Human Papillomavirus and vaccination: knowledge and attitudes of Italian General Practitioners

Signorelli, Carlo; Pezzetti, Federica; Spagnoli, Francesca; Visciarelli, Sara; Ferrari, Antonio; Odone, Anna; Camia, Paola; Latini, Chiara; Ciorba, Veronica; Veronesi, Licia; Pasquarella, Cesira; Scotti, Silvestro; Misericordia, Paolo

doi:10.1093/eurpub/cku161.031

Cited by 12 publications

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“…Overall knowledge scores exceeded 70% in almost 50% of respondents and, on specific items, it was higher compared to percentages we previously reported among general practitioners 26 . In particular, otorhinolaryngologists scored high on knowledge-based questions on HPV infection transmission and association with oral papillomatosis and oropharyngeal cancers as well as with cervical and other non-cervical cancers.…”

Section: Discussioncontrasting

confidence: 80%

“…Although limited data is available on otorhinolaryngologists, several recent studies have explored knowledge of HPV among healthcare providers, including general practitioners (GPs) 37 - 41 and other specialists 41 - 43 . We have previously reported on Italian GPs' knowledge and perceived role in HPV prevention identifying some lack of knowledge on specific areas and room for improvement in communication with parents and adolescents on the topic 26 . In line with our findings, studies conducted with other specialists highlighted the importance of educating healthcare providers involved at different levels in HPV prevention 37 - 45 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Carcinomi associati al papillomavirus umano: conoscenze, ruolo e attitudini dei medici otorinolaringoiatri in tema di prevenzione

Odone

Visciarelli

Lalic

et al. 2015

Acta Otorhinolaryngol Ital

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L’infezione da papillomavirus umano (HPV), in particolare HPV 16, è un riconosciuto fattore causale delle neoplasie orofaringee. L’incidenza delle neoplasie orofaringee è in aumento in diversi paesi europei, inclusa l’Italia, e negli Stai Uniti dove accurati modelli matematici hanno stimato che supererà quella del cancro alla cervice nella prossima decade. Recenti evidenze scientifiche supportano la potenziale efficacia del vaccino anti-HPV nel controllare quella che è stata definita “l’epidemia di neoplasie HPV-correlate”. In questo contesto, i medici otorinolaringoiatri assumono un ruolo cruciale, non solo nella diagnosi e trattamento di questa patologia, ma anche – come è stato sottolineato dall’American Head and Neck Society – nella prevenzione. Abbiamo condotto un’indagine sulle conoscenze e le attitudini dei medici otorinolaringoiatri italiani in tema di infezione HPV, patologie correlate e prevenzione vaccinale. Si tratta della prima indagine conoscitiva in Italia e in Europa sull’argomento. 262 medici otorinolaringoiatri italiani sono stati reclutati durante il 101° Congresso Nazionale della Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, tenutosi in maggio 2014. È stato utilizzato un questionario semi-strutturato sviluppato sulla base delle evidenze disponibili in letteratura e del parere di esperti. Le conoscenze e le attitudini sono state descritte e valutate con tecniche di analisi univariata. È stato inoltre costruito uno score composito di conoscenza. I dati dimostrano come i medici otorinolaringoiatri italiani abbiano, in media, un grado di conoscenza buono dell’infezione HPV e un’attitudine positiva nei confronti della prevenzione, in particolare della vaccinazione. I nostri risultati possono essere una utile base per pianificare, implementare e valutare programmi di educazione continua specifici sul tema della prevenzione dell’infezione da HPV. Come dimostriamo nel nostro studio, programmi di educazione continua specifici sono efficaci nell’aumentare il grado di conoscenza dei medici e l’attitudine positiva nei confronti dei programmi di prevenzione; il che contribuisce a promuovere l’adesione alla vaccinazione nei pazienti e nella popolazione generale. Con l’obiettivo generale di controllare l’epidemia di neoplasie HPV-correlate, maggiori risorse ed energie devono essere dedicate alla formazione e alla diffusione della cultura della prevenzione tra i medici otorinolaringoiatri e la comunità medica in generale. In questo contesto, identifichiamo grande potenziale nella collaborazione tra le comunità e le società scientifiche dell’otorinolaringoiatria e la sanità pubblica.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Carcinomi associati al papillomavirus umano: conoscenze, ruolo e attitudini dei medici otorinolaringoiatri in tema di prevenzione

Odone

Visciarelli

Lalic

et al. 2015

Acta Otorhinolaryngol Ital

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“…Australian GPs had moderate knowledge of HPV infection and vaccination one year after initiation of the Australian vaccination programme for 13-year-old girls; Younger and female GPs had greater knowledge of HPV than older GPs [ 31 ]. Italian GPs reported a lack of knowledge on HPV infection and vaccination, with no difference in knowledge by age, gender, level of education or region of origin [ 36 ]. Norwegian GPs reported low to moderate knowledge, no gender difference and no greater knowledge among younger GPs.…”

Section: Discussionmentioning

confidence: 99%

The HPV vaccine: knowledge and attitudes among public health nurses and general practitioners in Northern Norway after introduction of the vaccine in the school-based vaccination programme

