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J Pediatr Health Care. 2014 Nov-Dec;28(6):541-9. doi: 10.1016/j.pedhc.2014.05.003. Epub 2014 Jul 10.

HPV vaccine hesitancy: findings from a statewide survey of health care providers.

Abstract

INTRODUCTION:

Health care provider recommendations are critical for human papillomavirus (HPV) vaccine uptake. We sought to describe providers' HPV vaccine recommendation practices and explore their perceptions of parental hesitancy.

METHOD:

A statewide sample (n = 575) of Minnesota health care providers (20% pediatricians, 47% family medicine physicians, and 33% nurse practitioners) completed our online survey in April 2013.

RESULTS:

Only 76% of health care providers reported routinely recommending HPV vaccine for girls ages 11 to 12 years, and far fewer (46%) did so for boys (p < .001). A majority of providers reported asking questions about parents' concerns (74%), but many lacked time to probe reasons (47%) or believed that they could not change parents' minds (55%). Higher levels of self-efficacy and outcome expectations were associated with routine recommendations (p < .05).

DISCUSSION:

Findings suggest that providers' perceptions of hesitancy may discourage them from routinely recommending the HPV vaccine. Improving providers' self-efficacy to address hesitancy may be important for improving vaccination rates.

KEYWORDS:

HPV vaccine; health care provider communication; vaccine hesitancy

PMID:
25017939
PMCID:
PMC4254028
DOI:
10.1016/j.pedhc.2014.05.003
[Indexed for MEDLINE]
Free PMC Article

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