Osaghae Ikponmwosa, Darkoh Charles, Chido-Amajuoyi Onyema Greg, Chan Wenyaw, Padgett Wermuth Paige, Pande Mala, Cunningham Sonia A, Shete Sanjay
Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, TX 77030, USA.
Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Vaccines (Basel). 2022 Nov 26;10(12):2025. doi: 10.3390/vaccines10122025.
HPV vaccine hesitancy is a key barrier to HPV vaccination. Using a population-based survey of HCPs practicing in Texas we determined the association between formal training of HCPs and perceived self-efficacy in counseling HPV vaccine-hesitant parents and adult patients. A total of 1283 HCPs completed the survey, with 879 providing vaccination services to pediatric patients and 1018 providing vaccination services to adult patients. Among HCPs included in this study, 405 of 577 (70%) and 315 of 505 (62%) perceived they were very/completely confident in counseling HPV vaccine-hesitant parents and adult patients, respectively. Compared to HCPs who received no training, those who received formal training in HPV vaccination promotion or counseling had 2.56 (AOR: 2.56; 95% CI:1.69-3.86) and 2.84 times higher odds (AOR: 2.84; 95% CI:1.87-4.33) of perceiving that they were very/completely confident in counseling HPV vaccine-hesitant parents and adult patients, respectively. Additionally, increasing years of practice and volume of patients seen were positively associated with being very/completely confident in counseling HPV vaccine-hesitant parents and adult patients. On the other hand, nurses were less likely than physicians to be very/completely confident in counseling HPV vaccine-hesitant parents. To increase HPV vaccination uptake, HCPs should receive tailored training to improve their self-efficacy in addressing HPV vaccine-hesitancy.
对人乳头瘤病毒（HPV）疫苗的犹豫是HPV疫苗接种的一个关键障碍。通过对在德克萨斯州执业的医疗保健人员（HCP）进行基于人群的调查，我们确定了HCP的正规培训与在为对HPV疫苗持犹豫态度的父母和成年患者提供咨询时所感知的自我效能之间的关联。共有1283名HCP完成了调查，其中879人为儿科患者提供疫苗接种服务，1018人为成年患者提供疫苗接种服务。在本研究纳入的HCP中，577人中有405人（70%）以及505人中有315人（62%）分别认为自己在为对HPV疫苗持犹豫态度的父母和成年患者提供咨询时非常/完全有信心。与未接受培训的HCP相比，接受过HPV疫苗接种推广或咨询正规培训的HCP认为自己在为对HPV疫苗持犹豫态度的父母和成年患者提供咨询时非常/完全有信心的几率分别高出2.56倍（调整后的比值比[AOR]：2.56；95%置信区间[CI]：1.69 - 3.86）和2.84倍（AOR：2.84；95% CI：1.87 - 4.33）。此外，执业年限的增加和所诊治患者数量的增多与在为对HPV疫苗持犹豫态度的父母和成年患者提供咨询时非常/完全有信心呈正相关。另一方面，护士在为对HPV疫苗持犹豫态度的父母提供咨询时，相比医生而言，不太可能非常/完全有信心。为提高HPV疫苗接种率，HCP应接受量身定制的培训，以提高他们在应对HPV疫苗犹豫问题时的自我效能。
