HPV Vaccination Recommendation Practices among Adolescent Health Care Providers in 5 Countries

STUDY OBJECTIVE: To assess adolescent health care providers' recommendations for, and attitudes towards human papillomavirus (HPV) vaccination in 5 countries. DESIGN: In-depth interviews of adolescent health care providers, 2013-2014. SETTING: Five countries where HPV vaccination is at...

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Autores principales: Kundu, Debanjali, Peris, Merce, Morgan, Karen, Smith, Jennifer S, Ramos, Silvina, Kim, Chan Joo, Topazian, Hillary M, Richter, Karin L, Peebles, Kathryn, Brewer, Noel T
Formato: Artículo
Lenguaje:Inglés
Publicado: 1873-4332 2019
Materias:
Acceso en línea:https://www.jpagonline.org/article/S1083-3188(18)30251-1/abstract
http://repositorio.cedes.org/handle/123456789/4477
Aporte de:
id I61-R167123456789-4477
record_format dspace
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Inglés
orig_language_str_mv en
topic VACUNA CONTRA HPV
Adolescentes
Neoplasias del Cuello Uterino
Vacunas
Conocimientos, Actitudes y Práctica en Salud
Argentina
Sudáfrica
Malasia
República de Corea
España
spellingShingle VACUNA CONTRA HPV
Adolescentes
Neoplasias del Cuello Uterino
Vacunas
Conocimientos, Actitudes y Práctica en Salud
Argentina
Sudáfrica
Malasia
República de Corea
España
Kundu, Debanjali
Peris, Merce
Morgan, Karen
Smith, Jennifer S
Ramos, Silvina
Kim, Chan Joo
Topazian, Hillary M
Richter, Karin L
Peebles, Kathryn
Brewer, Noel T
HPV Vaccination Recommendation Practices among Adolescent Health Care Providers in 5 Countries
topic_facet VACUNA CONTRA HPV
Adolescentes
Neoplasias del Cuello Uterino
Vacunas
Conocimientos, Actitudes y Práctica en Salud
Argentina
Sudáfrica
Malasia
República de Corea
España
description STUDY OBJECTIVE: To assess adolescent health care providers' recommendations for, and attitudes towards human papillomavirus (HPV) vaccination in 5 countries. DESIGN: In-depth interviews of adolescent health care providers, 2013-2014. SETTING: Five countries where HPV vaccination is at various stages of implementation into national programs: Argentina, Malaysia, South Africa, South Korea, and Spain. PARTICIPANTS: Adolescent health care providers (N = 151) who had administered or overseen provision of adolescent vaccinations (N = Argentina: 30, Malaysia: 30, South Africa: 31, South Korea: 30, Spain: 30). MAIN OUTCOME MEASURES: Frequency of HPV vaccination recommendation, reasons providers do not always recommend the vaccine and facilitators to doing so, comfort level with recommending the vaccine, reasons for any discomfort, and positive and negative aspects of HPV vaccination. RESULTS: Over half of providers 82/151 (54%) recommend HPV vaccination always or most of the time (range: 20% in Malaysia to 90% in Argentina). Most providers 112/151 (74%) said they were comfortable recommending HPV vaccination, although South Korea was an outlier 10/30 (33%). Providers cited protection against cervical cancer 124/151 (83%) and genital warts 56/151 (37%) as benefits of HPV vaccination. When asked about the problems with HPV vaccination, providers mentioned high cost 75/151 (50% overall; range: 26% in South Africa to 77% in South Korea) and vaccination safety 28/151 (19%; range: 7% in South Africa to 33% in Spain). Free, low-cost, or publicly available vaccination 59/151 (39%), and additional data on vaccination safety 52/151 (34%) and efficacy 43/151 (28%) were the most commonly cited facilitators of health provider vaccination recommendation. CONCLUSION: Interventions to increase HPV vaccination should consider a country's specific provider concerns, such as reducing cost and providing information on vaccination safety and efficacy.
format Artículo
author Kundu, Debanjali
Peris, Merce
Morgan, Karen
Smith, Jennifer S
Ramos, Silvina
Kim, Chan Joo
Topazian, Hillary M
Richter, Karin L
Peebles, Kathryn
Brewer, Noel T
author_facet Kundu, Debanjali
Peris, Merce
Morgan, Karen
Smith, Jennifer S
Ramos, Silvina
Kim, Chan Joo
Topazian, Hillary M
Richter, Karin L
Peebles, Kathryn
Brewer, Noel T
author_sort Kundu, Debanjali
title HPV Vaccination Recommendation Practices among Adolescent Health Care Providers in 5 Countries
title_short HPV Vaccination Recommendation Practices among Adolescent Health Care Providers in 5 Countries
title_full HPV Vaccination Recommendation Practices among Adolescent Health Care Providers in 5 Countries
title_fullStr HPV Vaccination Recommendation Practices among Adolescent Health Care Providers in 5 Countries
title_full_unstemmed HPV Vaccination Recommendation Practices among Adolescent Health Care Providers in 5 Countries
title_sort hpv vaccination recommendation practices among adolescent health care providers in 5 countries
publisher 1873-4332
publishDate 2019
url https://www.jpagonline.org/article/S1083-3188(18)30251-1/abstract
http://repositorio.cedes.org/handle/123456789/4477
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