Hopkins Tom G, Wood Nick J, West Robert M, Darling Jonathan C
Hammersmith Hospital, London, UK.
J Paediatr Child Health. 2009 Nov;45(11):652-5. doi: 10.1111/j.1440-1754.2009.01589.x.
To investigate the willingness of clinicians to recommend human papillomavirus (HPV) vaccination, the strength of support for a national HPV vaccine programme and to determine which factors, if any, affected these.
An online, invitation-only questionnaire was developed and distributed to three medical professional groups in the West Yorkshire Region, United Kingdom.
Two hundred twenty-two responders were included in the final analysis, from the following specialties: general practice (62), paediatrics (103) and obstetrics and gynaecology (57). The majority of doctors were in favour of an National Health Service-funded national vaccination programme. Over 90% supported vaccination of girls as early as ages 11-13. Fewer doctors felt comfortable recommending vaccination to parents of girls under 16 than to young women. Latent class analysis demonstrated that doctors' self-rated knowledge of the HPV vaccine was an important determinant of willingness to recommend vaccination. Younger, more recently qualified doctors were less likely to be willing to recommend vaccination.
There is widespread support for vaccination. Information provision to doctors will be important in maximising clinician confidence in recommending vaccination, and may be most beneficial when targeted at more junior doctors.
调查临床医生推荐人乳头瘤病毒(HPV)疫苗接种的意愿、对国家HPV疫苗接种计划的支持力度,并确定是否有任何因素影响这些方面。
设计了一份仅通过邀请参与的在线调查问卷,并分发给英国西约克郡地区的三个医学专业群体。
最终分析纳入了222名受访者,他们来自以下专业:全科医学(62人)、儿科学(103人)和妇产科(57人)。大多数医生支持由国民医疗服务体系(National Health Service)资助的国家疫苗接种计划。超过90%的人支持尽早为11至13岁的女孩接种疫苗。相较于向年轻女性推荐疫苗接种,较少医生对向16岁以下女孩的父母推荐接种疫苗感到安心。潜在类别分析表明,医生对HPV疫苗的自我评定知识是推荐疫苗接种意愿的重要决定因素。更年轻、刚获得资格不久的医生不太可能愿意推荐疫苗接种。
对疫苗接种存在广泛支持。向医生提供信息对于最大限度地提高临床医生推荐疫苗接种的信心很重要,并且针对级别较低的医生可能最有益。