Knowledge and Attitudes of Physicians and Nurses in Turkey Regarding Human Papillomavirus Vaccination of Their Children

Tubaş, Filiz; Dulkadir, Ramazan; Taplak, Ayşe Şener; Ünlü, Erdal

doi:10.1007/s10900-022-01141-0

Cited by 5 publications

(7 citation statements)

References 20 publications

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“…In another study conducted in Türkiye, 62.5% of physicians and 74.2% of nurses stated that they did not even consider vaccinating their own children. 21 On the other hand, in a study conducted in Italy, contrary to studies in Türkiye, it was found that the rate of recommending the HPV vaccine by HCWs was over 80%. 19 In a study conducted among female HCWs in Cyprus, 83.5% of the participants were willing to vaccinate themselves to prevent cervical cancer.…”

Section: Discussionmentioning

confidence: 86%

“…17 Believing that the HPV vaccine is unnecessary, thinking that it is expensive, having insufficient knowledge about the vaccine, thinking that it may have side effects, and not trusting the vaccine have been shown as reasons for hesitation by HCWs. 21 The second most common reason why the vaccine was not recommended in the current study was that it was expensive and was not covered by the government. In fact, in a study conducted in Türkiye, the majority of HCWs declared that they could vaccinate their own children only if HPV vaccines were included in the national vaccination calendar.…”

Section: Discussionmentioning

confidence: 95%

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Knowledge, attitudes, and behaviours of primary health care workers regarding HPV infection and prevention: an example from Türkiye

AKOVA,

EKİCİ KOŞAROĞLU,

KILIÇ

2023

Turkish Journal of Family Medicine and Primary Care

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Introduction: This study aimed to determine the knowledge, attitudes, and behaviors of Turkish primary health care workers (HCWs) regarding human papillomavirus (HPV) infection, screening, and vaccines. Methods: This cross-sectional study was conducted with family physicians and nurses/midwives working in family health centers (FHC) in Sivas province in the Central Anatolia Region of Türkiye between January 1, 2023 and February 15, 2023. The sociodemographic data form and HPV Knowledge Scale were used. The independent sample t-test, the F test (ANOVA) (post hoc Bonferroni test), and the chi-squared test were performed. Results: The study was conducted with a total of 275 HCWs. Of the HCWs, 57.5% were nurses/midwives and 69.8% were female. All HCWs had heard of HPV, 97.8% had heard of the HPV test, and 84% had heard of the HPV vaccine. 79.3% had not recommended the HPV vaccine to pre-adolescents and 51.6% to people at risk. The most common reasons for this were the lack of information about HPV vaccines, their expense, and the lack of coverage by the government. The part with the lowest level of HPV knowledge was about the HPV vaccine. The total score of the scale was higher in males, physicians, and those who were working in the FHC unit where the adolescent rate was below 10%, in those who recommended the HPV vaccine, and in those who had not recommended the vaccine because it is expensive and not covered by the government. Conclusion: It is recommended to improve the lack of knowledge among HCWs, mainly those serving the adolescent population, about HPV vaccines. Government coverage of HPV vaccines may play a role in increasing the rate at which HCWs recommend these vaccines.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 95%

Knowledge, attitudes, and behaviours of primary health care workers regarding HPV infection and prevention: an example from Türkiye

AKOVA,

EKİCİ KOŞAROĞLU,

KILIÇ

2023

Turkish Journal of Family Medicine and Primary Care

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“… 22 This might stem from the lack of knowledge about the vaccine and its safety, which could be overcome through vocational education. 23 The Health Belief Model (HBM) theory has been used to explore the dynamics of human behavior in regards to vaccination. 24 Recent studies have revealed that the perception of susceptibility, severity, benefit, self-efficacy, and behavioral intention plays a crucial role in determining the uptake of HPV vaccination.…”

Section: Discussionmentioning

confidence: 99%

Human papillomavirus and occupational exposure: The need for vaccine provision for healthcare providers

