Provider perspectives on communication and dismissal policies with HPV vaccine hesitant parents

Preventive Medicine Reports

卷:24

Jasmin A. Tiro¹  Serena A. Rodriguez²  Olivia Dorsey³  Philip Day⁴  Erika L. Thompson⁵  Sharice M. Preston⁶  Sandi L. Pruitt⁷  Jenny K.R. Francis⁸  James-Michael Blackwell⁹  Bijal A. Balasubramanian⁹  Neelima Kale⁹ 

[1] Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX;

[2] Children’s Health, Dallas, TX;

[3] Corresponding author at: Department of Pediatrics, 5323 Harry Hines Blvd., Dallas, TX 75390.;

[4] Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Houston, TX;

[5] Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA;

[6] Department of Family and Community Medicine, University of Kentucky College of Medicine, Lexington, KY;

[7] Department of Health Promotion and Behavioral Science, UTHealth School of Public Health, Dallas, TX;

[8] Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX;

[9] Department of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, TX;

关键词: Vaccine hesitancy;    HPV vaccine;    Dismissal policies;   

DOI  :  

来源: DOAJ

【 摘 要 】

Parental vaccine hesitancy is a growing concern. Less is known about provider or practice characteristics that encounter HPV-specific vaccine-hesitant parents, the providers’ confidence in responding to HPV vaccine concerns, and the attitudes and use of vaccine dismissal policies (i.e., removing patients from the practice). North Texas providers completed an online survey. Dependent variables assessed: (1) percentage of HPV vaccine-hesitant parents encountered in practice defined as substantive, or high (≥11%, or among more than one out of ten adolescent patient encounters) versus low (≤10%) levels; (2) confidence in responding to 11 HPV vaccine concerns; (3) attitudes and use of vaccine dismissal policies. Chi-square and Fisher’s exact tests were conducted. Among 156 providers, 29% reported high HPV vaccine hesitancy (≥11% of patient population). Overall, providers reported being “very confident” in addressing vaccine concerns (mean: 3.37 out of 4, SD: 0.57). Mean confidence scores were significantly higher for white (vs. non-white) providers and for pediatricians (vs. family practitioners). Providers were least confident in responding to parents’ religious/personal beliefs (69%). Some providers (25%) agreed with policies that dismissed vaccine-hesitant parents after repeated counseling attempts. More providers used dismissal policies for childhood (19%) than adolescent (10%) immunizations. Provider communication training should include parental religious/personal beliefs to effectively address HPV vaccine hesitancy. Other regions should examine their HPV-specific vaccine hesitancy levels to understand how the use of dismissal policies might vary between adolescent and childhood immunizations.

【 授权许可】

Unknown