Journal article
A Qualitative Study of Attitudes Toward HPV Vaccine Recommendation in Otolaryngology Clinics
Laryngoscope investigative otolaryngology, Vol.10(1), e70085
02/01/2025
DOI: 10.1002/lio2.70085
PMCID: PMC11748211
PMID: 39840027
Appears in UI Libraries Support Open Access
Abstract
Objective
The incidence of human papillomavirus (HPV)-related oropharyngeal cancers has increased such that they are now the most prevalent HPV-related cancer. In 2020, the Food and Drug Administration (FDA) expanded the indication for Gardasil-9 to include the prevention of oropharyngeal and other head and neck cancers caused by selected HPV types, but uptake remains low. Otolaryngology office interactions may provide opportunities to increase uptake, given the relevance of HPV to clinical practice. This study explored the feasibility of recommending HPV vaccination in otolaryngology clinics.
Methods
Participants were recruited between February to June of 2022 from the alumni of the residency and fellowship training programs at the University of Iowa Hospitals and Clinics. Participant interviews comprised open-ended questions pertaining to otolaryngologists' attitudes toward HPV vaccination recommendation. Interview recordings were transcribed, coded, and analyzed for themes.
Results
Participants were willing to respond if patients asked about the HPV vaccine, although a common attitude toward vaccine discussions was that they were a pediatrician's responsibility. One barrier to recommending HPV vaccination was providers' concern that discussing the vaccine when not directly relevant to the patient's chief complaint could result in patient frustration. Nevertheless, participants endorsed the feasibility of discussing the vaccine during follow-up visits after the patient's needs had been addressed or via the distribution of educational materials to patients.
Conclusion
Otolaryngologists do not currently identify recommending HPV vaccine uptake as their clinical responsibility. While such recommendations may not be feasible in every patient encounter, there could be a role for this in the appropriate clinical scenario. These findings can be used to inform interventions aimed at recommending the vaccine in otolaryngology clinics.
Details
- Title: Subtitle
- A Qualitative Study of Attitudes Toward HPV Vaccine Recommendation in Otolaryngology Clinics
- Creators
- Emily A. Janio - University of IowaCori Walker - Department of Otolaryngology – Head and Neck Surgery University of Iowa Carver College of Medicine Iowa City Iowa USAEliza SteereAaron T. Seaman - University of IowaNatoshia Askelson - University of IowaNitin A. Pagedar - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Laryngoscope investigative otolaryngology, Vol.10(1), e70085
- DOI
- 10.1002/lio2.70085
- PMID
- 39840027
- PMCID
- PMC11748211
- NLM abbreviation
- Laryngoscope Investig Otolaryngol
- ISSN
- 2378-8038
- eISSN
- 2378-8038
- Publisher
- Wiley
- Grant note
- NIH/NCI
The authors would like to acknowledge their study participants and funding sources.
- Language
- English
- Date published
- 02/01/2025
- Academic Unit
- Center for Social Science Innovation; Injury Prevention Research Center; General Internal Medicine; Community and Behavioral Health; Otolaryngology; Internal Medicine
- Record Identifier
- 9984775022202771
Metrics
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