Harris Katherine L, Tay D, Kaiser D, Praag A, Rutkoski H, Dixon B L, Pinzon L M, Winkler J R, Kepka D
Gyneocologic Oncology, Huntsman Cancer Institute, Salt Lake City, UT, USA.
College of Nursing, University of Utah, Salt Lake City, UT, USA.
Hum Vaccin Immunother. 2020;16(2):436-444. doi: 10.1080/21645515.2019.1649550. Epub 2019 Oct 4.
Including dental health providers in human papillomavirus (HPV) vaccination could reduce rising rates in HPV-associated oropharyngeal cancer (HPV-OPC). This study assessed Utah dentists' perspectives on providing HPV vaccination education and services in the dental setting. A cross-sectional, 70-item self-administered survey was conducted among a convenience sample of N = 203 practicing Utah dentists. Statistical analyses included Chi Square tests of independence, scaled scores and Cronbach's alpha coefficients. Majority of Utah dentists surveyed perceived that discussing the link between HPV and OPC and recommending the HPV vaccine is within their scope of practice, but not administration of the HPV vaccine. Dentists with >10 minutes of patient education per week were less likely to be concerned about the cultural, social norms or religious ideology of discussing HPV with their patients ( = .024). Rural dentists were more concerned about the safety and liability of the HPV vaccine ( = .011). Good internal consistency was observed survey items regarding barriers and willing to engage in HPV vaccination practices. Dental providers were interested in HPV training and patient education brochures as strategies, but less interested in administering the HPV vaccine. Dental associations support dentists' engagement in HPV education and HPV-OPC prevention. This is the first study in Utah to examine dentists' perspectives on HPV vaccination. Findings have implications for program planning, intervention development, and future research.
让牙科保健提供者参与人乳头瘤病毒(HPV)疫苗接种,可能会降低HPV相关口咽癌(HPV-OPC)发病率的上升。本研究评估了犹他州牙医对在牙科诊所提供HPV疫苗接种教育和服务的看法。对N = 203名犹他州执业牙医的便利样本进行了一项横断面、包含70个项目的自填式调查。统计分析包括独立性卡方检验、量表得分和克朗巴哈系数。参与调查的大多数犹他州牙医认为,讨论HPV与OPC之间的联系并推荐HPV疫苗属于他们的执业范围,但不包括接种HPV疫苗。每周有超过10分钟患者教育时间的牙医,不太可能担心与患者讨论HPV的文化、社会规范或宗教观念(P = 0.024)。农村牙医更担心HPV疫苗的安全性和责任问题(P = 0.011)。在关于障碍以及愿意参与HPV疫苗接种实践的调查项目中,观察到了良好的内部一致性。牙科保健提供者对HPV培训和患者教育手册作为策略感兴趣,但对接种HPV疫苗兴趣较小。牙科协会支持牙医参与HPV教育和HPV-OPC预防。这是犹他州第一项研究牙医对HPV疫苗接种看法的研究。研究结果对项目规划、干预措施制定和未来研究具有启示意义。