Primary Care Pediatricians' Attitudes and Practice Towards HPV Vaccination: A Nationwide Survey in Italy

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2018 Mar 30

PMID 29596515

Citations 49

Authors

Francesco Napolitano

Monica Navaro

Luigi Vezzosi

Gabriella Santagati

Italo Francesco Angelillo

Affiliations

Soon will be listed here.

Abstract

This national online cross-sectional survey in Italy assessed primary care pediatricians' (PCPs) attitudes and practices regarding Human papillomavirus (HPV) vaccination and the contribution of several characteristics. The questionnaire was distributed from September 2016 to June 2017 to a random sample of 640 PCPs by email via an internet-link leading to a web-based survey platform (Lime Survey). Only 18.4% of PCPs always recommend the HPV vaccine to 11-12 year old boys. PCPs with longer practice activity, working in solo practice, always recommended the HPV vaccine to 11-12 year old girls, and believed that the vaccine was effective for boys were more likely to always recommend the HPV vaccine. PCPs working in a Region where the vaccination was actively recommended and provided free of charge to 11-12 year old boys had higher odds of recommending vaccination. More than two thirds of PCPs (77.4%) always recommend the HPV vaccine to 11-12 year old girls. PCPs who believed that the vaccine was effective for girls and safe in both boys and girls, who always talk with patients of 11-18 years or their parents about HPV infection and vaccination, and who obtain vaccine information from scientific journals were more likely to always recommend the vaccine. PCPs should employ evidence-based educational strategies in order to achieve a better coverage and to reduce the morbidities and mortality of diseases associated with HPV.

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References

Leval A, Herweijer E, Ploner A, Eloranta S, Simard J, Dillner J . Quadrivalent human papillomavirus vaccine effectiveness: a Swedish national cohort study. J Natl Cancer Inst. 2013; 105(7):469-74. PMC: 3614506. DOI: 10.1093/jnci/djt032. View

Kulczycki A, Qu H, Shewchuk R . Recommend, but also Discuss: Different Patterns of Physician-Perceived Barriers to Discussing HPV Vaccination and Their Association with Vaccine Administration in 11-12 Year-Old Girls. Matern Child Health J. 2016; 20(12):2539-2547. DOI: 10.1007/s10995-016-2079-9. View

Breitkopf C, Finney Rutten L, Findley V, Jacobson D, Wilson P, Albertie M . Awareness and knowledge of Human Papillomavirus (HPV), HPV-related cancers, and HPV vaccines in an uninsured adult clinic population. Cancer Med. 2016; 5(11):3346-3352. PMC: 5119989. DOI: 10.1002/cam4.933. View

Giuliano A, Nyitray A, Kreimer A, Pierce Campbell C, Goodman M, Sudenga S . EUROGIN 2014 roadmap: differences in human papillomavirus infection natural history, transmission and human papillomavirus-related cancer incidence by gender and anatomic site of infection. Int J Cancer. 2014; 136(12):2752-60. PMC: 4297584. DOI: 10.1002/ijc.29082. View

Wong L, Edib Z, Alias H, Mohamad Shakir S, Raja Muhammad Yusoff R, Sam I . A study of physicians' experiences with recommending HPV vaccines to adolescent boys. J Obstet Gynaecol. 2017; 37(7):937-943. DOI: 10.1080/01443615.2017.1317239. View

Veldhuijzen N, Snijders P, Reiss P, Meijer C, van de Wijgert J . Factors affecting transmission of mucosal human papillomavirus. Lancet Infect Dis. 2010; 10(12):862-74. DOI: 10.1016/S1473-3099(10)70190-0. View

Jackowska J, Bartochowska A, Karlik M, Wichtowski M, Tokarski M, Wierzbicka M . The Knowledge of the Role of Papillomavirus-Related Head and Neck Pathologies among General Practitioners, Otolaryngologists and Trainees. A Survey-Based Study. PLoS One. 2015; 10(10):e0141003. PMC: 4621019. DOI: 10.1371/journal.pone.0141003. View

Canon C, Effoe V, Shetty V, Shetty A . Knowledge and Attitudes Towards Human Papillomavirus (HPV) Among Academic and Community Physicians in Mangalore, India. J Cancer Educ. 2016; 32(2):382-391. DOI: 10.1007/s13187-016-0999-0. View

McRee A, Gilkey M, Dempsey A . HPV vaccine hesitancy: findings from a statewide survey of health care providers. J Pediatr Health Care. 2014; 28(6):541-9. PMC: 4254028. DOI: 10.1016/j.pedhc.2014.05.003. View

10.

