Abstract A10: Formative research with Hispanic migrants and health care providers related to the HPV vaccine

Human papillomavirus (HPV) is a highly widespread virus which is responsible for one of the most common sexually transmitted infections. Two main preventative strategies exist: anti-HPV vaccination and cervical screening. Health-care workers play a key role in promoting public health campaigns; however, vaccine hesitancy is an often under-recognized challenge. To investigate the overall knowledge of HPV and HPV-related issues, as well as the attitudes and practices of health professionals towards recommending the anti-HPV vaccine, an ad hoc knowledge, attitudes, and practices (KAP) questionnaire was developed and validated in a sample of 139 Israeli pediatricians, gynecologists, and internal medicine doctors. The KAP questionnaire was found to be psychometrically valid and sound (with an rKR-20 coefficient of 0.74 for the second part and a Cronbach’s alpha of 0.85 for the third part). Furthermore, the present study confirmed the importance of health-care providers in recommending the immunization practice. Parents that had been strongly advised by health-care providers to vaccinate their children accepted immunization for their girls (odds ratio (OR) 1.09 (95% CI 1.04–1.14)) and boys (OR 1.06 (95% CI 1.02–1.10)), had a lower probability of deciding to postpone the immunization appointment (OR 0.81 (95% CI 0.66–0.98)), had fewer doubts and concerns about the vaccine (OR 0.69 (95% CI 0.54–0.89)), and had a lower probability of refusing the vaccination (OR 0.93 (95% CI 0.86–0.99)). Interestingly, the use of new, emerging tools such as ad hoc websites, applications, and other interactive devices reduced vaccine hesitancy (OR 0.90 (95% CI 0.82–0.99)) and concerns about the side-effects of the vaccine (OR 0.92 (95% CI 0.86–0.99)). However, among Israeli health-care workers, knowledge was generally moderate, with updated information lacking in about 30% of surveyed health-care providers and approximately 20% of them not recommending the anti-HPV vaccine among boys. This study has practical implications for policy- and decision-makers in that they should be aware of the overall level of knowledge among health-care workers and should implement ad hoc educational interventions to address gaps in knowledge and help medical providers routinely recommend the anti-HPV vaccine both to male and female children and adolescents.

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Investigating HPV- and HPV Vaccine-Related Knowledge, Perceptions, and Information Sources among Health Care Providers in Three Big Cities in China

Vaccines ◽

10.3390/vaccines8030499 ◽

2020 ◽

Vol 8 (3) ◽

pp. 499

Author(s):

Jie Li ◽

Jingshi Kang ◽

Yimeng Mao ◽

Pinpin Zheng ◽

Abu S Abdullah ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Hpv Vaccine ◽

Large Scale ◽

Online Survey ◽

Information Sources ◽

Developed Countries ◽

Vaccine Hesitancy ◽

Care Providers ◽

Big Cities

The limited access to vaccination and vaccine hesitancy are prevalent even among health care providers in less developed countries. This study assessed the relationships between (i) health care providers’ knowledge on human papillomavirus (HPV) and vaccination for HPV and (ii) their perceptions, demographic characteristics, and the use of information sources. In this large-scale online survey, participants (n = 1394) were recruited from hospitals of three big cities in China (Shanghai, Guangzhou, and Shenzhen). Descriptive analysis, the chi-square test, and logistic regression analysis were used to answer different research questions. Health care providers’ overall knowledge scores are consistent with their perceptions about HPV and HPV vaccine. Occupation, specialty, the type of hospitals, and the frequency of participants’ search for information using professional informational sources are the most significant characteristics that are closely associated with their knowledge of HPV and its vaccine. Targeted educational interventions are needed to improve health care providers’ engagement in the promotion of the HPV vaccine. Such interventions, besides increasing knowledge, should also emphasize the importance of appropriate information sources to acquire information.

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An Integrative Theoretical Framework for HPV Vaccine Promotion Among Male Sexual Minorities

American Journal of Men s Health ◽

10.1177/1557988316652937 ◽

2016 ◽

Vol 12 (5) ◽

pp. 1409-1420 ◽

Cited By ~ 11

Author(s):

Christopher W. Wheldon ◽

Ellen M. Daley ◽

Eric R. Walsh-Buhi ◽

Julie A. Baldwin ◽

Alan G. Nyitray ◽

...

