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Vaccination Practices Among Obstetrician/Gynecologists for Non-Pregnant Patients
  • Published Date:
    Mar 2019
  • Source:
    Am J Prev Med. 56(3):429-436
  • Language:
    English


Public Access Version Available on: March 01, 2020 information icon
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Details:
  • Keywords:
  • Pubmed ID:
    30777161
  • Pubmed Central ID:
    PMC6383792
  • Description:
    Introduction:

    Many non-pregnant women see obstetrician-gynecologists (ob-gyns) as their sole source of medical care, yet little is known about vaccination practices of ob-gyns for non-pregnant patients. Our objectives were to assess, among a national sample of ob-gyns, practices related to vaccine delivery in non-pregnant patients and factors associated with stocking and administering >3 different vaccines to non-pregnant patients.

    Methods:

    An email and mail survey July-October 2015, with analyses October-November 2015 and April-June 2018.

    Results:

    The response rate was 73% (353/482). Human papillomavirus (HPV) vaccine (92%), influenza vaccine (82%), and tetanus-diphtheria-acellular pertussis (Tdap) vaccine (50%) were the vaccines most commonly assessed, with the remaining vaccines assessed by <40% of respondents. Vaccines most commonly administered by ob-gyns to non-pregnant patients included HPV (81%), influenza (70%) and Tdap (54%). The remaining vaccines were administered by <30% of ob-gyns. Factors associated with routinely administering >3 vaccines to non-pregnant patients included working in a hospital-, public health-, or university-associated clinic (Risk ratio [RR], 1.87, 95% Confidence Interval [CI], 1.35–2.58, referent to private practice), a larger practice (>5 providers) (RR, 1.54, 95% CI, 1.05–2.27), perceiving fewer financial barriers (RR, 0.74, 95% CI, 0.57–0.96), fewer practice-associated barriers (RR, 0.71, 95% CI, 0.55–0.92), and greater patient barriers (RR, 1.62, 95% CI, 1.33–1.98).

    Conclusion:

    HPV, influenza, and Tdap vaccines are the only vaccines routinely assessed and administered to non-pregnant patients by most ob-gyns. Given their role as the sole source of care for many women, ob-gyns could make a positive impact on the vaccination status of their non-pregnant patients.

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