Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists

dc.contributor.authorLake, Paige W.
dc.contributor.authorHead, Katharine J.
dc.contributor.authorChristy, Shannon M.
dc.contributor.authorDeMaria, Andrea L.
dc.contributor.authorThompson, Erika L.
dc.contributor.authorVadaparampil, Susan T.
dc.contributor.authorZimet, Gregory D.
dc.contributor.authorKasting, Monica L.
dc.contributor.departmentCommunication Studies, School of Liberal Artsen_US
dc.date.accessioned2023-06-27T12:34:57Z
dc.date.available2023-06-27T12:34:57Z
dc.date.issued2022-04-20
dc.description.abstractHuman papillomavirus (HPV) vaccination rates in the U.S. are relatively low. Provider recommendation rates for HPV vaccination often vary by patient age and relationship status. Obstetrician/gynecologists (OB/GYNs) represent a key provider group that can recommend the HPV vaccine. This study examined differences in OB/GYN recommendation of HPV vaccination for inpatient postpartum patients by age, parity, and marital status. Data were collected from OB/GYNs nationally via a cross-sectional survey. Participants were randomized to two vignette groups (23-year-old patient or 33-year-old patient). Within each group, participants received 4 vignettes that were identical except for patient marital status (married/not in a committed relationship) and number of children (first/third child), and were asked to indicate HPV vaccination recommendation likelihood on a scale of 0 (definitely would not) to 100 (definitely would). A 2 × 2 × 2 general linear model with repeated measures was used to examine main and interaction effects of patient age, relationship status, and parity. 207 OB/GYNs were included in the final analyses. Recommendation was high for 23-year-old patients (range: 64.5-84.6 out of 100). When marital status and parity were held constant, recommendation likelihood was higher for the younger vs. older patient and was also higher for patients not in a committed relationship, compared to married patients (all p-values < 0.001). Differences in recommendation exist when considering age and relationship status, which provides insight into OB/GYN clinical decision-making. Findings highlight the need to address barriers to HPV vaccination recommendation, including awareness of risk factors to consider when recommending the vaccine.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationLake PW, Head KJ, Christy SM, et al. Association between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologists. Prev Med Rep. 2022;27:101801. Published 2022 Apr 20. doi:10.1016/j.pmedr.2022.101801en_US
dc.identifier.urihttps://hdl.handle.net/1805/33982
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1016/j.pmedr.2022.101801en_US
dc.relation.journalPreventive Medicine Reportsen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourcePMCen_US
dc.subjectHuman papillomavirus vaccineen_US
dc.subjectObstetricsen_US
dc.subjectGynecologyen_US
dc.subjectSurveysen_US
dc.subjectPostpartum perioden_US
dc.subjectClinical decision-makingen_US
dc.subjectHPV vaccineen_US
dc.titleAssociation between patient characteristics and HPV vaccination recommendation for postpartum patients: A national survey of Obstetrician/Gynecologistsen_US
dc.typeArticleen_US
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