Huey Nicole L, Clark Allison D, Kluhsman Brenda C, Lengerich Eugene J
ACTION Health Cancer Task Force, ACTION Health, Danville, Pennsylvania, USA.
Prev Chronic Dis. 2009 Apr;6(2):A49. Epub 2009 Mar 16.
The incidence of cervical cancer in Appalachia exceeds the national rate; rural Appalachian women are at especially high risk. We assessed the attitudes and practices related to human papillomavirus vaccination among providers in primary care practices in a contiguous 5-county area of Appalachian Pennsylvania.
In December 2006 and May 2007, all family medicine, pediatric, and gynecology practices (n = 65) in the study area were surveyed by 2 faxed survey instruments.
Of the 65 practices, 55 completed the first survey instrument. Of these 55, 44 offered the vaccine to their patients. Forty of the 44 practices offered it to girls and women aged 9 to 26 years, and 11 were willing to accept referrals from other practices for vaccination. The average reported charge for each of the 3 required injections was $150. Of the 55 practices that responded to the first survey instrument, 49 responded to the second survey instrument, 46 of which recommended the vaccine to their patients.
The prevalence of offering the vaccine against human papillomavirus was high in this area of Appalachian Pennsylvania. Future interventions may focus on community education because the vaccine is available from most providers.
阿巴拉契亚地区宫颈癌发病率超过全国平均水平；阿巴拉契亚农村地区女性患病风险尤其高。我们评估了宾夕法尼亚州阿巴拉契亚地区一个相邻五县区域内基层医疗服务机构的医护人员对人乳头瘤病毒疫苗接种的态度和行为。
2006年12月和2007年5月，通过两份传真调查问卷对研究区域内所有家庭医学、儿科和妇科诊所（共65家）进行了调查。
65家诊所中，55家完成了第一份调查问卷。在这55家诊所中，44家为患者提供该疫苗。44家诊所中有40家为9至26岁的女孩和女性提供疫苗，11家愿意接收其他诊所转介来接种疫苗的患者。报告显示，三针疫苗接种的平均费用为150美元。在回复了第一份调查问卷的55家诊所中，49家回复了第二份调查问卷，其中46家向患者推荐了该疫苗。
在宾夕法尼亚州阿巴拉契亚地区，人乳头瘤病毒疫苗的接种率很高。鉴于大多数医疗服务机构都提供该疫苗，未来的干预措施可能应侧重于社区教育。
