Knowledge, Acceptability and Attitudes Towards the HPV Vaccine among Colombian General Practitioners, Gynecologists and Pediatricians in Colombia
Keywords:
HPV, cervical cancer, acceptability, vaccines, ColombiaAbstract
Objective: To survey basic knowledge of the humanpapillomavirus (HPV) among Colombian general paractitioners, gynecologists and pediatricians, as well as their attitudes, personal feelings and perceptions towards the HPV vaccine.
Methods: An exploratory, qualitative study was carried out in four regions in Colombia. In each region a focus group made up of general practitioners, gynecologists and pediatricians was set up. Each session was taped and transcribed. Content analysis was based upon the stages of open reading, coding, structural analysis and critical interpretation.
Results: General practitioners have scant knowledge of HPV and the vaccine; gynecologists and pediatricians command good and excellent knowledge, respectively. Many physicians espy the commercial gain that could be made off the vaccine. In two regions there was skepticism about introducing the vaccine locally, where it was deemed to be too difficult to achieve total protection, and where it would be unable to reach the needworthy population.
Conclusion: Among Colombian physicians, confusion exists concerning the different types of HPV vaccines; therefore, steps should be taken to improve their knowledge on the subject as well as to provide recommendations and clear instructions concerning vaccine application. Educational and training courses, particularly for general practitioners, on HPV, HPV vaccines, and screening should be widely available.
Author Biographies
Marion Piñeros, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología, Bogotá, Colombia.
Claudia Cortés, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología, Bogotá, Colombia.
Lina Trujillo, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología, Bogotá, Colombia.
Carolina Wiesner, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología, Bogotá, Colombia.
References
Wright J. Current status of HPV Vaccination recommendations. HPV Today Newsletter on Human Papillomavirus. 2008;14:8-9.
Cafam. Hazle un regalo a tu vida - Vacúnate contra el VPH [Internet]. Disponible en: http://www.cafam.com/index.asp?pla_id=6&pag_id=1712&pub_id=1047&catePadre=-1%202009.
Comfenalco. Comfenalco ofrece vacuna contra el VPH [Internet]. Consultado 21 julio de 2009. Disponible en: http://www.epscomfenalco.com/epsproveedores/Noticias/VacunacontraelVPH/tabid/5284/Default.aspx.
Vacunarte País. El virus del papiloma humano [Internet]. Consultado julio 21 de 2009. Disponible en: http://www.cng.edu/down/home/vph.pdf.
Oster NV, Phillips-Tangum CA, Averhoff F, Howell K. Barriers to adolescent immunization: a survey of family physicians and pediatricians. J Am Board Fam Pract. 2005;18(1):13-9.
https://doi.org/10.3122/jabfm.18.1.13
Zimet GD, Liddon N, Rosenthal SL, Lazcano-Ponce E, Allen B. Chapter 24: Psychosocial aspects of vaccine acceptability. Vaccine. 2006;24 Suppl 3:S3/201-S9.
https://doi.org/10.1016/j.vaccine.2006.06.017
Cardarelli R, Cardarelli KM. Recommendations for primary care physicians to improve HPV vaccination rates during clinical encounters. Osteopath Med Prim Care. 2008;2:10.
https://doi.org/10.1186/1750-4732-2-10
Klug SJ, Hukelmann M, Blettner M. Knowledge about infection with human papillomavirus: a systematic review. Prev Med. 2008;46(2):87-98.
https://doi.org/10.1016/j.ypmed.2007.09.003
Daley MF, Liddon N, Crane LA, Beaty BL, Barrow J, Babbel C, et al. A national survey of pediatrician knowledge and attitudes regarding human papillomavirus vaccination. Pediatrics. 2006;118(6):2280-9.
https://doi.org/10.1542/peds.2006-1946
Mays RM, Sturm LA, Zimet GD. Parental perspectives on vaccinating children against sexually transmitted infections. Soc Sci Med. 2004;58(7):1405-13.
https://doi.org/10.1016/S0277-9536(03)00335-6
Riedesel JM, Rosenthal SL, Zimet GD, Bernstein DI, Huang B, Lan D, et al. Attitudes about human papillomavirus vaccine among family physicians. J Pediatr Adolesc Gynecol. 2005;18(6):391-8.
https://doi.org/10.1016/j.jpag.2005.09.004
Kahn JA, Zimet GD, Bernstein DI, Riedesel JM, Lan D, Huang B, et al. Pediatricians' intention to administer human papillomavirus vaccine: the role of practice characteristics, knowledge, and attitudes. J Adolesc Health. 2005;37(6):502-10.
https://doi.org/10.1016/j.jadohealth.2005.07.014
Moreira ED Jr., de Oliveira BG, Neves RC, Costa S, Karic G, Filho JO. Assessment of knowledge and attitudes of young uninsured women toward human papillomavirus vaccination and clinical trials. J Pediatr Adolesc Gynecol. 2006;19(2):81-7.
https://doi.org/10.1016/j.jpag.2006.01.003
Huberman A, Miles M. Métodos para el manejo y el análisis de datos. En: Denman CA, Haro SA (editores). Por los rincones. Antología de métodos cualitativos en la investigación social. México: Universidad de Guadalajara; 2002.