Keyword(s):

Health Care ◽

Sexual Orientation ◽

Health Care Providers ◽

Hpv Vaccine ◽

Sexual Minorities ◽

Behavioral Control ◽

Hpv Vaccination ◽

Perceived Threat ◽

Perceived Behavioral Control ◽

Care Providers

The objective of the current study was to quantify the behavioral intentions of young adult male sexual minorities (MSM) to initiate human papillomavirus (HPV) vaccination and test an integrative model of HPV vaccine decision making. Participants were 575 MSM who were residing in the United States and were between ages 18 and 26 years. Standard direct and indirect measures of attitudes, perceived norms, and perceived behavioral control were employed to explain variation in behavioral intention. Additional background factors—such as concealment of one’s sexual identity, suspicion of health care provider competence in LGBT health issues, perceived threat, and information orientation—were also included in the model. The final model fit the data well and identified a set of salient attitudinal and control beliefs as the strongest determinants of intention ( R2 = .38). Perceived threat and information orientation were positively correlated with HPV-related beliefs. Perceived threat was higher among men infected with HIV and lower among men in monogamous relationships. Self-efficacy, as an indirect measure of perceived behavioral control, was inversely related to the general tendency to conceal aspects of one’s sexual orientation and a suspicion of health care providers. Bisexual identified men were more likely to conceal their sexual orientation and be more suspicious of health care providers. In this study, a number of modifiable determinants of HPV vaccine intentions—both psychosocial and environmental—were identified and have implications for targeted and tailored behavioral interventions to promote HPV vaccination among MSM.

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Challenges and facilitators for implementing prenatal calcium supplementation to prevent preeclampsia: formative research with health care providers and women in Kenya (256.1)

The FASEB Journal ◽

10.1096/fasebj.28.1_supplement.256.1 ◽

2014 ◽

Vol 28 (S1) ◽

Author(s):

Katherine Dickin ◽

Gretchen Seim ◽

Sera Young ◽

Salome Wawire ◽

Stephanie Martin

Keyword(s):

Health Care ◽

Health Care Providers ◽

Calcium Supplementation ◽

Formative Research ◽

Care Providers

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HPV Vaccine Hesitancy: Findings From a Statewide Survey of Health Care Providers

Journal of Pediatric Health Care ◽

10.1016/j.pedhc.2014.05.003 ◽

2014 ◽

Vol 28 (6) ◽

pp. 541-549 ◽

Cited By ~ 90

Author(s):

Annie-Laurie McRee ◽

Melissa B. Gilkey ◽

Amanda F. Dempsey

Keyword(s):

Health Care ◽

Health Care Providers ◽

Hpv Vaccine ◽

Vaccine Hesitancy ◽

Care Providers

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Beliefs About HPV Vaccine’s Success at Cervical Cancer Prevention Among Adult US Women

JNCI Cancer Spectrum ◽

10.1093/jncics/pkz064 ◽

2019 ◽

Vol 3 (4) ◽

Cited By ~ 1

Author(s):

Joël Fokom Domgue ◽

Onyema G Chido-Amajuoyi ◽

Robert K Yu ◽

Sanjay Shete

Keyword(s):

Health Care ◽

Cervical Cancer ◽

Health Care Providers ◽

Hpv Vaccine ◽

Multinomial Logistic Regression ◽

Hpv Vaccination ◽

The United States ◽

Cervical Cancer Prevention ◽

Care Providers ◽

Cancer History

Abstract Background Beliefs are known to be a key determinant in vaccines’ uptake. However, little is known about beliefs surrounding the success of the human papillomavirus (HPV) vaccine in preventing cervical cancer in the United States. Methods Data from the Health Information National Trends Survey 5 Cycle 1 (2017) were analyzed for 1851 female respondents aged 18 years and older. Weighted multinomial logistic regression was employed to determine predictors of beliefs in the success of the HPV vaccine in preventing cervical cancer. Results Overall, 29.8% of women believed that HPV vaccine is successful in preventing cervical cancer, 6.6% believed it is not successful, and 63.6% did not know if the HPV vaccine is successful. Non-Hispanic blacks (adjusted odds ratio [aOR] = 1.80, 95% confidence interval [CI] = 1.16 to 2.79), women with no more than 12 years of education (aOR = 2.05, 95% CI = 1.17 to 3.60), those who did not know if they were advised by a health-care provider to get an HPV shot within the last 12 months (aOR = 4.19, 95% CI = 1.39 to 12.60), and those unaware of a family cancer history (aOR = 5.17, 95% CI = 1.48 to 18.21) were more likely to not know whether the HPV vaccine prevents cervical cancer. Women younger than 65 years were more likely than elderly to believe that the HPV vaccine is not successful at preventing cervical cancer. Conclusions A substantial proportion of US women are uninformed about the HPV vaccine. To accelerate progress in the HPV vaccine’s uptake, future interventions should incorporate educational programs, particularly targeting Non-Hispanic blacks, women with a lower level of education, and those younger than 65 years. Health-care providers’ participation in promotion of patient education about HPV vaccination should also be increased.

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