US Primary Care Physicians' Viewpoints on HPV Vaccination for Adults 27 to 45 Years.
Cancer
Family Physicians
Immunization
Papillomavirus Infections
Papillomavirus Vaccines
Primary Health Care
Surveys and Questionnaires
Journal
Journal of the American Board of Family Medicine : JABFM
ISSN: 1558-7118
Titre abrégé: J Am Board Fam Med
Pays: United States
ID NLM: 101256526
Informations de publication
Date de publication:
Historique:
received:
03
08
2020
revised:
18
09
2020
accepted:
21
09
2020
entrez:
16
1
2021
pubmed:
17
1
2021
medline:
1
9
2021
Statut:
ppublish
Résumé
In June 2019, the Advisory Committee on Immunization Practices (ACIP) recommended shared clinical decision making (SCDM) regarding human papillomavirus (HPV) vaccination for adults 27 to 45 years. Our objectives were to assess among primary care physicians 1) recent practice regarding HPV vaccination for adults 27 to 45 years, 2) knowledge of HPV and the new SCDM recommendation, and 3) attitudes toward and anticipated effect of the new SCDM recommendation. From October to December 2019, we administered an Internet and mail survey to national networks of 494 general internist (GIM) and 474 family physician (FP) members of the American College of Physicians and American Academy of Family Physicians, respectively. Response rate was 64% (617/968; GIM, 57%; FP, 71%). Fifty-eight percent were aware of the new ACIP recommendation; 42% had recommended HPV vaccination to adults 27 to 45 years, but most had administered HPV vaccine to very few of these patients (73% to 0% and 22% to 1 to 3). Fifty-five percent and 63% were unaware that HPV vaccination does not prevent progression of existing HPV-related cancers or infections, respectively and 57% were not sure what to emphasize when having a SCDM conversation about HPV vaccination. A majority reported they will be more likely recommend HPV vaccination to adults in the 27-to-45-year age range as a result of the new recommendation. Physicians are interested in recommending HPV vaccination for adults age 27 to 45 years despite ACIP not routinely recommending it in this age range. The majority need more education about the optimal use of HPV vaccine in this age group.
Identifiants
pubmed: 33452094
pii: 34/1/162
doi: 10.3122/jabfm.2021.01.200408
pmc: PMC10206955
mid: NIHMS1873268
doi:
Substances chimiques
Papillomavirus Vaccines
0
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
162-170Subventions
Organisme : Intramural CDC HHS
ID : CC999999
Pays : United States
Organisme : NCIRD CDC HHS
ID : U01 IP000849
Pays : United States
Informations de copyright
© Copyright 2021 by the American Board of Family Medicine.
Déclaration de conflit d'intérêts
Conflict of interest: None.
Références
Can Commun Dis Rep. 2015 Apr 20;41(Suppl 3):11-13
pubmed: 29769961
PLoS One. 2018 Aug 23;13(8):e0202755
pubmed: 30138406
N Engl J Med. 2007 May 10;356(19):1928-43
pubmed: 17494926
Vaccine. 2019 Jun 12;37(27):3617-3624
pubmed: 30122646
Vaccine. 2011 Jan 29;29(5):890-5
pubmed: 20056186
MMWR Morb Mortal Wkly Rep. 2011 Dec 23;60(50):1705-8
pubmed: 22189893
J Natl Med Assoc. 2006 Dec;98(12):1924-9
pubmed: 17225835
Obstet Gynecol. 2015 Sep;126(3):e38-e43
pubmed: 26287792
BMC Womens Health. 2014 Jul 30;14:91
pubmed: 25074404
Aust N Z J Obstet Gynaecol. 2012 Dec;52(6):528-33
pubmed: 23046059
Arch Intern Med. 1992 Jan;152(1):106-10
pubmed: 1728905
J Gen Intern Med. 2008 Dec;23(12):2058-65
pubmed: 18830762
MMWR Morb Mortal Wkly Rep. 2019 Aug 23;68(33):724-728
pubmed: 31437140
Lancet. 2009 Jun 6;373(9679):1949-57
pubmed: 19493565
Br J Cancer. 2011 Jun 28;105(1):28-37
pubmed: 21629249
MMWR Recomm Rep. 2014 Aug 29;63(RR-05):1-30
pubmed: 25167164
MMWR Recomm Rep. 2007 Mar 23;56(RR-2):1-24
pubmed: 17380109
Vaccine. 2020 Mar 23;38(14):3021-3030
pubmed: 32127227
Eval Health Prof. 2008 Mar;31(1):43-64
pubmed: 18184632
Vaccine. 2015 Mar 24;33(13):1556-61
pubmed: 25701671
ISRN Obstet Gynecol. 2011;2011:670318
pubmed: 21776401
Vaccine. 2015 Oct 13;33(42):5640-5646
pubmed: 26343499
Ann Fam Med. 2005 May-Jun;3(3):209-14
pubmed: 15928223
Sex Transm Dis. 2013 Mar;40(3):187-93
pubmed: 23403598
Acad Pediatr. 2018 Mar;18(2S):S3-S10
pubmed: 29502635
J Gen Intern Med. 1996 Nov;11(11):673-7
pubmed: 9120653
Ann Intern Med. 2020 Jan 7;172(1):22-29
pubmed: 31816629
MMWR Morb Mortal Wkly Rep. 2019 Aug 16;68(32):698-702
pubmed: 31415491
J Infect Dis. 2007 Nov 15;196(10):1438-46
pubmed: 18008221
Lancet Infect Dis. 2016 Oct;16(10):1154-1168
pubmed: 27373900
JAMA. 2019 Sep 3;322(9):811-812
pubmed: 31343669
J Am Geriatr Soc. 2006 Feb;54(2):303-10
pubmed: 16460383
Lancet. 2014 Dec 20;384(9961):2213-27
pubmed: 25189358
Am J Prev Med. 2001 Jan;20(1):21-5
pubmed: 11137770