Changes in Strength of Recommendation and Perceived Barriers to HPV Vaccination: Longitudinal Analysis of Primary Care Physicians, 2008–2018

Details

• Alternative Title:
  J Pediatr
• Personal Author:
  Cataldi, Jessica R. ; O’Leary, Sean T. ; Markowitz, Lauri E. ; Allison, Mandy A. ; Crane, Lori A. ; Hurley, Laura P. ; Brtnikova, Michaela ; Beaty, Brenda L. ; Gorman, Carol ; Meites, Elissa ; Lindley, Megan C. ; Kempe, Allison
• Description:
  Objectives:
  
  To evaluate among pediatricians) and family physicians (how HPV vaccination recommendation practices for 11–12 year-old youth; reported parental refusal/ deferral of HPV vaccination; and reported barriers to HPV vaccination changed over time:.
  
  Study design:
  
  We surveyed nationally representative networks of pediatricians and family physicians in 2008, 2010, 2013–2014 and 2018. Male vaccination questions were not asked in 2008; barriers and parental vaccine refusal questions were not asked in 2010.
  
  Results:
  
  Response rates were 80% in 2008 (680/848), 72% in 2010 (609/842), 70% in 2013–2014 (582/829), and 65% in 2018 (588/908). The proportion of physicians strongly recommending HPV vaccination for 11–12 year-old patients increased from 53% in 2008 to 79% in 2018 for female patients, and from 48% in 2014 to 76% in 2018 for male patients (both p<0.0001). The proportion of physicians indicating ≥50% of parents refused/deferred HPV vaccination remained steady for female patients (24% in 2008 vs. 22% in 2018, p=0.40) and decreased for male patients (42% in 2014 vs, 28% in 2018, p<0.001). Physician barriers to providing HPV vaccination were rare and decreased over time. Increasing numbers of physicians reported perceived parental barriers of vaccine safety concerns (5% ‘major barrier’ in 2008 vs. 35% in 2018, p<0.0001) and moral/religious concerns (5% in 2008 vs. 25% in 2018, p<0.0001).
  
  Conclusions:
  
  Between 2008 and 2018, more primary care physicians reported recommending HPV vaccination for adolescents, fewer reported barriers, and more physicians reported parents had vaccine safety or moral/religious concerns.
  
  
• Subjects:
  Adolescent Attitude Of Health Personnel Child Female Health Knowledge, Attitudes, Practice Humans Longitudinal Studies Male Papillomavirus Infections Papillomavirus Vaccines Parents Pediatrics Primary Health Care Surveys And Questionnaires Vaccination Vaccination Refusal

  More +
• Keywords:
  Adolescent Health Human Papillomavirus Immunization Vaccines
• Source:
  J Pediatr. 234:149-157.e3
• Pubmed ID:
  33689710
• Pubmed Central ID:
  PMC10207027
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U01 IP001072/IP/NCIRD CDC HHSUnited States/ ; U48 DP000054/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  234
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2c6894cf516af8db8e73bb55640e27c9faaaa40f7ae27aec3c37229382f6e2fc8f864e3d00baeaad0493f582cc8407f300798aec8991f180645d52725b97c8e4
• Download URL:
  https://stacks.cdc.gov/view/cdc/128969/cdc_128969_DS1.pdf
• File Type:
  [PDF - 1.53 MB ]