Journal article
A Mixed-Methods Examination of Factors Related to HPV Vaccination Promotion in Private Dental Settings, Iowa, 2019
Preventing chronic disease, Vol.18, pp.E26-11
04/01/2021
DOI: 10.5888/pcd18.200553
PMCID: PMC8021145
PMID: 33769255
Abstract
Introduction Human papillomavirus (HPV)-associated oropharyngeal cancer rates are rising, particularly in males, although rates of other HPVrelated cancers are decreasing. Although the HPV vaccine is safe and effective, vaccination rates remain below the Healthy People 2030 goal of 80% coverage. Engaging dental providers, who have experience with patient education and oropharyngeal cancer, may prove useful in efforts to increase vaccination rates. Our research explores dental providers' (dentists, dental hygienists) willingness to participate in continuing education about HPV, educate parents of adolescents, recommend the vaccine for adolescents, and refer parents to medical providers.
Methods We used a mixed-methods approach and conducted a survey with dental hygienists and semistructured interviews with dental providers. We produced frequencies and descriptive statistics for all variables and used regression modeling to explore factors related to willingness to promote the HPV vaccine. We used a deductive approach to code interview transcripts.
Results Regression models using survey data (n = 470) showed that after controlling for demographic and practice-level characteristics, higher levels of willingness were associated with thinking that parents would act on a recommendation and thinking that engaging in HPV promotion is within the scope of practice. Interview data reflected willingness of dental providers to work on HPV vaccination, but revealed barriers (eg, time, knowledge) that need to be addressed.
Discussion Overall, dental providers expressed a willingness to participate in HPV vaccine promotion, and future efforts should focus on addressing barriers to doing so. Engaging dental providers in HPV vaccine recommendation and referral can help prevent future HPV-related cancers.
Details
- Title: Subtitle
- A Mixed-Methods Examination of Factors Related to HPV Vaccination Promotion in Private Dental Settings, Iowa, 2019
- Creators
- Natoshia Askelson - University of IowaGrace Ryan - University of IowaSusan McKernan - University of IowaAaron Scherer - University of IowaEliza Daly - University of IowaLejla Avdic - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Preventing chronic disease, Vol.18, pp.E26-11
- DOI
- 10.5888/pcd18.200553
- PMID
- 33769255
- PMCID
- PMC8021145
- NLM abbreviation
- Prev Chronic Dis
- ISSN
- 1545-1151
- eISSN
- 1545-1151
- Publisher
- Centers Disease Control & Prevention
- Number of pages
- 11
- Grant note
- P30 CA086862; 3 U48 DP005021-01S4 / National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) 3 U48 DP005021-01S4 / Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Language
- English
- Date published
- 04/01/2021
- Academic Unit
- Preventive and Community Dentistry; Injury Prevention Research Center; Public Policy Center (Archive); General Internal Medicine; Community and Behavioral Health; Oral Health Policy Research; Internal Medicine
- Record Identifier
- 9984283850302771
Metrics
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