Daniella Figueroa-Downing1, Maria Luiza Baggio2, Misha L Baker3, Ellen Dias De Oliveira Chiang4, Luisa L Villa2,5, Jose Eluf Neto6,7, Dabney P Evans8, Robert A Bednarczyk8,9,10. 1. Departments of Epidemiology and Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. 2. The Cancer Institute of the State of São Paulo, São Paulo, Brazil. 3. Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA. 4. Department of Anthropology, Emory College of Arts and Sciences, Emory University, Atlanta, GA, USA. 5. Department of Radiology and Oncology, School of Medicine, University of São Paulo, São Paulo, Brazil. 6. Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. 7. Oncology Foundation of São Paulo, São Paulo, Brazil. 8. Departments of Behavioral Science and Health Education and Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. 9. Cancer Prevention and Control Program, Winship Cancer Institute, Atlanta, GA, USA. 10. Emory Vaccine Center, Atlanta, GA, USA.
Abstract
OBJECTIVE: To assess the association between Brazilian healthcare providers' characteristics and their knowledge, perceptions, and practices regarding the HPV vaccine. METHODS: An observational cross-sectional study was conducted at five public health posts in São Paulo between July 28 and August 8, 2014. Healthcare professionals directly involved in patient care were asked to complete a written survey. Factors associated with routine verification of HPV vaccination status were evaluated using Poisson regression. RESULTS: Among 200 participants included, 74 (38.5%) reported never and 70 (36.5%) reported always asking about HPV immunization status. Doctors were significantly less likely to report always asking than were community health agents (5/39 [12.8%] vs 32/60 [53.3%]; adjusted prevalence ratio [aPR] 0.25 [95% confidence interval (CI) 0.07-0.91]). Knowledge about the correct dosing schedule was associated with always rather than never verifying vaccination status (aPR 2.46 [95% CI 1.06-5.70]). CONCLUSION: Knowledge and attitude played secondary roles in influencing HPV vaccine verification. Community health agents were crucial for vaccine promotion; continued education and support of this group is essential for the sustained success of HPV immunization efforts in Brazil.
OBJECTIVE: To assess the association between Brazilian healthcare providers' characteristics and their knowledge, perceptions, and practices regarding the HPV vaccine. METHODS: An observational cross-sectional study was conducted at five public health posts in São Paulo between July 28 and August 8, 2014. Healthcare professionals directly involved in patient care were asked to complete a written survey. Factors associated with routine verification of HPV vaccination status were evaluated using Poisson regression. RESULTS: Among 200 participants included, 74 (38.5%) reported never and 70 (36.5%) reported always asking about HPV immunization status. Doctors were significantly less likely to report always asking than were community health agents (5/39 [12.8%] vs 32/60 [53.3%]; adjusted prevalence ratio [aPR] 0.25 [95% confidence interval (CI) 0.07-0.91]). Knowledge about the correct dosing schedule was associated with always rather than never verifying vaccination status (aPR 2.46 [95% CI 1.06-5.70]). CONCLUSION: Knowledge and attitude played secondary roles in influencing HPV vaccine verification. Community health agents were crucial for vaccine promotion; continued education and support of this group is essential for the sustained success of HPV immunization efforts in Brazil.
Authors: Julio Eduardo Gomes Pereira; Jéssica Menezes Gomes; Annielson de Souza Costa; Francisco Winter Dos Santos Figueiredo; Fernando Adami; Edige Felipe de Sousa Santos; Isabel Cristina Esposito Sorpreso; Luiz Carlos de Abreu Journal: Clinics (Sao Paulo) Date: 2019-10-03 Impact factor: 2.365
Authors: Jéssica Menezes Gomes; Beatriz Machado Silva; Edige Felipe de Sousa Santos; Patricia Jane Kelly; Annielson de Souza Costa; Albertina Duarte Takiuti; Luiz Carlos de Abreu; José Maria Soares Júnior; Edmund Chada Baracat; Isabel Cristina Esposito Sorpreso Journal: PLoS One Date: 2020-11-12 Impact factor: 3.240