影响巴西圣保罗公共卫生岗位医护人员提供人乳头瘤病毒疫苗的因素。

Factors influencing HPV vaccine delivery by healthcare professionals at public health posts in São Paulo, Brazil.

作者信息

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

机构信息

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.

出版信息

Int J Gynaecol Obstet. 2017 Jan;136(1):33-39. doi: 10.1002/ijgo.12004. Epub 2016 Nov 11.

DOI:10.1002/ijgo.12004

PMID:28099706

Abstract

OBJECTIVE

To assess the association between Brazilian healthcare providers' characteristics and their knowledge, perceptions, and practices regarding the HPV vaccine.

METHODS

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.

RESULTS

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]).

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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]）。