Effective Strategies for HPV Vaccine Delivery: The Views of Pediatricians

Abbigail M. Tissot, Gregory D. Zimet, Susan L. Rosenthal, David I. Bernstein, Caitlin Wetzel, Jessica A. Kahn

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Purpose: Pediatricians will play a critical role in human papillomavirus (HPV) vaccine delivery. The objectives of this research were to examine pediatricians' views about key issues related to HPV vaccine delivery and identify their strategies for effective vaccine delivery. Methods: A diverse sample of practicing pediatricians was recruited from a three-state region using a purposeful sampling strategy. Participants completed in-depth, semi-structured interviews. Qualitative data were analyzed using framework analysis. Results: The mean age of the 31 participants was 47 years (range 30-78 years), and 17 (55%) were female. In all, 18 were white, nine (29%) black, and four (13%) Latino. Participants noted that cultural issues, including a family's religious and ethnic background, were important considerations when recommending an HPV vaccine. Almost all participants believed that vaccination should be universal rather than targeted, but opinions regarding legislative mandates for vaccination varied. Those in favor of mandates cited their potential to maximize the public health impact of immunization, while those opposed noted that HPV is not transmitted casually and were concerned about limited data on the long-term safety and efficacy of HPV vaccines. Pediatricians noted that specific strategies for effective vaccine delivery would be needed for an STI vaccine targeted toward adolescents, especially considering the poor public understanding of HPV. These included provision of HPV vaccines in alternative settings, guidance for pediatricians as to how to address parental concerns, and specific educational initiatives. Conclusions: The views of pediatricians, who have extensive experience administering vaccines to children and adolescents, will be valuable as HPV vaccine delivery strategies are designed.

Original languageEnglish (US)
Pages (from-to)119-125
Number of pages7
JournalJournal of Adolescent Health
Volume41
Issue number2
DOIs
StatePublished - Aug 1 2007

Fingerprint

Papillomavirus Vaccines
Vaccines
Vaccination
Sexually Transmitted Diseases
Hispanic Americans
Pediatricians
Immunization
Public Health
Interviews
Safety
Research

Keywords

  • Delivery
  • Human papillomavirus
  • Immunization
  • Mandate
  • Pediatrician
  • Qualitative
  • Sexually transmitted infection
  • Strategy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Effective Strategies for HPV Vaccine Delivery : The Views of Pediatricians. / Tissot, Abbigail M.; Zimet, Gregory D.; Rosenthal, Susan L.; Bernstein, David I.; Wetzel, Caitlin; Kahn, Jessica A.

In: Journal of Adolescent Health, Vol. 41, No. 2, 01.08.2007, p. 119-125.

Research output: Contribution to journalArticle

Tissot, Abbigail M. ; Zimet, Gregory D. ; Rosenthal, Susan L. ; Bernstein, David I. ; Wetzel, Caitlin ; Kahn, Jessica A. / Effective Strategies for HPV Vaccine Delivery : The Views of Pediatricians. In: Journal of Adolescent Health. 2007 ; Vol. 41, No. 2. pp. 119-125.
@article{a4127c36ea494b6bb137b32ff97990d0,
title = "Effective Strategies for HPV Vaccine Delivery: The Views of Pediatricians",
abstract = "Purpose: Pediatricians will play a critical role in human papillomavirus (HPV) vaccine delivery. The objectives of this research were to examine pediatricians' views about key issues related to HPV vaccine delivery and identify their strategies for effective vaccine delivery. Methods: A diverse sample of practicing pediatricians was recruited from a three-state region using a purposeful sampling strategy. Participants completed in-depth, semi-structured interviews. Qualitative data were analyzed using framework analysis. Results: The mean age of the 31 participants was 47 years (range 30-78 years), and 17 (55{\%}) were female. In all, 18 were white, nine (29{\%}) black, and four (13{\%}) Latino. Participants noted that cultural issues, including a family's religious and ethnic background, were important considerations when recommending an HPV vaccine. Almost all participants believed that vaccination should be universal rather than targeted, but opinions regarding legislative mandates for vaccination varied. Those in favor of mandates cited their potential to maximize the public health impact of immunization, while those opposed noted that HPV is not transmitted casually and were concerned about limited data on the long-term safety and efficacy of HPV vaccines. Pediatricians noted that specific strategies for effective vaccine delivery would be needed for an STI vaccine targeted toward adolescents, especially considering the poor public understanding of HPV. These included provision of HPV vaccines in alternative settings, guidance for pediatricians as to how to address parental concerns, and specific educational initiatives. Conclusions: The views of pediatricians, who have extensive experience administering vaccines to children and adolescents, will be valuable as HPV vaccine delivery strategies are designed.",
keywords = "Delivery, Human papillomavirus, Immunization, Mandate, Pediatrician, Qualitative, Sexually transmitted infection, Strategy",
author = "Tissot, {Abbigail M.} and Zimet, {Gregory D.} and Rosenthal, {Susan L.} and Bernstein, {David I.} and Caitlin Wetzel and Kahn, {Jessica A.}",
year = "2007",
month = "8",
day = "1",
doi = "10.1016/j.jadohealth.2007.05.007",
language = "English (US)",
volume = "41",
pages = "119--125",
journal = "Journal of Adolescent Health",
issn = "1054-139X",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Effective Strategies for HPV Vaccine Delivery

