HPV Vaccine Delivery Practices by Primary Care Physicians
To examine, among pediatricians and family physicians (FPs) (1) human papillomavirus (HPV) vaccine delivery practices, (2) delivery experiences, and (3) attitudes regarding new 2-dose HPV vaccination schedules. We surveyed nationally representative networks of pediatricians and FPs by Internet or ma...
Saved in:
Published in | Pediatrics (Evanston) Vol. 144; no. 4 |
---|---|
Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.10.2019
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | To examine, among pediatricians and family physicians (FPs) (1) human papillomavirus (HPV) vaccine delivery practices, (2) delivery experiences, and (3) attitudes regarding new 2-dose HPV vaccination schedules.
We surveyed nationally representative networks of pediatricians and FPs by Internet or mail from July 2018 to September 2018. Multivariable regression was used to assess factors associated with refusal or deferral rates of ≥50% among 11- to 12-year-old patients.
The response rate was 65% (302 pediatricians and 228 FPs included). Pediatricians who strongly recommended the HPV vaccine ranged from 99% for patients ≥15 years old (female) to 83% for those 11 to 12 years old (male); FPs ranged from 90% for patients ≥15 years old (female) to 66% for those 11 to 12 years old (male) (
< .0001 between specialties). Sixty-five percent of pediatricians and 42% of FPs always or almost always used presumptive style when discussing the HPV vaccine (
< .0001). Overall, 40% used standing orders and 42% had electronic alerts. Among pediatricians, the proportion reporting a refusal or deferral rate ≥50% was 19% for female patients and 23% for male patients 11 to 12 years old; FPs reported 27% and 36%, respectively. In the multivariable regression (both sexes), refusal or deferral was associated with physicians not strongly recommending the HPV vaccine to 11- to 12-year-old patients, not using a presumptive style, perceiving less resistance when introducing the HPV vaccine to a 13-year-old patient versus an 11- or 12-year-old patient, and anticipating an uncomfortable conversation when recommending the HPV vaccine to an 11- or 12-year-old patient. Eighty-nine percent of pediatricians and 79% of FPs reported that more adolescents <15 years old are completing the HPV series now that only 2 doses are recommended.
Although most physicians strongly recommend the HPV vaccine to 11- to 12-year-old patients, our data reveal areas for improvement in recommendation and delivery methods. Most physicians perceive that the 2-dose schedule is resulting in higher HPV completion rates. |
---|---|
AbstractList | To examine, among pediatricians and family physicians (FPs) (1) human papillomavirus (HPV) vaccine delivery practices, (2) delivery experiences, and (3) attitudes regarding new 2-dose HPV vaccination schedules.
We surveyed nationally representative networks of pediatricians and FPs by Internet or mail from July 2018 to September 2018. Multivariable regression was used to assess factors associated with refusal or deferral rates of ≥50% among 11- to 12-year-old patients.
The response rate was 65% (302 pediatricians and 228 FPs included). Pediatricians who strongly recommended the HPV vaccine ranged from 99% for patients ≥15 years old (female) to 83% for those 11 to 12 years old (male); FPs ranged from 90% for patients ≥15 years old (female) to 66% for those 11 to 12 years old (male) (
< .0001 between specialties). Sixty-five percent of pediatricians and 42% of FPs always or almost always used presumptive style when discussing the HPV vaccine (
< .0001). Overall, 40% used standing orders and 42% had electronic alerts. Among pediatricians, the proportion reporting a refusal or deferral rate ≥50% was 19% for female patients and 23% for male patients 11 to 12 years old; FPs reported 27% and 36%, respectively. In the multivariable regression (both sexes), refusal or deferral was associated with physicians not strongly recommending the HPV vaccine to 11- to 12-year-old patients, not using a presumptive style, perceiving less resistance when introducing the HPV vaccine to a 13-year-old patient versus an 11- or 12-year-old patient, and anticipating an uncomfortable conversation when recommending the HPV vaccine to an 11- or 12-year-old patient. Eighty-nine percent of pediatricians and 79% of FPs reported that more adolescents <15 years old are completing the HPV series now that only 2 doses are recommended.
