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Human Papillomavirus Vaccination Knowledge, Barriers, and Recommendations Among Healthcare Provider Groups in the Western United States

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Abstract

This study compared human papillomavirus (HPV) vaccination occurrences on the same day as provider recommendations at clinics in the Western United States stratified by healthcare provider groups. In addition, the relationships between provider groups’ perceived challenges associated with HPV vaccination, HPV vaccination knowledge, HPV recommendation practices, and same-day HPV vaccinations and recommendations are described. Eligible participants included pediatric healthcare providers and staff with influence on patient/parental-level decisions regarding HPV vaccination. Participants filled out a 40-question survey. Results for study participants (N = 99) showed providers reported a higher number of challenges limiting HPV vaccination, higher HPV vaccination knowledge, and more favorable HPV vaccination recommendation practices compared to other healthcare team members (OTM) suggesting providers may have a better overall understanding of the HPV vaccination climate than OTMs. Clinics should examine OTMs’ training, expectations, and opportunities to increase the frequency and strength of HPV vaccination recommendations to adolescent patients and parents.

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Data Availability

The datasets during and/or analyzed during the current study will be available from the corresponding author on reasonable request.

Code Availability

The code will be available from the corresponding author on reasonable request.

Abbreviations

CDC :

Centers for Disease Control and Prevention

CI :

Confidence interval

HPV :

Human papillomavirus

MA :

Medical assistant

MW :

Mountain West

OTM :

Other healthcare team members

PA :

Physician assistants

US :

United States

UTD :

Up-to-date

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Funding

Research supported by the National Cancer Institute of the National Institutes of Health under Award Number 3P30CA042014-29S8 to the University of Utah, Huntsman Cancer Institute, and Award Number P30CA021765 to St. Jude Children’s Research Hospital and the American Lebanese and Syrian Associated Charities (ALSAC) of St. Jude Children’s Research Hospital. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Author information

Authors and Affiliations

  1. Huntsman Cancer Institute, University of Utah, 2000 Circle of Hope, Salt Lake City, UT, 84112, USA

    Shauna Ayres, Alexandra Gee, Seungmin Kim, Mia Hashibe, Aisha Praag, Danielle Kaiser, Chun-Pin Chang & Deanna Kepka

  2. College of Nursing, University of Utah, Salt Lake City, UT, USA

    Alexandra Gee & Deanna Kepka

  3. Division of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA

    Mia Hashibe & Chun-Pin Chang

  4. St. Jude Children’s Research Hospital, St. Jude Comprehensive Cancer Center, Memphis, TN, USA

    Heather M. Brandt

Authors
  1. Shauna Ayres
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  8. Heather M. Brandt
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  9. Deanna Kepka
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Contributions

AG, SK, MH, AP, DKaiser, CC, and DKepka developed the study, collected data, analyzed data, and wrote initial manuscript draft. SA, HB, and DKepka developed manuscript for journal submission. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Shauna Ayres.

Ethics declarations

Ethics Approval

The study was submitted to and approved by the University of Utah’s Institutional Review Board (IRB).

Consent to Participate

Each identified participant’s eligibility was confirmed, and informed consent was obtained before taking the survey. Participants were told that by taking the survey was voluntary and that completing the survey served as consent to participate in the study.

Consent for Publication

Not applicable.

Competing Interests

DKepka receives a portion of her salary from the American Cancer Society, who receive funding from Merck, for the purpose of Mission: HPV Cancer Free Quality Improvement Initiative. All other authors have no reportable conflicts/disclosures.

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Ayres, S., Gee, A., Kim, S. et al. Human Papillomavirus Vaccination Knowledge, Barriers, and Recommendations Among Healthcare Provider Groups in the Western United States. J Canc Educ 37, 1816–1823 (2022). https://doi.org/10.1007/s13187-021-02047-6

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  • DOI: https://doi.org/10.1007/s13187-021-02047-6

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