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Framing of national HPV vaccine recommendations and willingness to recommend at ages 9-10

Proactive HPV vaccination at age 9 better prevents infection and improves vaccine series completion. Because national organizations recommend starting the vaccine at different ages, we sought to understand the impact of these recommendation frames. In 2022, we surveyed 2,527 US clinical staff (45% p...

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Autores principales: Kahn, Benjamin Z., Reiter, Paul L., Kritikos, Katherine I., Gilkey, Melissa B., Queen, Tara L., Brewer, Noel T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2023
Materias:
HPV
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012934/
https://www.ncbi.nlm.nih.gov/pubmed/36749614
http://dx.doi.org/10.1080/21645515.2023.2172276
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author Kahn, Benjamin Z.
Reiter, Paul L.
Kritikos, Katherine I.
Gilkey, Melissa B.
Queen, Tara L.
Brewer, Noel T.
author_facet Kahn, Benjamin Z.
Reiter, Paul L.
Kritikos, Katherine I.
Gilkey, Melissa B.
Queen, Tara L.
Brewer, Noel T.
author_sort Kahn, Benjamin Z.
collection PubMed
description Proactive HPV vaccination at age 9 better prevents infection and improves vaccine series completion. Because national organizations recommend starting the vaccine at different ages, we sought to understand the impact of these recommendation frames. In 2022, we surveyed 2,527 US clinical staff (45% physicians) who provide HPV vaccine for children. We randomized respondents to one of three frames based on HPV vaccine recommendations of national organizations or a no-recommendation control, and assessed willingness to recommend HPV vaccine for children ages 9–10. Respondents also reported perceived benefits of HPV vaccination at ages 9 or 12. Recommending HPV vaccination “at ages 11–12” led to lower willingness to vaccinate at ages 9–10 than control (37% vs. 54%, p < .05). Recommending vaccination “at ages 9–12” led to similar willingness as control. However, “starting at age 9” led to higher willingness than control (63% vs. 54%, p < .05). Results were similar across respondents’ training, specialty, or years in practice, or their clinic’s rurality or healthcare system membership. More common benefits of recommending at age 9 than 12 were avoiding the topic of sex (24% vs. 10%, OR = 2.78, 95%CI: 2.23, 3.48) and completing the vaccine series before age 13 (56% vs. 47%, OR = 1.44, 95%CI: 1.23, 1.68). Less common benefits for age 9 were having parents ready to talk about HPV vaccine and agreeing to vaccination (both p < .05). An effective way to encourage proactive HPV vaccination is to say that it starts at age 9. Aligning national recommendations to start at age 9 can promote timely vaccination.
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spelling pubmed-100129342023-03-15 Framing of national HPV vaccine recommendations and willingness to recommend at ages 9-10 Kahn, Benjamin Z. Reiter, Paul L. Kritikos, Katherine I. Gilkey, Melissa B. Queen, Tara L. Brewer, Noel T. Hum Vaccin Immunother HPV Proactive HPV vaccination at age 9 better prevents infection and improves vaccine series completion. Because national organizations recommend starting the vaccine at different ages, we sought to understand the impact of these recommendation frames. In 2022, we surveyed 2,527 US clinical staff (45% physicians) who provide HPV vaccine for children. We randomized respondents to one of three frames based on HPV vaccine recommendations of national organizations or a no-recommendation control, and assessed willingness to recommend HPV vaccine for children ages 9–10. Respondents also reported perceived benefits of HPV vaccination at ages 9 or 12. Recommending HPV vaccination “at ages 11–12” led to lower willingness to vaccinate at ages 9–10 than control (37% vs. 54%, p < .05). Recommending vaccination “at ages 9–12” led to similar willingness as control. However, “starting at age 9” led to higher willingness than control (63% vs. 54%, p < .05). Results were similar across respondents’ training, specialty, or years in practice, or their clinic’s rurality or healthcare system membership. More common benefits of recommending at age 9 than 12 were avoiding the topic of sex (24% vs. 10%, OR = 2.78, 95%CI: 2.23, 3.48) and completing the vaccine series before age 13 (56% vs. 47%, OR = 1.44, 95%CI: 1.23, 1.68). Less common benefits for age 9 were having parents ready to talk about HPV vaccine and agreeing to vaccination (both p < .05). An effective way to encourage proactive HPV vaccination is to say that it starts at age 9. Aligning national recommendations to start at age 9 can promote timely vaccination. Taylor & Francis 2023-02-07 /pmc/articles/PMC10012934/ /pubmed/36749614 http://dx.doi.org/10.1080/21645515.2023.2172276 Text en © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
spellingShingle HPV
Kahn, Benjamin Z.
Reiter, Paul L.
Kritikos, Katherine I.
Gilkey, Melissa B.
Queen, Tara L.
Brewer, Noel T.
Framing of national HPV vaccine recommendations and willingness to recommend at ages 9-10
title Framing of national HPV vaccine recommendations and willingness to recommend at ages 9-10
title_full Framing of national HPV vaccine recommendations and willingness to recommend at ages 9-10
title_fullStr Framing of national HPV vaccine recommendations and willingness to recommend at ages 9-10
title_full_unstemmed Framing of national HPV vaccine recommendations and willingness to recommend at ages 9-10
title_short Framing of national HPV vaccine recommendations and willingness to recommend at ages 9-10
title_sort framing of national hpv vaccine recommendations and willingness to recommend at ages 9-10
topic HPV
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012934/
https://www.ncbi.nlm.nih.gov/pubmed/36749614
http://dx.doi.org/10.1080/21645515.2023.2172276
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