• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Pediatrics

Practitioner communication, attitudes and 2-dose schedule affect HPV vaccine administration

byStephanie Harlow, MDandLeah Carr, MD
September 16, 2019
in Pediatrics, Public Health
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. In this national survey, both pediatricians and family physicians (FPs) were more likely to make a strong recommendation for the human papilloma virus (HPV) vaccine in older adolescents as compared to younger adolescents (ages 11 to 12 years). Pediatricians were more likely than FPs to use a presumptive tone when discussing the vaccine with patients and families.

2. Both pediatric and family physicians reported higher rates of HPV vaccine refusal or deferral in 11- to 12-year-old patients as opposed to older adolescents, with male patients being more likely to refuse or defer than female patients.

Evidence Rating Level: 3 (Average)           

Study Rundown: Despite its demonstrated efficacy in preventing HPV-related oral and genital cancers, the HPV vaccine course continues to have a low completion rate among adolescents in the United States. In this study, researchers surveyed pediatricians and FPs across the country to better understand their impression of HPV vaccine resistance, their communication methods when presenting the vaccine, and their impression of how the 2-dose schedule, as opposed to the 3-dose schedule, for younger adolescents has changed vaccine completion rates. Though both pediatricians and FPs were likely to strongly recommend the vaccine to adolescents of all ages, both groups perceived higher vaccine resistance among younger adolescents, namely those ages 11 and 12 years. Pediatricians were more likely to present the vaccine with a presumptive tone, while FPs were more likely than pediatricians to present the vaccine using a conversational tone. The vast majority of physicians in both fields agreed that the 2-dose schedule for adolescents <15 years old improved vaccine completion rates. Simultaneously, more than half of FPs and one-third of pediatricians expressed concern that having a 3-dose schedule for children ≥15 years old was confusing to both families and office staff. Overall, this study is limited its reliance on practitioner perception of their practice rather than objective, observed data. Despite its design, this study’s results reveals practical areas for further explorations, such as the efficacy of various communication styles when presenting a socially controversial intervention such as the HPV vaccine.

Click here to read the original article, published today in Pediatrics

Relevant Reading: Attitudes towards and knowledge about Human Papillomavirus (HPV) and the HPV vaccination in parents of teenage boys in the UK

In-Depth [survey]: In this study, researchers initially contacted 908 members of the American Academy of Pediatrics and American Academy of Family Physicians who reported spending ≥50% of their providing primary care. Of the 908 contacted, 588 (65%) responded (1-7% rural, 35-58% urban, 70-80% private practice). The majority of pediatricians (85% for female patients; 83% for male) and FPs (72% for female patients; 66% for male) reported strongly recommending the HPV vaccine to patients ages 11-12 years old. The same was true for patients ≥15 years old, with an even larger majority of both pediatricians (99% for female patients; 98% for male) and FPs (90% for female, 83% for male) strongly recommending the vaccine for patients in this age group. The majority of both pediatricians (74%) and FPs (77%) either “strongly agree” or “somewhat agree” that they encounter less resistance from parents and patients when they initiate  the HPV vaccine series at age 13 rather than age 11. In regards to changes to the dose schedule for younger adolescents, 70% of pediatricians and 48% of FPs strongly agreed that the 2-dose schedule improved vaccine completions rates in younger adolescents in comparison to the previously recommended 3-dose schedule. Sixty-five percent of pediatricians and 42% of FPs claimed they always or almost always used a presumptive style, while 16% of pediatricians and 24% of FPs almost always or always used a conversational style when talking about the HPV vaccine. “Presumptive” style was assigned to individuals who endorsed always or almost always discussing HPV vaccine need by saying,” We’ve got 3 vaccines today; Tdap, HPV, and meningococcal vaccines.” Those who were considered to have a “conversational” style endorsed that they always or almost always asked, “Are you interested in getting HPV vaccine for your child today?”

RELATED REPORTS

Human papillomavirus (HPV) vaccination rates have increased in recent years

Human papillomavirus vaccine effective in preventing infections in the United States

#VisualAbstract: Incidence of HPV-associated oropharyngeal carcinoma expected to increase for older adults between 2020-2045

Image: PD

©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: adolescent healthfamily physicianHuman Papilloma Virus (HPV)immunizationspediatricianvaccines
Previous Post

Multidisciplinary approach linked with increased utilization of peritoneal dialysis for new dialysis patients

Next Post

Quick Take: Safety and Efficacy of Dabigatran Etexilate vs Dose-Adjusted Warfarin in Patients with Cerebral Venous Thrombosis

RelatedReports

Mental health parity law associated with financial protection for children
Chronic Disease

Human papillomavirus (HPV) vaccination rates have increased in recent years

June 23, 2022
Reduced doses of human papillomavirus vaccine may be effective in preventing condyloma
Public Health

Human papillomavirus vaccine effective in preventing infections in the United States

June 23, 2022
#VisualAbstract: Mohs micrographic surgery is more cost effective than wide local excision for T2a cutaneous squamous cell carcinomas
StudyGraphics

#VisualAbstract: Incidence of HPV-associated oropharyngeal carcinoma expected to increase for older adults between 2020-2045

December 16, 2021
Reduced HPV vaccine doses may be adequate
Infectious Disease

Persistent human papillomavirus infection during pregnancy significantly associated with preterm birth

September 21, 2021
Next Post
Cardiovascular risk factors related to brain volume and associated dementia

Quick Take: Safety and Efficacy of Dabigatran Etexilate vs Dose-Adjusted Warfarin in Patients with Cerebral Venous Thrombosis

Smoking during pregnancy associated with aerobic fitness of children

2 Minute Medicine Rewind September 16, 2019

Racial, ethnic differences in outcomes of extremely preterm infants decreasing but persistent

Quick Take: National Trends in the Provision of Human Milk at Hospital Discharge Among Very Low-Birth-Weight Infants

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Methamphetamine use associated with cardiovascular disease in hospitalized patients
  • Management of uncomplicated urinary tract infections amongst women in the United States Military Health System highly concordant with guidelines
  • Gout flares associated with a transient increase in subsequent risk of cardiovascular events
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.