Public Health Research Institute, Mysore, India.
J Adolesc Health. 2010 Apr;46(4):379-84. doi: 10.1016/j.jadohealth.2009.10.001. Epub 2009 Nov 24.
This qualitative study investigated physician intention-to-recommend the human papillomavirus (HPV) vaccine to parents of adolescent girls in India. There are currently no data on attitudes to HPV vaccination among healthcare providers in India.
Between June and August 2008, 20 semistructured qualitative in-depth interviews were conducted among physicians from a range of specialties and practice settings in Mysore District, India. Physicians were interviewed about their specialty and the types of patients they saw in their practice, attitudes toward recommending HPV vaccination to parents of adolescent girls, perceived subjective norms surrounding the promotion of vaccines in their work settings, and their perceptions regarding self-efficacy in recommending the HPV vaccine.
The study found that knowledge about HPV infection and its relationship to cervical cancer was low among physicians across specialties. While most physicians expressed positive attitudes toward vaccination in general, and HPV vaccination in particular, the overwhelming majority believed that few of their patients would react positively to a vaccine recommendation. Physicians were concerned about talking to parents about their adolescent daughters' reproductive lives. Certain specialties, particularly obstetrician/gynecologists, suggested that recommending immunization was not appropriate in their work setting.
With the HPV vaccine recently being approved in India, there is a strong need to provide more education for physicians about the relationship of HPV infection and cervical cancer and the benefits of vaccinating adolescent girls to prevent cervical cancer in the future.
本定性研究调查了印度医生向少女家长推荐人乳头瘤病毒（HPV）疫苗的意向。目前，印度医疗服务提供者对 HPV 疫苗接种的态度尚无数据。
2008 年 6 月至 8 月期间，在印度迈索尔区的多家医疗机构中，对 20 名来自不同专科和从业环境的医生进行了 20 次半结构化深入访谈。访谈内容包括医生的专科和从业患者类型、向少女家长推荐 HPV 疫苗的态度、在工作环境中推广疫苗的感知主观规范，以及对推荐 HPV 疫苗的自我效能的看法。
研究发现，各专科医生对 HPV 感染及其与宫颈癌的关系的了解程度较低。尽管大多数医生对疫苗接种总体上持积极态度，特别是对 HPV 疫苗接种持积极态度，但绝大多数医生认为，他们的患者中很少有人会对疫苗推荐做出积极反应。医生们担心与父母谈论其少女女儿的生殖生活。某些专科，特别是妇产科医生，认为在其工作环境中推荐免疫接种并不合适。
HPV 疫苗最近在印度获得批准，因此强烈需要为医生提供更多关于 HPV 感染与宫颈癌的关系以及为预防未来宫颈癌为少女接种疫苗的好处的教育。
