Figueroa-Downing Daniella, Baggio Maria Luiza, Baker Misha L, Dias De Oliveira Chiang Ellen, Villa Luisa L, Eluf Neto Jose, Evans Dabney P, Bednarczyk Robert A
Departments of Epidemiology and Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
The Cancer Institute of the State of São Paulo, São Paulo, Brazil.
Int J Gynaecol Obstet. 2017 Jan;136(1):33-39. doi: 10.1002/ijgo.12004. Epub 2016 Nov 11.
To assess the association between Brazilian healthcare providers' characteristics and their knowledge, perceptions, and practices regarding the HPV vaccine.
An observational cross-sectional study was conducted at five public health posts in São Paulo between July 28 and August 8, 2014. Healthcare professionals directly involved in patient care were asked to complete a written survey. Factors associated with routine verification of HPV vaccination status were evaluated using Poisson regression.
Among 200 participants included, 74 (38.5%) reported never and 70 (36.5%) reported always asking about HPV immunization status. Doctors were significantly less likely to report always asking than were community health agents (5/39 [12.8%] vs 32/60 [53.3%]; adjusted prevalence ratio [aPR] 0.25 [95% confidence interval (CI) 0.07-0.91]). Knowledge about the correct dosing schedule was associated with always rather than never verifying vaccination status (aPR 2.46 [95% CI 1.06-5.70]).
Knowledge and attitude played secondary roles in influencing HPV vaccine verification. Community health agents were crucial for vaccine promotion; continued education and support of this group is essential for the sustained success of HPV immunization efforts in Brazil.
评估巴西医疗服务提供者的特征与其对人乳头瘤病毒（HPV）疫苗的知识、认知及实践之间的关联。
2014年7月28日至8月8日期间，在圣保罗的五个公共卫生站点开展了一项观察性横断面研究。要求直接参与患者护理的医疗专业人员完成一份书面调查问卷。使用泊松回归评估与HPV疫苗接种状态常规核查相关的因素。
在纳入的200名参与者中，74人（38.5%）报告从未、70人（36.5%）报告总是询问HPV免疫状态。医生报告总是询问的可能性显著低于社区卫生工作者（5/39 [12.8%] 对32/60 [53.3%]；调整患病率比[aPR] 0.25 [95%置信区间（CI）0.07 - 0.91]）。对正确接种时间表的了解与总是而非从不核查疫苗接种状态相关（aPR 2.46 [95% CI 1.06 - 5.70]）。
知识和态度在影响HPV疫苗核查方面起次要作用。社区卫生工作者对疫苗推广至关重要；对该群体的持续教育和支持对于巴西HPV免疫工作的持续成功至关重要。
