Boston University School of Medicine, Department of Obstetrics and Gynecology, Boston, MA 02118, USA.
Womens Health Issues. 2012 Jul-Aug;22(4):e379-86. doi: 10.1016/j.whi.2012.04.001. Epub 2012 May 18.
To define factors that providers perceive as affecting their administration of human papillomavirus (HPV) vaccination in their clinical practices.
We conducted in-depth, qualitative interviews with 34 pediatric and family medicine providers in four community health centers to explore providers' perceptions of factors that either enabled or impeded their ability to vaccinate their patients against HPV.
Providers' self-reported vaccination rates ranged from 25 to 95% (median, 75%) of the 11- to 26-year-old females in their practices. Factors that enabled vaccination included providers' beliefs that HPV vaccines were safe and would provide important health benefits, structured visits that promoted vaccination, and coadministration of HPV with other recommended vaccines. Factors that impeded vaccination included safety concerns, a low perceived severity of HPV disease, lack of school mandates, and policies against coadministration of HPV and meningococcal vaccines. Providers who described more enabling factors than impeding factors reported vaccinating more of their patients.
Provider perceptions around the ease or difficulty of providing HPV vaccination may influence their behavior when offering HPV vaccines to their patients.
确定提供者认为在临床实践中影响其接种人乳头瘤病毒 (HPV) 疫苗的因素。
我们对四家社区卫生中心的 34 名儿科和家庭医学提供者进行了深入的定性访谈，以探讨提供者对促进或阻碍其为患者接种 HPV 疫苗的能力的因素的看法。
提供者报告的疫苗接种率在其诊所 11 至 26 岁女性中，从 25%到 95%不等（中位数为 75%）。促进疫苗接种的因素包括提供者认为 HPV 疫苗是安全的，并将提供重要的健康益处、促进疫苗接种的结构化就诊以及与其他推荐疫苗同时接种 HPV。阻碍疫苗接种的因素包括安全性担忧、HPV 疾病的严重程度认知较低、缺乏学校强制接种要求以及反对同时接种 HPV 和脑膜炎球菌疫苗的政策。描述更多促进因素而非阻碍因素的提供者报告为更多患者接种了疫苗。
提供者对提供 HPV 疫苗的难易程度的看法可能会影响他们向患者提供 HPV 疫苗的行为。
