HPV Vaccination Training of Healthcare Providers and Perceived Self-Efficacy in HPV Vaccine-Hesitancy Counseling

被引:10
作者
Osaghae, Ikponmwosa [1 ,2 ,3 ]
Darkoh, Charles [1 ]
Chido-Amajuoyi, Onyema Greg [4 ]
Chan, Wenyaw [5 ]
Wermuth, Paige Padgett [6 ]
Pande, Mala [7 ]
Cunningham, Sonia A. [4 ]
Shete, Sanjay [2 ,3 ,4 ]
机构
[1] Univ Texas Hlth Sci Ctr Houston UTHealth, Sch Publ Hlth, Dept Epidemiol, Human Genet & Environm Sci, Houston, TX 77030 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Biostat, Houston, TX 77030 USA
[3] Univ Texas MD Anderson Canc Ctr, Div Canc Prevent & Populat Sci, Houston, TX 77030 USA
[4] Univ Texas MD Anderson Canc Ctr, Dept Epidemiol, Houston, TX 77030 USA
[5] UTHealth Sch Publ Hlth, Dept Biostat & Data Sci, Houston, TX 75207 USA
[6] UTHealth Sch Publ Hlth, Dept Management, Policy, Community Hlth, Houston, TX 77030 USA
[7] Univ Texas MD Anderson Canc Ctr, Dept Gastroenterol, Hepatol & Nutr, Houston, TX 77030 USA
关键词
Human papillomavirus; HPV vaccines; HPV vaccine-hesitancy; Provider's self-efficacy; HPV provider training; HUMAN-PAPILLOMAVIRUS VACCINE; AGED; 13-17; YEARS; UNITED-STATES; ADOLESCENTS; COVERAGE; GUIDELINES; BARRIERS; PARENTS;
D O I
10.3390/vaccines10122025
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
HPV vaccine hesitancy is a key barrier to HPV vaccination. Using a population-based survey of HCPs practicing in Texas we determined the association between formal training of HCPs and perceived self-efficacy in counseling HPV vaccine-hesitant parents and adult patients. A total of 1283 HCPs completed the survey, with 879 providing vaccination services to pediatric patients and 1018 providing vaccination services to adult patients. Among HCPs included in this study, 405 of 577 (70%) and 315 of 505 (62%) perceived they were very/completely confident in counseling HPV vaccine-hesitant parents and adult patients, respectively. Compared to HCPs who received no training, those who received formal training in HPV vaccination promotion or counseling had 2.56 (AOR: 2.56; 95% CI:1.69-3.86) and 2.84 times higher odds (AOR: 2.84; 95% CI:1.87-4.33) of perceiving that they were very/completely confident in counseling HPV vaccine-hesitant parents and adult patients, respectively. Additionally, increasing years of practice and volume of patients seen were positively associated with being very/completely confident in counseling HPV vaccine-hesitant parents and adult patients. On the other hand, nurses were less likely than physicians to be very/completely confident in counseling HPV vaccine-hesitant parents. To increase HPV vaccination uptake, HCPs should receive tailored training to improve their self-efficacy in addressing HPV vaccine-hesitancy.
引用
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页数:11
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