Gynecologists' attitudes regarding human papilloma virus vaccination: a survey of Fellows of the American College of Obstetricians and Gynecologists.

作者: Janice C. Raley , Kristen A. Followwill , Gregorgy D. Zimet , Kevin A. Ault

DOI: 10.1080/10647440400020661

关键词:

摘要: Background: Human papilloma virus (HPV) is the causative agent of cervical neoplasia and genital warts. A vaccine has recently been developed that may prevent infection with HPV. Vaccination for HPV become a routine part office gynecology. We surveyed members American College Obstetricians Gynecologists (ACOG) to determine their attitudes vaccination. Methods: survey was sent Fellows ACOG evaluate gynecologists’ attitudes. Vaccine acceptability analyzed using 13 scenarios following dimensions respective attributes: age patient (3, 17 22 years); efficacy (50% or 80%); recommendation (yes no); disease targeted (cervical cancer, warts both). Each scenario rated by means an 11-point response format (0 100). Responses were evaluated conjoint analysis. Results: Of 1200surveys out, 181 returned included in our considered most important variable distribution (importance score = 32.2), followed (24.5), (22.4) and, lastly, (20.9). these variables, higher favored; preference given years, strong disinclination vaccinate at years; protection against warts, both, significantly favored over alone. Demographic characteristics gynecologists (i.e., physician, gender, practice setting community size) did not play role decision recommend Conclusion: Professional society potential vaccine. are willing include this practice.

参考文章(16)
S Kellerman, Physician response to surveys. a review of the literature American Journal of Preventive Medicine. ,vol. 20, pp. 61- 67 ,(2001) , 10.1016/S0749-3797(00)00258-0
G L Freed, W C Bordley, T R Konrad, S J Clark, Universal Hepatitis B Immunization of Infants: Reactions of Pediatricians and Family Physicians Over Time Pediatrics. ,vol. 93, pp. 747- 751 ,(1994)
Laura Koutsky, PhD, Epidemiology of Genital Human Papillomavirus Infection The American Journal of Medicine. ,vol. 102, pp. 3- 8 ,(1997) , 10.1016/S0002-9343(97)00177-0
Rose M. Mays, Gregory D. Zimet, Recommending STI vaccination to parents of adolescents: the attitudes of nurse practitioners. Sexually Transmitted Diseases. ,vol. 31, pp. 428- 432 ,(2004) , 10.1097/01.OLQ.0000130536.71812.E5
Jan M. M. Walboomers, Marcel V. Jacobs, M. Michele Manos, F. Xavier Bosch, J. Alain Kummer, Keerti V. Shah, Peter J. F. Snijders, Julian Peto, Chris J. L. M. Meijer, Nubia Mu�oz, Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. The Journal of Pathology. ,vol. 189, pp. 12- 19 ,(1999) , 10.1002/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F
David A. Asch, M.Kathryn Jedrziewski, Nicholas A. Christakis, Response rates to mail surveys published in medical journals. Journal of Clinical Epidemiology. ,vol. 50, pp. 1129- 1136 ,(1997) , 10.1016/S0895-4356(97)00126-1
Heidi M. Bauer, Genital Human Papillomavirus Infection in Female University Students as Determined by a PCR-Based Method JAMA: The Journal of the American Medical Association. ,vol. 265, pp. 472- 477 ,(1991) , 10.1001/JAMA.1991.03460040048027
John T. Schiller, Douglas R. Lowy, Papillomavirus-like particles and HPV vaccine development. Seminars in Cancer Biology. ,vol. 7, pp. 373- 382 ,(1996) , 10.1006/SCBI.1996.0046
Rose M Mays, Lynne A Sturm, Gregory D Zimet, Parental perspectives on vaccinating children against sexually transmitted infections Social Science & Medicine. ,vol. 58, pp. 1405- 1413 ,(2004) , 10.1016/S0277-9536(03)00335-6
Marcia L. Shew, J.Dennis Fortenberry, Pam Miles, Antonio J. Amortegui, Interval between menarche and first sexual intercourse, related to risk of human papillomavirus infection The Journal of Pediatrics. ,vol. 125, pp. 661- 666 ,(1994) , 10.1016/S0022-3476(94)70031-1