Attitudes about human papillomavirus vaccine among family physicians

J. M. Riedesel, S. L. Rosenthal, G. D. Zimet, D. I. Bernstein, B. Huang, D. Lan, J. A. Kahn

Research output: Contribution to journalArticle

162 Scopus citations

Abstract

Study Objective: Human papillomavirus (HPV) vaccines will soon be available for clinical use, and the effectiveness of vaccine delivery programs will depend largely upon whether providers recommend the vaccine. The objectives of this study were to examine family physicians' attitudes about HPV immunization and to identify predictors of intention to recommend immunization. Design: Cross-sectional survey instrument assessing provider and practice characteristics, knowledge about HPV, attitudes about HPV vaccination, and intention to administer two hypothetical HPV vaccines. Participants: Surveys were mailed to a national random sample of 1,000 American Academy of Family Physicians (AAFP) members. Main Outcome Measure: Intention to administer two hypothetical HPV vaccines (a cervical cancer/genital wart vaccine and a cervical cancer vaccine) to boys and girls of different ages. Results: One hundred fifty-five surveys (15.5%) were returned and 145 were used in the final sample. Participants reported higher intention to recommend both hypothetical HPV vaccines to girls vs. boys (P < 0.0001) and to older vs. younger adolescents (P < 0.0001). They were more likely to recommend a cervical cancer/genital wart vaccine than a cervical cancer vaccine to boys and girls (P < 0.001). Variables independently associated with intention (P < 0.05) included: female gender of provider, knowledge about HPV, belief that organizations such as the AAFP would endorse vaccination, and fewer perceived barriers to vaccination. Conclusions: Female gender, knowledge about HPV, and attitudes about vaccination were independently associated with family physicians' intention to recommend HPV vaccines. Vaccination initiatives directed toward family physicians should focus on modifiable predictors of intention to vaccinate, such as HPV knowledge and attitudes about vaccination.

Original languageEnglish (US)
Pages (from-to)391-398
Number of pages8
JournalJournal of Pediatric and Adolescent Gynecology
Volume18
Issue number6
DOIs
StatePublished - Dec 1 2005

Keywords

  • Adolescent
  • Attitude
  • Family physician
  • Human papillomavirus
  • Immunization
  • Vaccine

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

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    Riedesel, J. M., Rosenthal, S. L., Zimet, G. D., Bernstein, D. I., Huang, B., Lan, D., & Kahn, J. A. (2005). Attitudes about human papillomavirus vaccine among family physicians. Journal of Pediatric and Adolescent Gynecology, 18(6), 391-398. https://doi.org/10.1016/j.jpag.2005.09.004