Riedesel J M, Rosenthal S L, Zimet G D, Bernstein D I, Huang B, Lan D, Kahn J A
University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
J Pediatr Adolesc Gynecol. 2005 Dec;18(6):391-8. doi: 10.1016/j.jpag.2005.09.004.
Human papillomavirus (HPV) vaccines will soon be available for clinical use, and the effectiveness of vaccine delivery programs will depend largely upon whether providers recommend the vaccine. The objectives of this study were to examine family physicians' attitudes about HPV immunization and to identify predictors of intention to recommend immunization.
Cross-sectional survey instrument assessing provider and practice characteristics, knowledge about HPV, attitudes about HPV vaccination, and intention to administer two hypothetical HPV vaccines.
Surveys were mailed to a national random sample of 1,000 American Academy of Family Physicians (AAFP) members.
Intention to administer two hypothetical HPV vaccines (a cervical cancer/genital wart vaccine and a cervical cancer vaccine) to boys and girls of different ages.
One hundred fifty-five surveys (15.5%) were returned and 145 were used in the final sample. Participants reported higher intention to recommend both hypothetical HPV vaccines to girls vs. boys (P < 0.0001) and to older vs. younger adolescents (P < 0.0001). They were more likely to recommend a cervical cancer/genital wart vaccine than a cervical cancer vaccine to boys and girls (P < 0.001). Variables independently associated with intention (P < 0.05) included: female gender of provider, knowledge about HPV, belief that organizations such as the AAFP would endorse vaccination, and fewer perceived barriers to vaccination.
Female gender, knowledge about HPV, and attitudes about vaccination were independently associated with family physicians' intention to recommend HPV vaccines. Vaccination initiatives directed toward family physicians should focus on modifiable predictors of intention to vaccinate, such as HPV knowledge and attitudes about vaccination.
人乳头瘤病毒（HPV）疫苗即将可用于临床，疫苗接种项目的有效性在很大程度上取决于医疗服务提供者是否推荐该疫苗。本研究的目的是调查家庭医生对HPV免疫接种的态度，并确定推荐免疫接种意愿的预测因素。
横断面调查工具，评估医疗服务提供者及执业特征、关于HPV的知识、对HPV疫苗接种的态度，以及接种两种假设HPV疫苗的意愿。
向1000名美国家庭医生学会（AAFP）成员的全国随机样本邮寄调查问卷。
向不同年龄的男孩和女孩接种两种假设HPV疫苗（一种宫颈癌/生殖器疣疫苗和一种宫颈癌疫苗）的意愿。
共返回155份调查问卷（15.5%），最终样本采用了145份。参与者报告称，相比于男孩，向女孩推荐两种假设HPV疫苗的意愿更高（P<0.0001）；相比于青少年，向年龄较大的青少年推荐的意愿更高（P<0.0001）。相比于宫颈癌疫苗，他们更有可能向男孩和女孩推荐宫颈癌/生殖器疣疫苗（P<0.001）。与意愿独立相关的变量（P<0.05）包括：医疗服务提供者为女性、对HPV的了解、认为AAFP等组织会支持疫苗接种，以及较少察觉到的疫苗接种障碍。
女性性别、对HPV的了解以及对疫苗接种的态度与家庭医生推荐HPV疫苗的意愿独立相关。针对家庭医生的疫苗接种倡议应关注可改变的接种意愿预测因素，如HPV知识和对疫苗接种的态度。