Wong T, Moriarity A, Lall N, Hoffmann J, Katz D, Flug J . Double Fellowships in Radiology: A Survey of 2014 Graduating Fellows. Curr Probl Diagn Radiol. 2017; 46(4):263-266. DOI: 10.1067/j.cpradiol.2016.11.003. View

11.

Bahmanyar E, Paavonen J, Naud P, Salmeron J, Chow S, Apter D . Prevalence and risk factors for cervical HPV infection and abnormalities in young adult women at enrolment in the multinational PATRICIA trial. Gynecol Oncol. 2012; 127(3):440-50. DOI: 10.1016/j.ygyno.2012.08.033. View

12.

Allison M, Hurley L, Markowitz L, Crane L, Brtnikova M, Beaty B . Primary Care Physicians' Perspectives About HPV Vaccine. Pediatrics. 2016; 137(2):e20152488. PMC: 6104512. DOI: 10.1542/peds.2015-2488. View

13.

Napolitano F, Napolitano P, Liguori G, Angelillo I . Human papillomavirus infection and vaccination: Knowledge and attitudes among young males in Italy. Hum Vaccin Immunother. 2016; 12(6):1504-10. PMC: 4964675. DOI: 10.1080/21645515.2016.1156271. View

14.

Vichnin M, Bonanni P, Klein N, Garland S, Block S, Kjaer S . An Overview of Quadrivalent Human Papillomavirus Vaccine Safety: 2006 to 2015. Pediatr Infect Dis J. 2015; 34(9):983-91. DOI: 10.1097/INF.0000000000000793. View

15.

Forman D, de Martel C, Lacey C, Soerjomataram I, Lortet-Tieulent J, Bruni L . Global burden of human papillomavirus and related diseases. Vaccine. 2012; 30 Suppl 5:F12-23. DOI: 10.1016/j.vaccine.2012.07.055. View

16.

Bianco A, Pileggi C, Iozzo F, Nobile C, Pavia M . Vaccination against human papilloma virus infection in male adolescents: knowledge, attitudes, and acceptability among parents in Italy. Hum Vaccin Immunother. 2014; 10(9):2536-42. PMC: 4977432. DOI: 10.4161/21645515.2014.969614. View

17.

Oliver Perez M, Bravo Violeta V, Del Campo A, Ruiz C, Castano S, Conde L . Cross-sectional study about primary health care professionals views on the inclusion of the vaccine against human papillomavirus in the vaccine schedules. Infect Agent Cancer. 2015; 10:41. PMC: 4645478. DOI: 10.1186/s13027-015-0034-9. View

18.

Brisson M, Benard E, Drolet M, Bogaards J, Baussano I, Vanska S . Population-level impact, herd immunity, and elimination after human papillomavirus vaccination: a systematic review and meta-analysis of predictions from transmission-dynamic models. Lancet Public Health. 2017; 1(1):e8-e17. PMC: 6727207. DOI: 10.1016/S2468-2667(16)30001-9. View

19.

Di Giuseppe G, Abbate R, Liguori G, Albano L, Angelillo I . Human papillomavirus and vaccination: knowledge, attitudes, and behavioural intention in adolescents and young women in Italy. Br J Cancer. 2008; 99(2):225-9. PMC: 2480983. DOI: 10.1038/sj.bjc.6604454. View

20.

Daley M, Crane L, Markowitz L, Black S, Beaty B, Barrow J . Human papillomavirus vaccination practices: a survey of US physicians 18 months after licensure. Pediatrics. 2010; 126(3):425-33. DOI: 10.1542/peds.2009-3500. View