| Potential barriers to HPV vaccine provision among medical practices in an area with high rates of cervical cancer. | |
| | |
MedLine Citation:
|
PMID: 18809147 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: Potential barriers to widespread vaccination of adolescent girls against human papillomavirus (HPV) infection are poorly understood. We provide an overview of potential barriers to provision of HPV vaccine and empirical data on the concerns of medical practices that may inhibit HPV vaccine provision. METHOD: We conducted phone interviews with medical practices in rural areas in southeastern North Carolina with high rates of cervical cancer to assess 10 potential concerns about HPV vaccine provision. RESULTS: Concerns most commonly reported by medical practices (N = 71) were inadequate reimbursement (68%), high cost of the vaccine to patients (66%), and burden of determining insurance coverage (66%). Practices that were not providing the vaccine reported more concerns about HPV vaccine provision on average than practices providing the vaccine (6.0 vs. 4.5 concerns, p < .05). CONCLUSIONS: Medical practices' concerns about the HPV vaccine may be barriers to stocking it and, thus, to providing it to adolescents. Even providers who stock the vaccine reported concerns. Research is needed to address ways to ameliorate these medical practices' concerns and also to understand other potential barriers to vaccine coverage. |
| | |
Authors:
|
Katie M Keating; Noel T Brewer; Sami L Gottlieb; Nicole Liddon; Christina Ludema; Jennifer S Smith |
Related Documents
:
|
19935017 - Pregnancy and infant outcomes in the clinical trials of a human papillomavirus type 6/1... 17284337 - Parental attitudes to pre-pubertal hpv vaccination. 10573627 - Chimeric virus-like particles of the human papillomavirus type 16 (hpv 16) as a prophyl... 17936447 - Induction of mucosal and systemic immune responses following oral immunization of mice ... 11342327 - Vaccination of a refractory essential monoclonal cryoglobulinemia patient with cryoglob... 8432597 - Safety and immunogenicity of salmonella typhi ty21a vaccine in young thai children. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: The Journal of adolescent health : official publication of the Society for Adolescent Medicine Volume: 43 ISSN: 1879-1972 ISO Abbreviation: J Adolesc Health Publication Date: 2008 Oct |
Date Detail:
|
Created Date: 2008-09-23 Completed Date: 2008-11-03 Revised Date: 2009-05-21 |
Medline Journal Info:
|
Nlm Unique ID: 9102136 Medline TA: J Adolesc Health Country: United States |
Other Details:
|
Languages: eng Pagination: S61-7 Citation Subset: IM |
Affiliation:
|
School of Public Health, University of North Carolina, Chapel Hill, North Carolina 27516, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adolescent Health Services Attitude of Health Personnel Female Health Knowledge, Attitudes, Practice Humans Insurance, Health, Reimbursement North Carolina / epidemiology Papillomavirus Infections / epidemiology, prevention & control* Papillomavirus Vaccines / administration & dosage*, economics, supply & distribution Parents Patient Acceptance of Health Care* Physician's Practice Patterns* Rural Health Services Uterine Cervical Neoplasms / epidemiology, prevention & control*, virology |
| Grant Support | |
ID/Acronym/Agency:
|
S3715-25/25//PHS HHS |
| Chemical | |
Reg. No./Substance:
|
0/Papillomavirus Vaccines |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Human papillomavirus-related diseases: oropharynx cancers and potential implications for adolescent ...
Next Document: Feasibility of outpatient coronary angiography with "ad hoc" angioplasty.