger.
Obstetrician/gynecologists' HPV vaccination recommendations among women and girls 26 and younger.
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DOI：
10.1016/j.pmedr.2022.101772
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发表时间：
2022-06
影响因子：
2.8
通讯作者：
Kasting ML
中科院分区：
文献类型：
--
作者：
Brennan LP;Rodriguez NM;Head KJ;Zimet GD;Kasting ML
57%的妇科医生强烈并经常推荐HPV疫苗。患者和供应商HPV相关的信念与建议相关。郊区和城市诊所以及疫苗储备更有可能推荐的诊所。产科医生/妇科医生（OB/GYNs）已经做好了为女孩和年轻女性接种HPV疫苗的准备，但对他们是否以及如何推荐HPV疫苗知之甚少。本研究旨在了解与26岁及以下患者的OB/GYNs强烈和频繁HPV疫苗建议相关的因素。224名执业美国OB/GYN接受了调查，以了解他们向26岁及以下患者推荐HPV疫苗的强烈程度和频率。提供者的信念，知识和偏好周围的疫苗，以及诊所和患者水平的变量作为协变量进行了检查。然后，我们使用多变量逻辑回归分析来检查这些关系。在224名受访者中，有205人被纳入分析，其中57%（n = 116）强烈并经常建议26岁及以下的合格患者接种HPV疫苗。回归分析表明，两个供应商的信念和两个诊所级的属性与强有力的和频繁的建议。作为一个强有力的和频繁的推荐者与相信其他妇科医生经常推荐疫苗（aOR 24.33 95%CI[2.56-231.14]）和相信50%或更多的患者有兴趣接受疫苗（aOR 2.77 95%CI[1.25-6.13]）呈正相关。临床水平属性为疫苗储备（aOR 2.66 95%CI[1.02-6.93]）和郊区（aOR 3.31 95%CI[1.07-10.19]）或城市（aOR 3.54 95%CI[1.07-11.76]）与农村。这些发现表明，OB/GYN同行支持和教育OB/GYN患者对HPV疫苗接种的兴趣可能会改善HPV疫苗接种。这项工作可以为诊所一级的干预措施提供信息，包括储存疫苗和将改进工作的重点放在农村诊所。
57% of gynecologists reported strongly and frequently recommending the HPV vaccine. Patient and provider HPV-related beliefs were associated with recommendations. Suburban and urban clinics and clinics with vaccine stocked more likely to recommend. Obstetrician/gynecologists (OB/GYNs) are well poised to vaccinate girls and young women against HPV, however little is known about if and how they recommend the HPV vaccine. This study aims to understand factors associated with strong and frequent HPV vaccine recommendations among OB/GYNs for patients 26 years and younger. 224 practicing U.S. OB/GYNs were surveyed for how strongly and frequently they recommend the HPV vaccine to patients 26 and younger. Provider beliefs, knowledge, and preferences surrounding the vaccine, as well as clinic and patient-level variables were examined as covariates. We then examined the relationships using multivariable logistic regression analyses. Of the 224 respondents, 205 were included in the analysis, with 57% (n = 116) reporting strongly and frequently recommending the HPV vaccination to eligible patients 26 and younger. The regression showed two provider beliefs and two clinic-level attributes to be strongly associated with strong and frequent recommendations. Being a strong and frequent recommender was positively associated with believing other gynecologists frequently recommend the vaccine (aOR 24.33 95%CI[2.56–231.14]) and believing that 50% or more of their patients are interested in receiving the vaccine (aOR 2.77 95%CI[1.25–6.13]). The clinic-level attributes were having the vaccine stocked (aOR 2.66 95%CI[1.02–6.93]) and suburban (aOR 3.31 95%CI[1.07–10.19]) or urban (aOR 3.54 95%CI[1.07–11.76]) location versus rural. These findings suggest that OB/GYN peer support and educating OB/GYN about patients’ interest in HPV vaccination may improve HPV vaccination. This work can inform clinic-level interventions including stocking the vaccine and focusing improvement efforts on rural clinics.
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影响因子：
3.5
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