Although most physicians strongly recommend the HPV vaccine to 11- to 12-year-old patients, our data reveal areas for improvement in recommendation and delivery methods. Most physicians perceive that the 2-dose schedule is resulting in higher HPV completion rates. |
Author | Crane, Lori A O'Leary, Sean T Markowitz, Lauri E Lindley, Megan C Stokley, Shannon Kempe, Allison Hurley, Laura P Meites, Elissa Brtnikova, Michaela Beaty, Brenda L |
Author_xml | – sequence: 1 givenname: Allison surname: Kempe fullname: Kempe, Allison email: allison.kempe@childrenscolorado.org organization: Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado – sequence: 2 givenname: Sean T surname: O'Leary fullname: O'Leary, Sean T organization: Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado – sequence: 3 givenname: Lauri E surname: Markowitz fullname: Markowitz, Lauri E organization: National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia – sequence: 4 givenname: Lori A surname: Crane fullname: Crane, Lori A organization: Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado, Aurora, Colorado; and – sequence: 5 givenname: Laura P surname: Hurley fullname: Hurley, Laura P organization: Division of General Internal Medicine, Denver Health, Denver, Colorado – sequence: 6 givenname: Michaela surname: Brtnikova fullname: Brtnikova, Michaela organization: Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado – sequence: 7 givenname: Brenda L surname: Beaty fullname: Beaty, Brenda L organization: Adult and Child Consortium for Health Outcomes Research and Delivery Science, School of Medicine, University of Colorado and Children's Hospital Colorado, Aurora, Colorado – sequence: 8 givenname: Elissa surname: Meites fullname: Meites, Elissa organization: National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia – sequence: 9 givenname: Shannon surname: Stokley fullname: Stokley, Shannon organization: National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia – sequence: 10 givenname: Megan C surname: Lindley fullname: Lindley, Megan C organization: National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31527175$$D View this record in MEDLINE/PubMed |
BookMark | eNo1j01PwzAQRC0Eoh9w5YjyB9J6N-vYPqJAKVKl5gC9VrazEUZtiOKC1H9PUeE0mjk8vZmIy-6zYyHuQM5AEc57btIMJdgcSKsLMQZpTU6o1UhMUvqQUpLSeC1GBSjUoNVY2GW9yTYuhNhx9si7-M3DMasHFw4xcMr8b4l7dxorN3BWvx9TDNF16UZctW6X-PYvp-Jt8fRaLfPV-vmleljlgcAc8uCtCsaSt4WnttQl2dYxWKekUeDQWpSNI2UKPOmVkg2Rp0BBo2FsAafi_sztv_yem21_1tn-f8AfSDNG6w |
CitedBy_id | crossref_primary_10_1016_j_pmedr_2022_101772 crossref_primary_10_1093_tbm_ibab071 crossref_primary_10_1016_j_vaccine_2020_03_038 crossref_primary_10_1136_bmjopen_2023_074305 crossref_primary_10_1016_j_ypmed_2023_107472 crossref_primary_10_1016_j_vaccine_2020_03_035 crossref_primary_10_1080_21645515_2023_2181610 crossref_primary_10_1111_jrh_12724 crossref_primary_10_3390_vaccines10122120 crossref_primary_10_1002_cam4_6862 crossref_primary_10_1097_AOG_0000000000004955 crossref_primary_10_1016_j_jadohealth_2023_02_006 