A brief educational intervention increases providers' human papillomavirus vaccine knowledge

Berenson, Abbey B.; Rahman, Mahbubur; Hirth, Jacqueline M.; Rupp, Richard; Sarpong, Kwabena

doi:10.1080/21645515.2015.1022691

Cited by 53 publications

(56 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast, among the girls living in majority NHW or mixed race/ethnicity communities, only 13% and 35% of them, respectively, lived in similarly impoverished communities. The higher HPV vaccination rates in poor communities with a high concentration of racial-ethnic minorities could therefore be a result of healthcare practice and community-based interventions (e.g., educating key stakeholders influential to the adolescents' vaccination behaviors) and other intervention strategies (66–70) in support of HPV vaccination that have focused efforts on poor Hispanic and Black communities where rates of cervical cancer rates are highest (6). …”

Section: Discussionmentioning

confidence: 99%

Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States

Henry

Stroup

Warner

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

View full text Add to dashboard Cite

Background This study is among the first to explore geographic factors that may be associated with HPV vaccine uptake in the United States. Methods Data from the 2011 and 2012 National Immunization Survey-Teen for 20,565 female adolescents aged 13-17 years were analyzed to examine associations of HPV vaccine initiation (receipt of at least one dose) with ZIP code-level geographic factors. Logistic regression including individual and geographic factors was used to estimate the odds of HPV vaccine initiation. Results Approximately 53% of girls initiated the HPV vaccine in both years. Girls in high poverty communities had higher HPV vaccine initiation compared to those in low poverty communities (61.1% vs .52.4%; Adjusted Odds Ratio [AOR] 1.18,95%CI 1.04-1.33). Initiation was higher among girls in communities where the majority of the population was Hispanic (69.0% vs. 49.9%;AOR 1.64, 95%CI 1.43-1.87) or non-Hispanic mixed race (60.4% vs. 49.9%; AOR 1.30, 95%CI 1.17-1.44) compared to majority non-Hispanic white communities. Interactions between individual-level race/ethnicity and community racial–ethnic composition indicated significantly higher odds of initiation among Hispanic girls living in Hispanic communities compared to Hispanic girls living in predominately NHW (AOR 2.23;95%CI 1.87-2.65) or NHB (AOR 1.90; 95%CI 1.20-3.04)communities, respectively Conclusion Initiation rates of HPV vaccination among teen girls were highest in the poorest communities and among Hispanics living in communities where the racial–ethnic composition was predominantly Hispanic or mixed race. Impact Given low HPV vaccination rates in the United States, these results provide important evidence to inform public health interventions to increase HPV vaccination.

show abstract

Section: Discussionmentioning

confidence: 99%

Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States

Henry

Stroup

Warner

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

View full text Add to dashboard Cite

show abstract

“…Providers involved in the care of pregnant and postpartum women and their infants were educated through a series of lectures on HPV given across the UTMB campus to attending physicians, residents, medical students, nurses, physician assistants, and staff. 24 …”

Section: Methodsmentioning

confidence: 99%

A human papillomavirus vaccination program for low-income postpartum women

Berenson

Rahman

Hirth

et al. 2016

American Journal of Obstetrics and Gynecology

Self Cite

View full text Add to dashboard Cite

Background Effective interventions are needed to address the low rate of human papillomavirus vaccination in the United States, particularly among girls and women 16 – 26 years old. Counseling and offering the vaccine to postpartum patients could be an effective strategy to increase uptake among young women who did not complete the 3-dose series at an earlier age. Objective The purpose of this evaluation was to assess the effectiveness of a multi-component program designed for postpartum women that used patient navigators and reminders for follow-up visits to improve uptake and completion of the human papillomavirus vaccine series. Design As part of standard care, patients ≤26 years of age from Galveston County, Texas who delivered an infant between November 2012 and June 2014 at a public hospital were counseled and offered the human papillomavirus vaccine postpartum. Patient navigators assisted with scheduling follow-up injections during postpartum or well-child visits. A program evaluation was conducted after 20 months. Results Of 1,038 patients approached, only 161 (15.5%) had previously completed the vaccine series. Of the 877 patients who had not completed the series, 661 (75.4%) received at least one dose postpartum, with 575 patients receiving their first dose and 86 receiving their second or third doses. By April 2015, initiation rates had increased as a result of this program from 25.4% before the program was initiated to 80.8% and completion rates from 15.5% to 65.1%. Missed appointments for injections were less likely among those who received text message reminders and more likely among those with ≥2 prior pregnancies. Those who were Hispanic or had received an influenza vaccination in the last year were more likely to initiate and complete the series through this program. Patients who missed 1 or more follow-up appointments were less likely to complete the vaccine series. Conclusions Offering the human papillomavirus vaccine postpartum dramatically increased initiation rates among postpartum patients. Patient navigation and text messages ensured that a high percentage completed all 3 doses.

show abstract

“…However, one major limitation of this study was that data was not separated by type of health profession student, so prevailing attitudes of US medical students remains unclear. In their educational intervention for physicians, medical students, and non-physicians, Berenson et al [11] found medical students had inadequate baseline knowledge of HPV epidemiology and the HPV vaccine, but after attending a brief, 30 minutes lecture increased their knowledge scores significantly. This demonstrates the potential for using educational interventions to increase HPV vaccine knowledge in this population.…”

Section: Introductionmentioning

confidence: 99%

Will they lead by example? Assessment of vaccination rates and attitudes to human papilloma virus in millennial medical students

et al. 2017

View full text Add to dashboard Cite

BackgroundHuman papillomavirus (HPV) is the most common sexually transmitted infection in the United States. It is also well established that HPV viruses are responsible for a variety of cancers. Little is known about the prevailing knowledge and attitudes toward the HPV vaccine in our future healthcare providers, a majority of whom were among the first in the target age group to receive the vaccine; the same vaccine that they will in turn be expected to recommend to their patients. The aims of this pilot study were to examine the HPV vaccination rate among medical students and determine their knowledge about HPV and attitudes toward vaccination.MethodsTo aid in the development of an HPV educational intervention, a needs assessment survey was administered to discover medical students’ knowledge and attitudes toward the HPV vaccine. All medical students at a Midwestern US medical school were invited to complete the survey.ResultsTwo hundred fourteen of 390 medical students completed the survey with 44% having been previously vaccinated. Although 82% of all respondents believed they would recommend the vaccine to family and friends, only 40% felt knowledgeable about the vaccine and 40% felt comfortable counseling patients. More positive attitudes and better knowledge scores were found in fully vaccinated students compared to non-vaccinated students. Provider recommendation was strongly associated with HPV vaccination status.ConclusionsThis study revealed the unique perspectives of U.S. millennial medical students as the first group of future healthcare providers to have personally encountered the HPV vaccine. Overall, students’ knowledge as well as their comfort level in counseling patients was lacking. This assessment has guided the development of targeted educational interventions to address knowledge gaps and prepare students to appropriately discuss the vaccine with patients and parents and help protect young people from life threatening cancers.

show abstract

A brief educational intervention increases providers' human papillomavirus vaccine knowledge

Cited by 53 publications

References 27 publications

Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States

Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States

A human papillomavirus vaccination program for low-income postpartum women

Will they lead by example? Assessment of vaccination rates and attitudes to human papilloma virus in millennial medical students

Contact Info

Product

Resources

About