2008
DOI: 10.1016/j.jadohealth.2008.06.015
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Potential Barriers to HPV Vaccine Provision Among Medical Practices in an Area with High Rates of Cervical Cancer

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Cited by 75 publications
(55 citation statements)
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“…Differences in vaccine availability by mode of vaccine financing may be explained in part by the concerns about HPV vaccine provision reported by study respondents. Similar to a previous analysis of overall concerns (both small and large) from this study [17], we found that the largest concerns reported by all practices were high cost to patients, inadequate reimbursement, and the burden of determining insurance coverage. In addition, we found that practices that did not have HPV vaccine available were significantly more likely to have large concerns about upfront costs of purchasing vaccine and late reimbursement.…”
Section: Discussionsupporting
confidence: 87%
“…Differences in vaccine availability by mode of vaccine financing may be explained in part by the concerns about HPV vaccine provision reported by study respondents. Similar to a previous analysis of overall concerns (both small and large) from this study [17], we found that the largest concerns reported by all practices were high cost to patients, inadequate reimbursement, and the burden of determining insurance coverage. In addition, we found that practices that did not have HPV vaccine available were significantly more likely to have large concerns about upfront costs of purchasing vaccine and late reimbursement.…”
Section: Discussionsupporting
confidence: 87%
“…The main barrier, however, to the successful introduction of the vaccine in the view of the sampled nurses was the cultural acceptability (45%). This is different from the barriers to HPV vaccine in countries like the USA and Western countries in which the cost, logistics, and false perception of the HPV risk were rated the top barriers (Keating et al 2008;Perkins 2012). Over half of the sampled school nurses have practical experience of giving the vaccine to school girls (57%), only two had the vaccine themselves.…”
Section: Discussionmentioning
confidence: 80%
“…After matching the eight rural counties on population size, proportion of African American residents, and rates of cervical cancer, we randomly selected four rural counties to study (Duplin, Harnett, Sampson, and Wayne counties). We selected only four counties because, as part of another study, we also interviewed all local medical facilities likely to provide HPV vaccine and had resources to include only four rural counties (35). The fifth county, Cumberland (population of 302,963; 464 people per square mile; ref.…”
Section: Methodsmentioning
confidence: 99%