Miles MB, Huberman AM. Qualitative data analysis: an expanded sourcebook. 2nd edition. London: Sage; 1994.
Duval B, Gilca V, McNeil S, Dobson S, Money D, Gemmill IM, et al. Vaccination against human papillomavirus: a baseline survey of Canadian clinicians' knowledge, attitudes and beliefs. Vaccine. 2007;25(45):7841-7.
https://doi.org/10.1016/j.vaccine.2007.08.041
Rand CM, Shone LP, Albertin C, Auinger P, Klein JD, Szilagyi PG. National health care visit patterns of adolescents: implications for delivery of new adolescent vaccines. Arch Pediatr Adolesc Med. 2007;161(3):252-9.
https://doi.org/10.1001/archpedi.161.3.252
Power ML, Leddy MA, Anderson BL, Gall SA, Gonik B, Schulkin J. Obstetrician-gynecologists' practices and perceived knowledge regarding immunization. Am J Prev Med. 2009;37(3):231-4.
https://doi.org/10.1016/j.amepre.2009.05.019
Chan PK, Luk AC, Luk TN, Lee KF, Cheung JL, Ho KM, et al. Distribution of human papillomavirus types in anogenital warts of men. J Clin Virol. 2009;44(2):111-4.
https://doi.org/10.1016/j.jcv.2008.11.001
Margolis HAMKS. Strategies for controlling hepatitis B in the United States. En: Hollinger BF, Lemon SM, Margolis. HS, editores. Viral hepatitis and liver disease. Baltimore: Williams and Wilkins, 1991. p. 720-2.
Franco EL, Tsu V, Herrero R, Lazcano-Ponce E, Hildesheim A, Munoz N, et al. Integration of human papillomavirus vaccination and cervical cancer screening in Latin America and the Caribbean. Vaccine. 2008;26 Suppl 11:L88-95.
https://doi.org/10.1016/j.vaccine.2008.05.026
Raley JC, Followwill KA, Zimet GD, Ault KA. Gynecologists' attitudes regarding human papilloma virus vaccination: a survey of Fellows of the American College of Obstetricians and Gynecologists. Infect Dis Obstet Gynecol. 2004;12(3-4):127-33.
https://doi.org/10.1080/10647440400020661
Gonzalez IM, Averhoff FM, Massoudi MS, Yusuf H, DeStefano F, Kramarz P, et al. Hepatitis B vaccination among adolescents in 3 large health maintenance organizations. Pediatrics. 2002;110(5):929-34.
https://doi.org/10.1542/peds.110.5.929
Rickert D, Deladisma A, Yusuf H, Averhoff F, Brink E, Shih S. Adolescent immunizations. are we ready for a new wave? Am J Prev Med. 2004;26(1):22-8.
https://doi.org/10.1016/j.amepre.2003.09.001
Brabin L, Greenberg DP, Hessel L, Hyer R, Ivanoff B, Van DP. Current issues in adolescent immunization. Vaccine. 2008;26(33):4120-34.
https://doi.org/10.1016/j.vaccine.2008.04.055
Murillo R. Vacunación contra el virus del papiloma humano en Colombia. Revista Colombiana de Cancerología. 2006;10(2)85-97.
Munira SL, Fritzen SA. What influences government adoption of vaccines in developing countries? A policy process analysis. Soc Sci Med. 2007;65(8):1751-64.
https://doi.org/10.1016/j.socscimed.2007.05.054
Markowitz LE, Dunne EF, Saraiya M, Lawson HW, Chesson H, Unger ER, et al. Quadrivalent Human Papillomavirus Vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2007;56(RR-2):1-24.
https://doi.org/10.1037/e601292007-001
Saslow D, Castle PE, Cox JT, Davey DD, Einstein MH, Ferris DG, et al. American Cancer Society Guideline for human papillomavirus (HPV) vaccine use to prevent cervical cancer and its precursors. CA Cancer J Clin. 2007;57(1):7-28.
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