Afsar,

Hossain,

Islam

et al. 2024

Human Vaccines & Immunotherapeutics

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To probe the understanding of healthcare providers regarding occupational exposure to human papillomavirus and their knowledge about human papillomavirus vaccination in relation to the American Society for Colposcopy and Cervical Pathology (ASCCP) recommendations. In this cross-sectional study, the healthcare providers at Mayo Clinic Arizona, Florida, and Minnesota were delivered an electronic survey. The survey was completed by 349 healthcare providers, with one respondent excluded for inconsistent entry. The mean age of respondents was 42.7 ± 10.9, and of those, 68% were female and 32% were male. Of the unvaccinated respondents, 43.3% were ≤ 45 y of age (eligible for vaccination), while those vaccinated formed 41% of the respondents. Healthcare providers are highly concerned about their cancer safety, as shown by their awareness of occupational human papillomavirus hazards and broad knowledge about vaccine efficacy. The use of personal protective equipment varied widely, including eyewear, double gloving, procedural face mask, N95 face mask, and/or nothing. Human papillomavirus and cancer risk was clearly perceived by healthcare providers. For professions, pairwise comparisons revealed that nurse practitioners, physician assistants, certified registered nurse anesthetists, and allied healthcare providers had lower scores than medical doctors. Despite the high level of understanding among healthcare providers of occupational human papillomavirus exposure, only a few of them knew of the recommendations of the ASCPP for vaccination of healthcare providers treating human papillomavirus-related diseases. In such cases, most of those surveyed embraced vaccination, which was considered 100% safe by medical doctors and allied health professionals.

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“…Among secondary schools” Lebanese students, a low vaccination rate was noted in males (87% of vaccinated students were females and 13% were males) and 39.1% of surveyed students thought that only women can get infected. Interestingly, a recent study from Turkey surveying 18–29-year-old university students in health sciences found that only 10% thought HPV infects only women and 82% of males had heard about HPV vaccine compared to 60% of female students included [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…This may be due to a lack of knowledge of primary care physicians about the vaccine or lack of empowerment in recommending the vaccine. A study from Turkey surveying physicians and nurses’ attitudes as parents found that 62.5% of physicians and 74.2% of nurses would not give their children HPV vaccine; 70% and 53.9% respectively would however consider it if it was included in the routine vaccination schedule [ 38 ]. A survey of Saudi pediatrician and family physicians showed that 58.38% had a good knowledge score of HPV vaccine and only 66.5% recommended the vaccine for girls 12–15 y of age, they were more likely to recommended it to older girls [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Determinants of human papillomavirus vaccine hesitancy among Lebanese parents

Zakhour,

Tamim,

Faytrouni

et al. 2023

PLoS ONE

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Introduction Human papillomavirus (HPV) is the most common sexually transmitted infection. HPV is responsible for cancer of cervix uteri. Despite its safety and immunogenicity, HPV vaccine hesitancy is one of the most challenging topics that pediatricians face. Methods We aimed to describe the impact of knowledge, attitude, and practice towards vaccines in general, on practice related to HPV vaccination in Lebanon. A questionnaire addressed to parents of students (3–18 years of age) was distributed in 2 public and 2 private schools randomly selected from the greater Beirut area during the school year 2017–2018. Questionnaires covered knowledge, attitude, and practices of vaccination in general and HPV vaccine in particular. Results Out of 400 distributed questionnaires, 306 (76.5%) were returned. Of the 185 parents aware of HPV vaccine, 60% hadn’t given or were not planning to give the HPV vaccine to their children. Of parents not in favor of HPV vaccine, 7.5 thought that vaccines aren’t necessary versus none among those in favor of HPV vaccine(p = 0.02). Thirteen percent of those not in favor of HPV vaccine thought that vaccines are not safe versus 2.7% in the group in favor (p = 0.02). An effect of gender on vaccine acceptance was noted: mothers vs fathers and daughters vs sons. Lack of recommendation by pediatricians and the thought that too little is known about the vaccine were the most selected reasons for parents not wanting to vaccinate their children against HPV, whereas cost and religious and cultural beliefs seemed to have no impact. Conclusion Most parents in our study did not vaccinate or weren’t willing to vaccinate their children against HPV even when they were in favor of vaccines in general. Physician recommendation was shown to be one of the most important predictors of vaccination. Effort should be put into educating parents about the importance of the vaccine and its well-established safety and efficacy regardless of gender. Lebanese physicians should also be educated and empowered to recommend HPV vaccine more strongly and consistently.

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Knowledge and Attitudes of Physicians and Nurses in Turkey Regarding Human Papillomavirus Vaccination of Their Children

Cited by 5 publications

References 20 publications

Knowledge, attitudes, and behaviours of primary health care workers regarding HPV infection and prevention: an example from Türkiye

Knowledge, attitudes, and behaviours of primary health care workers regarding HPV infection and prevention: an example from Türkiye

Human papillomavirus and occupational exposure: The need for vaccine provision for healthcare providers

Determinants of human papillomavirus vaccine hesitancy among Lebanese parents

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