Sean T O'Leary1, Laura E Riley2, Megan C Lindley3, Mandy A Allison4, Lori A Crane5, Laura P Hurley6, Brenda L Beaty7, Michaela Brtnikova4, Margaret Collins7, Alison P Albert3, Allison K Fisher3, Angela J Jiles3, Allison Kempe4. 1. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, Colorado; Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado. Electronic address: sean.oleary@ucdenver.edu. 2. The American College of Obstetricians and Gynecologists, Washington, District of Columbia. 3. National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia. 4. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, Colorado; Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado. 5. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, Colorado; Department of Community and Behavioral Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado. 6. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, Colorado; Division of General Internal Medicine, Denver Health, Denver, Colorado. 7. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, Colorado.
Abstract
INTRODUCTION: Many non-pregnant women see obstetrician-gynecologists as their sole source of medical care, yet little is known about vaccination practices of obstetrician-gynecologists for non-pregnant patients. The objectives were to assess, among a national sample of obstetrician-gynecologists, practices related to vaccine delivery in non-pregnant patients and factors associated with stocking and administering more than three different vaccines to non-pregnant patients. METHODS: E-mail and mail surveys were administered July-October 2015, with analyses performed during October-November 2015 and April-June 2018. RESULTS: The response rate was 73% (353/482). Human papillomavirus (92%); influenza (82%); and tetanus, diphtheria, acellular pertussis vaccines (50%) were the vaccines most commonly assessed, with the remaining vaccines assessed by <40% of respondents. Vaccines most commonly administered by obstetrician-gynecologists to non-pregnant patients included human papillomavirus (81%); influenza (70%); and tetanus, diphtheria, acellular pertussis (54%). The remaining vaccines were administered by <30% of obstetrician-gynecologists. Factors associated with routinely administering more than three vaccines to non-pregnant patients included working in a hospital-, public health-, or university-associated clinic (RR=1.87, 95% CI=1.35, 2.58, referent to private practice); a larger practice (more than five providers; RR=1.54, 95% CI=1.05, 2.27); perceiving fewer financial barriers (RR=0.74, 95% CI=0.57, 0.96); fewer practice-associated barriers (RR=0.71, 95% CI=0.55, 0.92); and greater patient barriers (RR=1.62, 95% CI=1.33, 1.98). CONCLUSIONS: Human papillomavirus; influenza; and tetanus, diphtheria, acellular pertussis vaccines are the only vaccines routinely assessed and administered to non-pregnant patients by most obstetrician-gynecologists. Given their role as the sole source of care for many women, obstetrician-gynecologists could make a positive impact on the vaccination status of their non-pregnant patients.
INTRODUCTION: Many non-pregnant women see obstetrician-gynecologists as their sole source of medical care, yet little is known about vaccination practices of obstetrician-gynecologists for non-pregnant patients. The objectives were to assess, among a national sample of obstetrician-gynecologists, practices related to vaccine delivery in non-pregnant patients and factors associated with stocking and administering more than three different vaccines to non-pregnant patients. METHODS: E-mail and mail surveys were administered July-October 2015, with analyses performed during October-November 2015 and April-June 2018. RESULTS: The response rate was 73% (353/482). Human papillomavirus (92%); influenza (82%); and tetanus, diphtheria, acellular pertussis vaccines (50%) were the vaccines most commonly assessed, with the remaining vaccines assessed by <40% of respondents. Vaccines most commonly administered by obstetrician-gynecologists to non-pregnant patients included human papillomavirus (81%); influenza (70%); and tetanus, diphtheria, acellular pertussis (54%). The remaining vaccines were administered by <30% of obstetrician-gynecologists. Factors associated with routinely administering more than three vaccines to non-pregnant patients included working in a hospital-, public health-, or university-associated clinic (RR=1.87, 95% CI=1.35, 2.58, referent to private practice); a larger practice (more than five providers; RR=1.54, 95% CI=1.05, 2.27); perceiving fewer financial barriers (RR=0.74, 95% CI=0.57, 0.96); fewer practice-associated barriers (RR=0.71, 95% CI=0.55, 0.92); and greater patient barriers (RR=1.62, 95% CI=1.33, 1.98). CONCLUSIONS:Human papillomavirus; influenza; and tetanus, diphtheria, acellular pertussis vaccines are the only vaccines routinely assessed and administered to non-pregnant patients by most obstetrician-gynecologists. Given their role as the sole source of care for many women, obstetrician-gynecologists could make a positive impact on the vaccination status of their non-pregnant patients.
Authors: Sara E Mazzoni; Sarah E Brewer; Jennifer L Pyrzanowski; M Josh Durfee; L Miriam Dickinson; Juliana G Barnard; Amanda F Dempsey; Sean T O'Leary Journal: Am J Obstet Gynecol Date: 2015-11-25 Impact factor: 8.661
Authors: Laura P Hurley; Carolyn B Bridges; Rafael Harpaz; Mandy A Allison; Sean T O'Leary; Lori A Crane; Michaela Brtnikova; Shannon Stokley; Brenda L Beaty; Andrea Jimenez-Zambrano; Faruque Ahmed; Craig Hales; Allison Kempe Journal: Ann Intern Med Date: 2014-02-04 Impact factor: 25.391
Authors: Sean T O'Leary; Laura E Riley; Megan C Lindley; Mandy A Allison; Lori A Crane; Laura P Hurley; Brenda L Beaty; Michaela Brtnikova; Margaret Collins; Alison P Albert; Allison K Fisher; Angela J Jiles; Allison Kempe Journal: Am J Prev Med Date: 2017-12-13 Impact factor: 5.043
Authors: Elyse Olshen Kharbanda; Gabriela Vazquez-Benitez; Heather S Lipkind; Nicola P Klein; T Craig Cheetham; Allison L Naleway; Grace M Lee; Simon Hambidge; Michael L Jackson; Saad B Omer; Natalie McCarthy; James D Nordin Journal: Vaccine Date: 2016-01-04 Impact factor: 3.641
Authors: Jill M Maples; Nikki B Zite; Oluwafemifola Oyedeji; Shauntá M Chamberlin; Alicia M Mastronardi; Samantha Gregory; Justin D Gatwood; Kenneth C Hohmeier; Mary E Booker; Jamie D Perry; Heather K Moss; Larry C Kilgore Journal: Vaccines (Basel) Date: 2022-02-24