Factors associated with Human Papilloma Virus (HPV) vaccine recommendation by physicians in Lebanon, a cross-sectional study

Jaoude, Joseph Abi; Khair, Diana; Dagher, Hiba; Saad, Halim; Cherfan, Patrick; Kaafarani, Mohamad Ali; Jamaluddine, Zeina; Ghattas, Hala

doi:10.1016/j.vaccine.2018.10.065

Cited by 26 publications

(30 citation statements)

References 17 publications

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“…Also, physicians with higher knowledge scores regarding HPV infection and vaccination have fewer barriers (Table 3). Increasing physicians' knowledge in that regard is of utmost importance (Abi Jaoude et al, 2018). Previous studies have shown that physician low knowledge regarding HPV is associated with lower vaccination rates (Tolunay et al, 2014;Abi Jaoude et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Increasing physicians' knowledge in that regard is of utmost importance (Abi Jaoude et al, 2018). Previous studies have shown that physician low knowledge regarding HPV is associated with lower vaccination rates (Tolunay et al, 2014;Abi Jaoude et al, 2018). Continued education and awareness among physicians regarding HPV infection and vaccination is essential to improve vaccination rates.…”

Section: Discussionmentioning

confidence: 99%

“…This project is a follow up on our previous study (Abi Jaoude et al, 2018). Here, we aim to identify the barriers, attitudes and clinical approach of Lebanese physicians towards HPV vaccination.…”

Section: Barriers Attitudes and Clinical Approach Of Lebanese Physicmentioning

confidence: 98%

“…A detailed description of the analyzed sample is present in Table 1 of the original publication (Abi Jaoude et al, 2018). In brief, a total of 228 physician of the 792 contacted completed the survey, yielding a response rate of 28.8%.…”

Section: Sample Characteristicsmentioning

confidence: 99%

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Barriers, Attitudes and Clinical Approach of Lebanese Physicians Towards HPV Vaccination; A Cross- Sectional Study

Jaoude

Saad

Farha

et al. 2019

Asian Pac J Cancer Prev

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Objectives: HPV infection is associated with the development of cervical and oropharyngeal cancer. HPV vaccination prevents cervical cancer, but is still not part of Lebanon's routine vaccination schedule. As such, understanding physicians' practice towards HPV vaccination is essential. Material and Methods: We conducted a cross-sectional study in Greater Beirut, Lebanon to assess the barriers, attitudes and clinical approach of Lebanese physicians towards HPV vaccination. We also aimed to analyze the factors associated with physicians' barriers to HPV vaccination. Results: In total, 228 physicians completed the survey. Our results show that physicians and parents consider the cost of HPV vaccination to be a main barrier (58.9% and 80.7% respectively). Also, parents tend to have concerns about vaccine safety (78.1%), efficacy (68.6%), and lack education concerning HPV infection (81.8%). Furthermore, female physicians tend to have fewer barriers when compared to male physicians (aOR = 0.39; p-value = 0.007). Additionally, physicians who completed residency programs in the USA also showed fewer barriers when compared to physicians who completed Lebanese residency programs (aOR = 0.24; p-value = 0.040). Finally, physicians with higher knowledge score have fewer barriers when compared to those with lower knowledge scores (aOR = 0.42; p-value = 0.018). Conclusions: Physician gender, residency program and level of knowledge play a role in HPV vaccine barriers and recommendation in Lebanon. Future improvements in cost and awareness about HPV might improve vaccination rates. Creating uniform practices towards HPV vaccine is warranted to improve patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Barriers Attitudes and Clinical Approach Of Lebanese Physicmentioning

confidence: 98%

Section: Sample Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Barriers, Attitudes and Clinical Approach of Lebanese Physicians Towards HPV Vaccination; A Cross- Sectional Study

Jaoude

Saad

Farha

et al. 2019

Asian Pac J Cancer Prev

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“…Cervical cancer, the 6th most common cancer type among women aged 40 and less in Lebanon, is preventable through timely HPV vaccination 12 .However local sources attest to low level of HPV vaccination among women in Lebanon due to factors associated with the high cost of the vaccine as well as the lack of a uniform protocol for HPV vaccine recommendations for healthcare providers, allowing physicians’ personal biases to affect recommendations 17 , 18 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon

