Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists
Human papillomavirus (HPV) vaccination rates in the U.S. are relatively low. Provider recommendation rates for HPV vaccination often vary by patient age and relationship status. Obstetrician/gynecologists (OB/GYNs) represent a key provider group that can recommend the HPV vaccine. This study examine...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522001085 |
| _version_ | 1818551767114186752 |
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| author | Paige W. Lake Katharine J. Head Shannon M. Christy Andrea L. DeMaria Erika L. Thompson Susan T. Vadaparampil Gregory D. Zimet Monica L. Kasting |
| author_facet | Paige W. Lake Katharine J. Head Shannon M. Christy Andrea L. DeMaria Erika L. Thompson Susan T. Vadaparampil Gregory D. Zimet Monica L. Kasting |
| author_sort | Paige W. Lake |
| collection | DOAJ |
| description | Human papillomavirus (HPV) vaccination rates in the U.S. are relatively low. Provider recommendation rates for HPV vaccination often vary by patient age and relationship status. Obstetrician/gynecologists (OB/GYNs) represent a key provider group that can recommend the HPV vaccine. This study examined differences in OB/GYN recommendation of HPV vaccination for inpatient postpartum patients by age, parity, and marital status. Data were collected from OB/GYNs nationally via a cross-sectional survey. Participants were randomized to two vignette groups (23-year-old patient or 33-year-old patient). Within each group, participants received 4 vignettes that were identical except for patient marital status (married/not in a committed relationship) and number of children (first/third child), and were asked to indicate HPV vaccination recommendation likelihood on a scale of 0 (definitely would not) to 100 (definitely would). A 2 × 2 × 2 general linear model with repeated measures was used to examine main and interaction effects of patient age, relationship status, and parity. 207 OB/GYNs were included in the final analyses. Recommendation was high for 23-year-old patients (range: 64.5–84.6 out of 100). When marital status and parity were held constant, recommendation likelihood was higher for the younger vs. older patient and was also higher for patients not in a committed relationship, compared to married patients (all p-values < 0.001). Differences in recommendation exist when considering age and relationship status, which provides insight into OB/GYN clinical decision-making. Findings highlight the need to address barriers to HPV vaccination recommendation, including awareness of risk factors to consider when recommending the vaccine. |
| first_indexed | 2024-12-12T09:04:17Z |
| format | Article |
| id | doaj.art-0faff15ab0d64554a1cf0ad5ffd3a2af |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-12T09:04:17Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-0faff15ab0d64554a1cf0ad5ffd3a2af2022-12-22T00:29:42ZengElsevierPreventive Medicine Reports2211-33552022-06-0127101801Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/GynecologistsPaige W. Lake0Katharine J. Head1Shannon M. Christy2Andrea L. DeMaria3Erika L. Thompson4Susan T. Vadaparampil5Gregory D. Zimet6Monica L. Kasting7Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USADepartment of Communication Studies, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USADepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA; Department of Oncologic Sciences, Morsani College of Medicine, University of South Florida, USADepartment of Public Health, Purdue University, West Lafayette, IN, USADepartment of Health Behavior & Health Systems, University of North Texas Health Science Center, Fort Worth, TX, USADepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA; Department of Oncologic Sciences, Morsani College of Medicine, University of South Florida, USADepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA; Cancer Prevention and Control Program, Indiana University Simon Comprehensive Cancer Center, Indianapolis, IN, USADepartment of Public Health, Purdue University, West Lafayette, IN, USA; Cancer Prevention and Control Program, Indiana University Simon Comprehensive Cancer Center, Indianapolis, IN, USA; Corresponding author at: Purdue University, 812 W. State Street, Matthews Hall, Room 216, West Lafayette, IN 47907, USA.Human papillomavirus (HPV) vaccination rates in the U.S. are relatively low. Provider recommendation rates for HPV vaccination often vary by patient age and relationship status. Obstetrician/gynecologists (OB/GYNs) represent a key provider group that can recommend the HPV vaccine. This study examined differences in OB/GYN recommendation of HPV vaccination for inpatient postpartum patients by age, parity, and marital status. Data were collected from OB/GYNs nationally via a cross-sectional survey. Participants were randomized to two vignette groups (23-year-old patient or 33-year-old patient). Within each group, participants received 4 vignettes that were identical except for patient marital status (married/not in a committed relationship) and number of children (first/third child), and were asked to indicate HPV vaccination recommendation likelihood on a scale of 0 (definitely would not) to 100 (definitely would). A 2 × 2 × 2 general linear model with repeated measures was used to examine main and interaction effects of patient age, relationship status, and parity. 207 OB/GYNs were included in the final analyses. Recommendation was high for 23-year-old patients (range: 64.5–84.6 out of 100). When marital status and parity were held constant, recommendation likelihood was higher for the younger vs. older patient and was also higher for patients not in a committed relationship, compared to married patients (all p-values < 0.001). Differences in recommendation exist when considering age and relationship status, which provides insight into OB/GYN clinical decision-making. Findings highlight the need to address barriers to HPV vaccination recommendation, including awareness of risk factors to consider when recommending the vaccine.http://www.sciencedirect.com/science/article/pii/S2211335522001085Human papillomavirus vaccineObstetrics/gynecologySurveysPostpartum periodClinical decision-makingHPV vaccine |
| spellingShingle | Paige W. Lake Katharine J. Head Shannon M. Christy Andrea L. DeMaria Erika L. Thompson Susan T. Vadaparampil Gregory D. Zimet Monica L. Kasting Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists Preventive Medicine Reports Human papillomavirus vaccine Obstetrics/gynecology Surveys Postpartum period Clinical decision-making HPV vaccine |
| title | Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists |
| title_full | Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists |
| title_fullStr | Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists |
| title_full_unstemmed | Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists |
| title_short | Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists |
| title_sort | association between patient characteristics and hpv vaccination recommendation for postpartum patients a national survey of obstetrician gynecologists |
| topic | Human papillomavirus vaccine Obstetrics/gynecology Surveys Postpartum period Clinical decision-making HPV vaccine |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522001085 |
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