Factors influencing <scp>HPV</scp> vaccine delivery by healthcare professionals at public health posts in São Paulo, Brazil

Figueroa-Downing, Daniella; Baggio, Maria Luiza; Baker, Misha L.; Chiang, Ellen Dias De Oliveira; Villa, Luisa L.; Eluf-Neto, José; Evans, Dabney P.; Bednarczyk, Robert A.

doi:10.1002/ijgo.12004

Cited by 7 publications

(7 citation statements)

References 11 publications

(20 reference statements)

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“…There are few records in Latin American literature on adherence to the HPV vaccine after its implementation. What has been published highlights the lack of knowledge about HPV infection among Latin Americans, which is related to low education status and economic income [8][9][10]. Doubts about the vaccine's safety and efficacy, and cultural myths, such as HPV vaccination stimulating the onset of sexual life, are additional barriers for vaccine acceptance [11,12].…”

Section: Introductionmentioning

confidence: 99%

Human Papillomavirus (HPV) and the quadrivalent HPV Vaccine among Brazilian adolescents and parents: Factors associated with and divergences in knowledge and acceptance

et al. 2020

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Background Low national immunization coverage (44.64%) requires strengthening the vaccination campaign to improve knowledge about HPV and its vaccine among adolescents and parents/guardians. Our aim is to evaluate factors related to knowledge about HPV, its vaccine, acceptability and divergences among Brazilian adolescents and parents/guardians. Methods A cross-sectional study was performed at a health unit of Sao Paulo University, Brazil, from 2015 to 2016. The convenience sample comprised 1047 individuals, including 74% (n = 776) adolescents and 26% (n = 271) parents/guardians, who answered a survey (knowledge about HPV, its vaccine, barriers and acceptability). Results The main source of information for adolescents was school (39%, n = 298); for parents/guardians, it was health professionals (55%, n = 153). Parents/guardians were 2.48 times more likely than adolescents to know that HPV caused changes in the Pap smear test [RR 2.48, 95% CI 2.03–3.01 (p < 0.001)], 1.43 times likely to be aware that HPV was a sexually transmitted infection [RR 1.43, 95% CI 1.22–1.68 (p < 0.001)], and 2.77 times likely to be informed that the HPV vaccine decreased the chance of having genital warts [RR 2.77, 95% CI 2.22–2.47 (p < 0.001)]. Girls knew more about the topic than boys (RR 1.67; 95% CI 1.10–2.60); education increased parents’ knowledge [(RR 3.38; 95% CI 1.71–6.69)]. Conclusion Female adolescents and parents/guardians with a higher level of education are factors related to suitable knowledge about HPV and its vaccine among Brazilian respondents. There were differences between parents/guardians and adolescents in HPV awareness, clinical implications, vaccine knowledge and vaccine acceptance.

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Section: Introductionmentioning

confidence: 99%

Human Papillomavirus (HPV) and the quadrivalent HPV Vaccine among Brazilian adolescents and parents: Factors associated with and divergences in knowledge and acceptance

et al. 2020

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“…37 show that parents did not intend to vaccinate their daughters because of safety concerns and Figueroa-Downing et al 10 also found knowledge gaps related to vaccine safety in their study.…”

Section: Cheruvu Et Almentioning

confidence: 86%

“…In Brazil, Figueroa-Downing et al 10 and Osis et al 11 used a collection tool developed to describe the knowledge and attitudes of health professionals 10 and the lay population 11 . Collection instruments elaborated for situational analysis, although not generalizable, are exploratory in the sense of providing knowledge about a certain theme.…”

mentioning

confidence: 99%

Knowledge and acceptance of HPV vaccine among adolescents, parents and health professionals: construct development for collection and database composition

Sousa

Takiuti

Baracat

et al. 2018

J. Hum. Growth Dev.

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“…Health professionals have doubts about the vaccination schedule advocated by the National Immunization Program. Gaps in knowledge or doubts about the vaccination scheme among health professionals have been shown to be similar in developed and developing countries 12,23,24. Recommendations for health professionals reinforce the validity of the immunization program and increase vaccination coverage 22.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and acceptability of the human papillomavirus vaccine among health professionals in Acre state, western Amazon

Pereira

Gomes

Costa

et al. 2019

Clinics

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OBJECTIVE:To evaluate the knowledge and acceptability of the human papillomavirus (HPV) vaccine among health professionals from western Amazonia.METHODS:A cross-sectional study was conducted in the Sistema Assistencial à Saúde da Mulher e da Criança (Health Care System for Women and Children; SASMC) in Acre, Brazil, in 2017. The participants comprised 196 health professionals. The data collection instrument contained 31 questions about HPV, its clinical repercussions for women, and the HPV vaccine. Quantitative variables were presented as medians and 95% confidence intervals (CIs), and p<0.05 was considered statistically significant. For the analyses, chi-square tests and Mann-Whitney tests were used. The collected data were analyzed using Stata®11.0.RESULTS:Of the 196 health professionals, 39.8% (n=76) were physicians and 61.2% (n=120) were other health professionals. The interviewees were mostly female (n=143, 73%, 95% CI 66.1 to 78.9%) who worked in the medical field (n=81, 41.3%, 95% CI 34.4 to 48.6%), and the median age was 38 years (95% CI 36.0 to 39.7). Physicians had increased knowledge regarding only the statement "cervical cancer is one of the main causes of cancer in women", with a proportion ratio of 0.88 (0.80; 0.97) and p<0.001. Regarding clinical knowledge of the HPV vaccine, a low proportion of correct answers was obtained for all the questions, and no significant differences were found between the groups.CONCLUSION:Acceptability and knowledge of HPV and its vaccine were similar among health professionals, with knowledge gaps in questions about the relation between smoking and cervical cancer and specific clinical knowledge.

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Factors influencing HPV vaccine delivery by healthcare professionals at public health posts in São Paulo, Brazil

Abstract: Knowledge and attitude played secondary roles in influencing HPV vaccine verification. Community health agents were crucial for vaccine promotion; continued education and support of this group is essential for the sustained success of HPV immunization efforts in Brazil.

Cited by 7 publications

References 11 publications

Human Papillomavirus (HPV) and the quadrivalent HPV Vaccine among Brazilian adolescents and parents: Factors associated with and divergences in knowledge and acceptance

Human Papillomavirus (HPV) and the quadrivalent HPV Vaccine among Brazilian adolescents and parents: Factors associated with and divergences in knowledge and acceptance

Knowledge and acceptance of HPV vaccine among adolescents, parents and health professionals: construct development for collection and database composition

Knowledge and acceptability of the human papillomavirus vaccine among health professionals in Acre state, western Amazon

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