T2 - The Views of Pediatricians

AU - Tissot, Abbigail M.

AU - Zimet, Gregory D.

AU - Rosenthal, Susan L.

AU - Bernstein, David I.

AU - Wetzel, Caitlin

AU - Kahn, Jessica A.

PY - 2007/8/1

Y1 - 2007/8/1

N2 - Purpose: Pediatricians will play a critical role in human papillomavirus (HPV) vaccine delivery. The objectives of this research were to examine pediatricians' views about key issues related to HPV vaccine delivery and identify their strategies for effective vaccine delivery. Methods: A diverse sample of practicing pediatricians was recruited from a three-state region using a purposeful sampling strategy. Participants completed in-depth, semi-structured interviews. Qualitative data were analyzed using framework analysis. Results: The mean age of the 31 participants was 47 years (range 30-78 years), and 17 (55%) were female. In all, 18 were white, nine (29%) black, and four (13%) Latino. Participants noted that cultural issues, including a family's religious and ethnic background, were important considerations when recommending an HPV vaccine. Almost all participants believed that vaccination should be universal rather than targeted, but opinions regarding legislative mandates for vaccination varied. Those in favor of mandates cited their potential to maximize the public health impact of immunization, while those opposed noted that HPV is not transmitted casually and were concerned about limited data on the long-term safety and efficacy of HPV vaccines. Pediatricians noted that specific strategies for effective vaccine delivery would be needed for an STI vaccine targeted toward adolescents, especially considering the poor public understanding of HPV. These included provision of HPV vaccines in alternative settings, guidance for pediatricians as to how to address parental concerns, and specific educational initiatives. Conclusions: The views of pediatricians, who have extensive experience administering vaccines to children and adolescents, will be valuable as HPV vaccine delivery strategies are designed.

AB - Purpose: Pediatricians will play a critical role in human papillomavirus (HPV) vaccine delivery. The objectives of this research were to examine pediatricians' views about key issues related to HPV vaccine delivery and identify their strategies for effective vaccine delivery. Methods: A diverse sample of practicing pediatricians was recruited from a three-state region using a purposeful sampling strategy. Participants completed in-depth, semi-structured interviews. Qualitative data were analyzed using framework analysis. Results: The mean age of the 31 participants was 47 years (range 30-78 years), and 17 (55%) were female. In all, 18 were white, nine (29%) black, and four (13%) Latino. Participants noted that cultural issues, including a family's religious and ethnic background, were important considerations when recommending an HPV vaccine. Almost all participants believed that vaccination should be universal rather than targeted, but opinions regarding legislative mandates for vaccination varied. Those in favor of mandates cited their potential to maximize the public health impact of immunization, while those opposed noted that HPV is not transmitted casually and were concerned about limited data on the long-term safety and efficacy of HPV vaccines. Pediatricians noted that specific strategies for effective vaccine delivery would be needed for an STI vaccine targeted toward adolescents, especially considering the poor public understanding of HPV. These included provision of HPV vaccines in alternative settings, guidance for pediatricians as to how to address parental concerns, and specific educational initiatives. Conclusions: The views of pediatricians, who have extensive experience administering vaccines to children and adolescents, will be valuable as HPV vaccine delivery strategies are designed.

KW - Delivery

KW - Human papillomavirus

KW - Immunization

KW - Mandate

KW - Pediatrician

KW - Qualitative

KW - Sexually transmitted infection

KW - Strategy

UR - http://www.scopus.com/inward/record.url?scp=34447332802&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34447332802&partnerID=8YFLogxK

U2 - 10.1016/j.jadohealth.2007.05.007

DO - 10.1016/j.jadohealth.2007.05.007

M3 - Article

C2 - 17659214

AN - SCOPUS:34447332802

VL - 41

SP - 119

EP - 125

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

SN - 1054-139X

IS - 2

ER -