crossref_primary_10_1016_S2468_2667_20_30139_0 crossref_primary_10_1016_j_pedhc_2022_07_003 crossref_primary_10_1186_s12913_022_08224_7 crossref_primary_10_1177_08901171221091438 crossref_primary_10_1093_ibd_izac129 crossref_primary_10_2298_PSI220616035C crossref_primary_10_3322_caac_21616 crossref_primary_10_1016_j_jadohealth_2020_08_013 crossref_primary_10_1016_j_ypmed_2021_106554 crossref_primary_10_1016_j_ypmed_2022_107228 crossref_primary_10_3390_vaccines9010063 crossref_primary_10_1016_j_ypmed_2023_107841 crossref_primary_10_1080_21645515_2023_2216117 crossref_primary_10_1007_s10900_023_01226_4 crossref_primary_10_1080_21645515_2023_2219185 crossref_primary_10_1007_s10865_022_00316_3 crossref_primary_10_1016_j_tvr_2021_200214 crossref_primary_10_1097_JXX_0000000000000893 crossref_primary_10_7554_eLife_70003 crossref_primary_10_1097_01_JAA_0001005624_18611_79 crossref_primary_10_1016_j_jadohealth_2022_09_005 crossref_primary_10_1186_s12912_023_01379_6 crossref_primary_10_1016_j_vaccine_2022_02_012 crossref_primary_10_1016_j_vaccine_2020_11_015 crossref_primary_10_1080_07370016_2021_1894819 crossref_primary_10_1016_j_ypmed_2022_107218 crossref_primary_10_1158_1055_9965_EPI_21_0733 crossref_primary_10_1080_21645515_2023_2175541 crossref_primary_10_3897_pharmacia_71_e122666 crossref_primary_10_3390_vaccines9070802 crossref_primary_10_18270_rsb_v14i1_4562 crossref_primary_10_1007_s10865_022_00296_4 crossref_primary_10_1007_s10900_024_01333_w crossref_primary_10_1016_j_pmedr_2021_101562 crossref_primary_10_3322_caac_21753 crossref_primary_10_1016_j_jadohealth_2023_11_016 crossref_primary_10_1016_j_cct_2023_107266 crossref_primary_10_1016_j_jpeds_2021_03_002 crossref_primary_10_1158_1940_6207_CAPR_23_0046 crossref_primary_10_1001_jamapediatrics_2021_0766 crossref_primary_10_1542_peds_2021_054186 |
ContentType | Journal Article |
Copyright | Copyright © 2019 by the American Academy of Pediatrics. |
Copyright_xml | – notice: Copyright © 2019 by the American Academy of Pediatrics. |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1542/peds.2019-1475 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1098-4275 |
ExternalDocumentID | 31527175 |
Genre | Research Support, U.S. Gov't, P.H.S Journal Article |
GrantInformation_xml | – fundername: NCIRD CDC HHS grantid: U01 IP001072 |
GroupedDBID | --- -ET ..I .55 .GJ 0R~ 123 18M 1CY 1HT 26- 29O 2KS 2QL 2WC 36B 39C 4.4 41~ 53G 5RE 5VS 6PF 7K8 85S 8F7 8GL 96U AAAMJ AAHTB AAIKC AAJMC AAKAS AAMNW AAQOH AAWTL AAWTO AAYOK ABCZD ABIVO ABJNI ABOCM ABPEJ ABPPZ ACBMB ACGFO ACGOD ACNCT ACPRK ADCOW ADZCM AENEX AFAZI AFFNX AFHKK AFOSN AFRAH AGFXO AHMBA AJUXI ALMA_UNASSIGNED_HOLDINGS BKOMP CGR CS3 CUY CVF DIK DU5 E3Z EBS ECM EIF EJD ESX EX3 F5P F8P FEDTE GICCO GOZPB GX1 H13 HF~ HVGLF IAG IAO ICJ IEA IER IGG IHR IHW IMI INH INR IOF IPO IPY ISE ITC IVC KO8 KQ8 L7B LXL LXN LXY N4W N9A NEJ NPM OHT OK1 OMK OVD P0W P2P PDE PQQKQ Q.- RHF RHI SJN TAE TEORI TR2 TWZ UBE UHB UMD W8F WH7 WHG WOQ WOW WQ9 X7M XJT XOL XZL YCJ YHG YHZ YOC YQI YQJ YZZ ZGI ZRR ZXP ~KM ~X8 |
