医生对人乳头瘤病毒疫苗接种的态度和实践。

Physician attitudes and practice toward human papillomavirus vaccination.

机构信息

Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA 02115, USA.

出版信息

J Low Genit Tract Dis. 2010 Oct;14(4):339-45. doi: 10.1097/LGT.0b013e3181dca59c.

DOI:10.1097/LGT.0b013e3181dca59c

PMID:20885162

Abstract

OBJECTIVE

To compare physician practices, attitudes, and barriers toward human papillomavirus (HPV) vaccination.

MATERIALS AND METHODS

A Web-based survey that assessed the practice of HPV vaccination, perceived barriers, and opinions of potential vaccine effects was distributed to obstetrician/gynecologists, internists, and pediatricians within a single health care system. A total of 1,488 physicians located in tertiary, community, and private settings were sent the survey. Data were analyzed using multivariate logistic regression.

RESULTS

A total of 424 (28.9%) of 1,488 physicians participated. Of these physicians, 80% offer the vaccine. Female, primary care, and community and private practice physicians were associated with increased vaccination, compared with male, subspecialty, and tertiary care physicians, respectively. Physicians who reported no barriers to vaccination were more likely to offer the vaccine (odds ratio = 1.74, 95% CI = 1.04-2.93, p =.04). The greatest barrier to vaccination was reimbursement concerns.

CONCLUSIONS

Most physicians offer the HPV vaccine. Addressing barriers to vaccination and resolving practical concerns may increase HPV vaccination.

摘要

目的

比较医生在人乳头瘤病毒（HPV）疫苗接种方面的实践、态度和障碍。

材料和方法

一项基于网络的调查评估了 HPV 疫苗接种的实践、感知障碍以及对潜在疫苗效果的看法，该调查分发给了单一医疗保健系统内的妇产科医生、内科医生和儿科医生。共向三级、社区和私人医疗机构的 1488 名医生发送了该调查。使用多变量逻辑回归分析数据。

结果

共有 424 名（28.9%）1488 名医生参与了调查。这些医生中，80%提供了疫苗。与男性、亚专科医生和三级保健医生相比，女性、初级保健医生和社区及私人执业医生更有可能接种疫苗。报告没有接种疫苗障碍的医生更有可能提供疫苗（比值比=1.74，95%置信区间=1.04-2.93，p=.04）。接种疫苗的最大障碍是报销问题。