HPV vaccination not recommended by 1/3 of doctors

Primary Care Physicians’ Perspectives About HPV Vaccine

Around one third of doctors surveyed do not strongly recommend the HPV vaccine to parents. Researchers used a national survey asking approximately 600 paediatricians and family doctors, between October 2013 and January 2014, to outline their stance on the HPV vaccine.

January 2016 Study Abstract

BACKGROUND AND OBJECTIVES
Because physicians’ practices could be modified to reduce missed opportunities for human papillomavirus (HPV) vaccination, our goal was to:

  1. describe self-reported practices regarding recommending the HPV vaccine;
  2. estimate the frequency of parental deferral of HPV vaccination;
  3. and identify characteristics associated with not discussing it.

METHODS
A national survey among pediatricians and family physicians (FP) was conducted between October 2013 and January 2014. Using multivariable analysis, characteristics associated with not discussing HPV vaccination were examined.

RESULTS
Response rates were 82% for pediatricians (364 of 442) and 56% for FP (218 of 387).

  • For 11-12 year-old girls, 60% of pediatricians and 59% of family physicians (FP) strongly recommend HPV vaccine; for boys,52% and 41% ostrongly recommen.
  • More than one-half reported ≥25% of parents deferred HPV vaccination.
  • At the 11-12 year well visit, 84% of pediatricians and 75% of FP frequently/always discuss HPV vaccination.
  • Compared with physicians who frequently/always discuss , those who occasionally/rarely discuss(18%) were more likely to be FP (adjusted odds ratio [aOR]: 2.0 [95% confidence interval (CI): 1.1–3.5), be male (aOR: 1.8 [95% CI: 1.1–3.1]), disagree that parents will accept HPV vaccine if discussed with other vaccines (aOR: 2.3 [95% CI: 1.3–4.2]), report that 25% to 49% (aOR: 2.8 [95% CI: 1.1–6.8]) or ≥50% (aOR: 7.8 [95% CI: 3.4–17.6]) of parents defer, and express concern about waning immunity (aOR: 3.4 [95% CI: 1.8–6.4]).

CONCLUSIONS
Addressing physicians’ perceptions about parental acceptance of HPV vaccine, the possible advantages of discussing HPV vaccination with other recommended vaccines, and concerns about waning immunity could lead to increased vaccination rates.

Sources and Press Releases
  • Primary Care Physicians’ Perspectives About HPV Vaccine, pediatrics, January 2016.
  • ANOTHER MOTHER WANTS YOU TO SEE WHAT AN HPV VACCINE INJURY LOOKS LIKE, collective-evolution, APRIL 24, 2017.

Author: DES Daughter

Activist, blogger and social media addict committed to shedding light on a global health scandal and dedicated to raise DES awareness.

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