ID | FETCH-LOGICAL-c418t-cb95c894b93b4f67649fae19a50851a29920da4583200460e844b4c4c728e2f12 |
IngestDate | Sat Sep 28 08:31:22 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 4 |
Language | English |
License | Copyright © 2019 by the American Academy of Pediatrics. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c418t-cb95c894b93b4f67649fae19a50851a29920da4583200460e844b4c4c728e2f12 |
OpenAccessLink | https://pediatrics.aappublications.org/content/pediatrics/144/4/e20191475.full.pdf |
PMID | 31527175 |
ParticipantIDs | pubmed_primary_31527175 |
PublicationCentury | 2000 |
PublicationDate | 2019-10-01 |
PublicationDateYYYYMMDD | 2019-10-01 |
PublicationDate_xml | – month: 10 year: 2019 text: 2019-10-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Pediatrics (Evanston) |
PublicationTitleAlternate | Pediatrics |
PublicationYear | 2019 |
SSID | ssj0004572 |
Score | 2.5706043 |
Snippet | To examine, among pediatricians and family physicians (FPs) (1) human papillomavirus (HPV) vaccine delivery practices, (2) delivery experiences, and (3)... |
SourceID | pubmed |
SourceType | Index Database |
SubjectTerms | Adolescent Age Factors Attitude of Health Personnel Child Communication Female Health Care Surveys - statistics & numerical data Health Knowledge, Attitudes, Practice Humans Male Middle Aged Papillomavirus Infections - prevention & control Papillomavirus Vaccines - administration & dosage Pediatricians - statistics & numerical data Physicians, Family - statistics & numerical data Physicians, Primary Care - statistics & numerical data Practice Patterns, Physicians Regression Analysis Sex Factors Vaccination Refusal - statistics & numerical data |
Title | HPV Vaccine Delivery Practices by Primary Care Physicians |
URI | https://www.ncbi.nlm.nih.gov/pubmed/31527175 |
Volume | 144 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3PS8MwFA5OYewi_v4tPXiT6pqmbXIcogxxw8M2dhtNmsBgbkMHon-97yVtV2XC9FLahIa0X_v68vq-7xFyJZqSZ0YpP6ZB7CNX0k-ZFH5GWczx-55ojHd0unG7zx6H0bDCuEZ2yULeqM-VvJL_oAptgCuyZP-AbDkoNMA-4AtbQBi2a2Hcfh5cD1KF_8bBcEwwxeIjVyDCRCuJB05MAmlGts6NjWK8VV3SsliHjb9az9r6g8ssbA2utSPDTDD3qJong_KsLlsMI_plwjUygGbvY1sr1lKvxxXGw2ueXvs0g-ZWNewQiDKBDb4azlSiEimjru5JaUudmGP-0LCVNjpiqPk61xmqpePAzI1RAWz-YhELseZusE7vD83soqtGagnHgh5djOGUGvIJzeU7YSq33yfSIPXi5B8LDetw9HbIdr5S8FoO9l2yoad7pN7JcyH2iQD0vRx9r0DfK9H3JB5Y9D1E31uif0D6D_e9u7afF8LwFQv4wldSRIoLeIdCyUycxEyYVAcijdBhTsGjoM0sxT_gNt7R1JwxyRRTCeWamoAeks3pbKqPiRfDejLkpok6keDLmZSHMpMmA1ueZIbKE3LkLno0d1McFbfj9NeeM9JYPiHnZMvA66UvwFdbyEt7678A63k5LA |
link.rule.ids | 780 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=HPV+Vaccine+Delivery+Practices+by+Primary+Care+Physicians&rft.jtitle=Pediatrics+%28Evanston%29&rft.au=Kempe%2C+Allison&rft.au=O%27Leary%2C+Sean+T&rft.au=Markowitz%2C+Lauri+E&rft.au=Crane%2C+Lori+A&rft.date=2019-10-01&rft.eissn=1098-4275&rft.volume=144&rft.issue=4&rft_id=info:doi/10.1542%2Fpeds.2019-1475&rft_id=info%3Apmid%2F31527175&rft_id=info%3Apmid%2F31527175&rft.externalDocID=31527175 |