Provider perspectives on communication and dismissal policies with HPV vaccine hesitant parents

Jenny K Rodriguez Francis, Serena A. Rodriguez, Olivia Dorsey, James Michael Blackwell, Bijal A. Balasubramanian, Neelima J Kale, Philip Day, Sharice M. Preston, Erika L. Thompson, Sandi L. Pruitt, Jasmin A. Tiro

Research output: Contribution to journalArticlepeer-review

Abstract

Parental vaccine hesitancy is a growing concern. Less is known about provider or practice characteristics that encounter HPV-specific vaccine-hesitant parents, the providers’ confidence in responding to HPV vaccine concerns, and the attitudes and use of vaccine dismissal policies (i.e., removing patients from the practice). North Texas providers completed an online survey. Dependent variables assessed: (1) percentage of HPV vaccine-hesitant parents encountered in practice defined as substantive, or high (≥11%, or among more than one out of ten adolescent patient encounters) versus low (≤10%) levels; (2) confidence in responding to 11 HPV vaccine concerns; (3) attitudes and use of vaccine dismissal policies. Chi-square and Fisher's exact tests were conducted. Among 156 providers, 29% reported high HPV vaccine hesitancy (≥11% of patient population). Overall, providers reported being “very confident” in addressing vaccine concerns (mean: 3.37 out of 4, SD: 0.57). Mean confidence scores were significantly higher for white (vs. non-white) providers and for pediatricians (vs. family practitioners). Providers were least confident in responding to parents’ religious/personal beliefs (69%). Some providers (25%) agreed with policies that dismissed vaccine-hesitant parents after repeated counseling attempts. More providers used dismissal policies for childhood (19%) than adolescent (10%) immunizations. Provider communication training should include parental religious/personal beliefs to effectively address HPV vaccine hesitancy. Other regions should examine their HPV-specific vaccine hesitancy levels to understand how the use of dismissal policies might vary between adolescent and childhood immunizations.

Original languageEnglish (US)
Article number101562
JournalPreventive Medicine Reports
Volume24
DOIs
StatePublished - Dec 2021

Keywords

  • Dismissal policies
  • HPV vaccine
  • Vaccine hesitancy

ASJC Scopus subject areas

  • Health Informatics
  • Public Health, Environmental and Occupational Health

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