Nilsen

Aasland

Klouman

2017

Scandinavian Journal of Primary Health Care

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ObjectiveTo investigate knowledge of and attitudes to human papillomavirus (HPV) infection, HPV vaccination, cervical cancer, related sources of information and factors associated with willingness to vaccinate one’s own daughter among primary health care (PHC) personnel.DesignCross-sectional study.SettingPHC.SubjectsAll public health nurses (PHNs) and general practitioners (GPs) in Northern Norway were invited to answer a structured electronic questionnaire; 31% participated (N = 220).Main outcome measuresSelf-reported and actual knowledge, information sources, attitudes and willingness to vaccinate their (tentative) daughter.Results47% of respondents knew that HPV infection is a necessary cause of cervical cancer. PHNs had higher self-reported and actual knowledge about HPV vaccination and cervical cancer than GPs. PHNs used the Norwegian Institute of Public Health’s numerous information sources on HPV, while GPs had a low user rate. 88% of PHNs and 50% of GPs acquired information from the pharmaceutical industry. 93% PHNs and 68% of GPs would vaccinate their 12-year-old daughter. In a multivariate logistic regression analysis, willingness to vaccinate one’s daughter was positively associated with younger age, being PHN (OR = 5.26, 95%CI 1.74–15.94), little concern about vaccine side effects (OR = 3.61, 95%CI 1.10–11.81) and disagreement among experts (OR = 7.31, 95%CI 2.73–19.60).ConclusionsIncreased knowledge about HPV infection and vaccination is needed, particularly among GPs. Those least concerned about side effects and disagreements among experts were most likely to vaccinate their daughter. These findings are of interest for public health authorities responsible for the Norwegian vaccination and cervix cancer screening programmes, and providers of training of PHC personnel.Key pointsOne year after introduction of HPV vaccination among 12-year-old schoolgirls in Norway, a cross-sectional study in Northern Norway among general practitioners (GPs) and public health nurses (PHNs) showed that• barely half of PHC professionals knew the causal relationship between HPV infection and cervical cancer• PHNs and GPs had higher self-reported than actual knowledge about HPV vaccination and cervical cancernearly all PHNs and two thirds of GPs wanted to vaccinate their 12-year-old daughter. Those most concerned about side effects and disagreement among experts were less likely to vaccinate.

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“…One important finding of our study is that more than one in three of women were not conscious about HPV prevention and one in five would be little or no willing to be vaccinated against HPV. Roots of these disappointing results can be explained by a general poor knowledge of HPV [9][10][11][12], lack of information on HPV vaccination given by health professionals to young women [26] and widespread ignorance about HPV-specific lesions [27], which has been reported also for the Italian general practitioners (GPs) [28]. It's already been suggested that lack of information could represent an important barrier to vaccine acceptation [6]; a cross-sectional pilot study showed higher vaccine-related knowledge in women vaccinated than in non-immunized [29].…”

Section: Discussionmentioning

confidence: 99%

Peer Review #2 of "The vaccinaTion & Hpv Knowledge (THinK) questionnaire: a reliability and validity study on a sample of women living in Sicily (southern-Italy) (v0.1)"

2019

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The aim of this study was to introduce the VaccinaTion & Hpv Knowledge (THinK) questionnaire to assess knowledge about human papillomavirus (HPV) and attitude to HPV-vaccination. Its reliability and validity was demonstrated in a sample of women living in Sicily (Southern-Italy). Methods. A cross-sectional survey was conducted on a sample of 220 women at the "Paolo Giaccone" University Hospital in Palermo (Sicily), aged 18-61. Data were analyzed through Cronbach's alpha and exploratory factor analysis, followed by a structural equation model with measurement component. The two-level data structure was explicitly considered. Results. Three dimensions were found: "knowledge of HPV infection (kHPV), "Attitude to be vaccinated against HPV (aHPV)" and "Knowledge about vaccines (KV)" (97% overall explained variance). Internal consistency was good for the whole questionnaire (0.82) and the first dimension (0.88) and acceptable for the second (0.78) and the third dimension (0.73). 23% of women showed no or little knowledge of HPV and 44.3% of women had no or little knowledge about HPV induced lesions. Discussion. The use of a validated questionnaire may serve as a useful measure to assess general knowledge about HPV and attitude towards vaccination against HPV in the primary prevention setting.

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Human Papillomavirus and vaccination: knowledge and attitudes of Italian General Practitioners

Cited by 12 publications

References 0 publications

Carcinomi associati al papillomavirus umano: conoscenze, ruolo e attitudini dei medici otorinolaringoiatri in tema di prevenzione

Carcinomi associati al papillomavirus umano: conoscenze, ruolo e attitudini dei medici otorinolaringoiatri in tema di prevenzione

The HPV vaccine: knowledge and attitudes among public health nurses and general practitioners in Northern Norway after introduction of the vaccine in the school-based vaccination programme

Peer Review #2 of "The vaccinaTion & Hpv Knowledge (THinK) questionnaire: a reliability and validity study on a sample of women living in Sicily (southern-Italy) (v0.1)"

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