TY - JOUR
T1 - Human Papillomavirus Vaccine Uptake in Texas Pediatric Care Settings
T2 - A Statewide Survey of Healthcare Professionals
AU - Javaid, Mehwish
AU - Ashrawi, Dana
AU - Landgren, Rachel
AU - Stevens, Lori
AU - Bello, Rosalind
AU - Foxhall, Lewis
AU - Mims, Melissa
AU - Ramondetta, Lois
N1 - Funding Information:
This work was supported in part by the National Institutes of Health through Cancer Center Support Grant (NCI 3 P30 CA016672-39S4). The University of Texas MD Anderson Cancer Center’s Institutional Review Board approved the study and instrument.
Publisher Copyright:
© 2016, Springer Science+Business Media New York (outside the USA).
PY - 2017/2/1
Y1 - 2017/2/1
N2 - The purpose of this study was to identify barriers to and facilitators of human papillomavirus (HPV) vaccination in children aged 9–17 years across Texas. A literature review informed the development of a web-based survey designed for people whose work involves HPV vaccination in settings serving pediatric patients. The survey was used to examine current HPV vaccine recommendation practices among healthcare providers, barriers to HPV vaccination, reasons for parent/caregiver vaccine refusal, staff and family education practices, utilization of reminder and recall systems and status of vaccine administration (payment, ordering and stocking). 1132 responses were received representing healthcare providers, administrative and managerial staff. Respondents identified perceived barriers to HPV vaccination as parental beliefs about lack of necessity of vaccination prior to sexual debut, parental concerns regarding safety and/or side effects, parental perceptions that their child is at low risk for HPV-related disease, and parental lack of knowledge that the vaccine is a series of three shots. Of responding healthcare providers, 94 % (n = 582) reported they recommend the vaccine for 9–12 year olds; however, same-day acceptance of the vaccine is low with only 5 % (n = 31) of providers reporting the HPV vaccine is “always” accepted the same day the recommendation is made. Healthcare providers and multidisciplinary care teams in pediatric care settings must work to identify gaps between recommendation and uptake to maximize clinical opportunities. Training in methods to communicate an effective HPV recommendation and patient education tailored to address identified barriers may be helpful to reduce missed opportunities and increase on-time HPV vaccinations.
AB - The purpose of this study was to identify barriers to and facilitators of human papillomavirus (HPV) vaccination in children aged 9–17 years across Texas. A literature review informed the development of a web-based survey designed for people whose work involves HPV vaccination in settings serving pediatric patients. The survey was used to examine current HPV vaccine recommendation practices among healthcare providers, barriers to HPV vaccination, reasons for parent/caregiver vaccine refusal, staff and family education practices, utilization of reminder and recall systems and status of vaccine administration (payment, ordering and stocking). 1132 responses were received representing healthcare providers, administrative and managerial staff. Respondents identified perceived barriers to HPV vaccination as parental beliefs about lack of necessity of vaccination prior to sexual debut, parental concerns regarding safety and/or side effects, parental perceptions that their child is at low risk for HPV-related disease, and parental lack of knowledge that the vaccine is a series of three shots. Of responding healthcare providers, 94 % (n = 582) reported they recommend the vaccine for 9–12 year olds; however, same-day acceptance of the vaccine is low with only 5 % (n = 31) of providers reporting the HPV vaccine is “always” accepted the same day the recommendation is made. Healthcare providers and multidisciplinary care teams in pediatric care settings must work to identify gaps between recommendation and uptake to maximize clinical opportunities. Training in methods to communicate an effective HPV recommendation and patient education tailored to address identified barriers may be helpful to reduce missed opportunities and increase on-time HPV vaccinations.
KW - Barriers
KW - HPV vaccination
KW - Pediatrics
KW - Survey of healthcare professionals
KW - Vaccine uptake
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U2 - 10.1007/s10900-016-0228-0
DO - 10.1007/s10900-016-0228-0
M3 - Article
C2 - 27473752
AN - SCOPUS:84980006498
SN - 0094-5145
VL - 42
SP - 58
EP - 65
JO - Journal of Community Health
JF - Journal of Community Health
IS - 1
ER -