Practice patterns and knowledge among California pediatricians regarding human papillomavirus and its relation to head and neck cancer

Berger, Michael; Haidar, Yarah M.; Bitner, Benjamin F.; Trent, Monica; Tjoa, Tjoson

doi:10.1016/j.amjoto.2019.04.011

Cited by 9 publications

(7 citation statements)

References 20 publications

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“…10,53,54 A survey of 132 California pediatricians revealed that 26.8% do not routinely discuss HPV's role in OPSCC to their patients and their families. 55 Other surveys of pediatricians report an overall lack of awareness of HPV's role in HNCs. 54,56 Although efforts must be made to improve primary care physicianled dissemination of HPV awareness, they are not the only physicians at the front-line of this public health issue, and our results indicate the public does not necessarily view them as such.…”

Section: Discussionmentioning

confidence: 99%

Assessing Human Papillomavirus Awareness and the Role of Oropharyngeal Squamous Cell Carcinoma Education on Improving Intention to Vaccinate

et al. 2021

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Objectives/Hypothesis: The current state of the U.S. public's knowledge of the relationship between human papillomavirus (HPV) and HPV vaccinations to oropharyngeal squamous cell carcinoma (OPSCC) is unknown. Our objective was to 1) assess the general population's knowledge of human papillomavirus (HPV) and willingness to vaccinate, and 2) assess whether targeted education on HPV-related OPSCC can change intentions to vaccinate.Study Design: Online cross-sectional survey.Methods: An online, cross-sectional survey utilizing U.S. census-derived quotas to represent the U.S. population was distributed and analyzed to 517 adults in 2020.Results: Exactly 72.7% of participants stated that they had or would vaccinate their child against HPV and were designated as "vaccinators." In multivariate regression, Black individuals were less likely to be vaccinators (OR 0.51 [95% CI 0.27-0.94]), but those who were aware of HPV's role in OPSCC were more likely to vaccinate ). Knowledge about vaccination side-effects, eligibility, and mechanisms of HPV spread was low. Only 30.6% of the sample reported understanding the role of HPV in OPSCC. Of these, 43.0% gained this knowledge exclusively from nonhealthcare professional sources, like television. When presented with four short HPV-OPSCC-centered facts (HPV's role in OPSCC etiology, prevalence of infection, clinically silent course, and vaccine preventative effects), 54.0% of "nonvaccinators" indicated a willingness to change their minds.Conclusions: General knowledge about HPV, HPV's role in OPSCC, and the vaccine remains low in the general population. There are racial disparities in willingness to vaccinate within this sample, but these may be overcome by effective education on HPV-related OPSCC.

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Section: Discussionmentioning

confidence: 99%

Assessing Human Papillomavirus Awareness and the Role of Oropharyngeal Squamous Cell Carcinoma Education on Improving Intention to Vaccinate

et al. 2021

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“…A survey of members within 4 California chapters of the American Academy of Pediatrics showed that 71% of pediatricians would feel more comfortable discussing vaccination if the conversation also included education about HPV-related head and neck cancers. 12 California Chapter 3 of the American Academy of Pediatrics created a 22-minute clinician training video that includes clinical vignettes of pediatricians counseling families who had concerns about vaccination (available at: https://aapca3.org/hpv-videos-education-promotion-project/). After watching this video, surveyed clinicians were shown to have improved their knowledge of vaccine safety, HPV disease burden (especially for males), and the importance of not delaying vaccination beyond preadolescence.…”

Section: ■ Communicating Effectivelymentioning

confidence: 99%

The HPV vaccine: Understanding and addressing barriers to vaccination

Batur

2020

CCJM

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“…Indeed, highlighting HPV's links to head and neck cancer improves comfort in the discussion of the HPV vaccine. 1 In addition, surgical providers may be able to make a strong recommendation for vaccination, 2,3 supporting primary care providers in the effort to provide preventive healthcare. Moreover, Otolaryngologists are relatively likely to see children and adolescents in clinic, as tympanostomy tube placement and tonsillectomy represent two of the most common ambulatory pediatric surgeries.…”

Section: Introductionmentioning

confidence: 99%

“…Like Obstetrics and Gynecology (OBGYN) providers, who frequently offer HPV vaccination in the clinic, Oto‐HNS providers represent surgical subspecialists who frequently treat HPV‐mediated disease and malignancy. Indeed, highlighting HPV's links to head and neck cancer improves comfort in the discussion of the HPV vaccine 1 . In addition, surgical providers may be able to make a strong recommendation for vaccination, 2,3 supporting primary care providers in the effort to provide preventive healthcare.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Instituting a Clinical Otolaryngology Human Papillomavirus (HPV) Vaccination Program

et al. 2022

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Objectives: To measure baseline human papillomavirus (HPV) vaccination rates among tertiary and community-based Otolaryngology -Head and Neck Surgery (Oto-HNS) clinic patients and to determine risk factors for under-vaccination.Methods: Retrospective chart review of patients aged 9 to 26 years presenting to an Oto-HNS clinic from 2017 to 2019. Patients were considered complete for HPV vaccination if they received two doses of HPV vaccine with the first dose received before age 15 years or three doses of HPV vaccine otherwise.Results: 8,532 unique patients met the criteria. At the index visit, 3,110 (36.5%) had completed the HPV series, 5,422 (63.5%) were due for one or more doses, with 4,981 (58.4%) eligible for vaccination at the time of their appointment. Of those dues, most (3,148/5,422 or 58%) were past due by age (≥13 years old). Of the 3,148 patients past due, 745 (23.7%) were partially vaccinated and 2,403 (76.3%) were vaccine naïve. Male sex and younger age were both independently associated with incomplete vaccination (p < 0.0001).Conclusion: This study demonstrates that the implementation of on-site HPV vaccination has the potential to increase the opportunities for vaccination among vaccine-eligible patients, especially among young males. Otolaryngologists have the potential to provide meaningful preventive services in the fight against HPV-mediated disease.

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Practice patterns and knowledge among California pediatricians regarding human papillomavirus and its relation to head and neck cancer

Cited by 9 publications

References 20 publications

Assessing Human Papillomavirus Awareness and the Role of Oropharyngeal Squamous Cell Carcinoma Education on Improving Intention to Vaccinate

Assessing Human Papillomavirus Awareness and the Role of Oropharyngeal Squamous Cell Carcinoma Education on Improving Intention to Vaccinate

The HPV vaccine: Understanding and addressing barriers to vaccination

Feasibility of Instituting a Clinical Otolaryngology Human Papillomavirus (HPV) Vaccination Program

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