Zaki¹,

Naous

Abi‐Ghanem

et al. 2021

Sci Rep

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Access to sexual and reproductive health in conservative communities and in the MENA region are particularly limited and, as such, increase women’s vulnerability to unwanted pregnancies, unsafe abortions, and sexually transmitted infections (STIs). The aim was to assess the prevalence of STIs, sexual practices, recreational drug-use and their possible associations among cisgender unmarried women residing in Lebanon. Data on demographics, sexual practices and substance-use were collected from 2083 unmarried cisgender women who voluntarily attended a sexual health clinic in Lebanon between 2015 and 2019. They tested for HIV, Hepatitis B, Hepatitis C and Syphilis through rapid testing. Other infections (genital warts, Neisseria gonorrhea/Chlamydia trachomatis) were screened for. Regression models were computed between variables. There were two cases of HIV, one of Hepatitis B and syphilis, and no cases of Hepatitis C. Genital warts were present in 15% and symptoms indicative of Neisseria gonorrhea/Chlamydia trachomatis in 14%. Inconsistent condom-use (81%) was significantly associated with number of partners (adj. OR: 0.4). Inconsistent condom-use discussion with partners (33%) was significantly associated with unemployment (adj OR: 1.7), recreational drug-use (adj. OR: 1.4), and number of partners (adj. ORs 3.7–4.4). Unwanted pregnancies (11%) were significantly associated with age (adj. ORs 0.1–0.37), recreational drug-use (adj. OR: 2), using intrauterine device (adj. OR:2.9) and natural birth control methods (adj. OR: 2.4). Recreational drug-use (33%) was significantly associated with age (adj ORs 1.9–2.2), and smoking status (adj. OR: 0.6). The results indicate an urgent need for: (1) Accessible, non-stigmatizing, and inclusive sexual health services dedicated to women’s sexual health; (2) Comprehensive and non-stigmatizing sexual health education for all, but especially women, in order to promote safer sexual practices and effective decision making with regards to contraception and condom-use.

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Knowledge and attitude toward human papillomavirus vaccination and associated factors among adolescent school girls in Ambo town, Ethiopia, 2021: A multicenter cross‐sectional study

Roga

Beyen

Bulto

et al. 2023

Health Science Reports

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Background and Aims: The human papillomavirus (HPV) vaccination has shown considerable promise in lowering the incidence of cervical cancer. However, there are few studies done on knowledge and attitude toward the HPV vaccine, especially in the local setting. Therefore, this study aimed to assess knowledge and attitudes regarding HPV vaccination and related factors among adolescent girls in Ambo town, Ethiopia, in 2021. Methods:A cross-sectional study was conducted from May 1 to May 30, 2021, at selected schools in Ambo town among 422 adolescent girls. A structured selfadministered questionnaire was used to collect the data. The collected data were coded, and entered into Epi-Info 7.2.2.6 and exported to STATA 16 for analysis.Descriptive statistics were used to compute summary statistics and proportions.Bivariate and multivariate logistic regression analyses were carried out. The adjusted odds ratio (AOR) along with a 95% confidence interval (CI) was computed to ascertain the association.Results: Current study revealed that 24.9% (95% CI: 20.8-29.0) and 55.6% (95% CI: 50.5-60.4) of respondents had good knowledge and favorable attitude, respectively. The factors like being secondary school students [AOR = 2.01, 95% CI; (1.24, 3.27)], having health workers as a source of information [AOR = 2.13, 95% CI; (1.30, 3.47)], and respondents who have heard about the HPV vaccine at school [AOR = 1.66, 95% CI; (1.02, 2.71)] were significantly associated with respondent's knowledge of HPV vaccine. Moreover, the perceived severity of the diseases [AOR = 2.89, 95% CI; (1.61, 5.21)], and the perceived benefit of the vaccine [AOR = 4.26, 95% CI;(2.43, 7.48)] were factors significantly associated with an attitude of the respondents about the HPV vaccine.

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Factors associated with Human Papilloma Virus (HPV) vaccine recommendation by physicians in Lebanon, a cross-sectional study

Cited by 26 publications

References 17 publications

Barriers, Attitudes and Clinical Approach of Lebanese Physicians Towards HPV Vaccination; A Cross- Sectional Study

Barriers, Attitudes and Clinical Approach of Lebanese Physicians Towards HPV Vaccination; A Cross- Sectional Study

Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon

Knowledge and attitude toward human papillomavirus vaccination and associated factors among adolescent school girls in Ambo town, Ethiopia, 2021: A multicenter cross‐sectional study

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