Bruder KL, Downes KL, Malo TL, Giuliano AR, Salmon DA, Vadaparampil ST. Physicians' intentions to change pap smear frequency following human papillomavirus vaccination.
J Pediatr Adolesc Gynecol 2012;
25:384-9. [PMID:
23089570 PMCID:
PMC3501610 DOI:
10.1016/j.jpag.2012.07.004]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2011] [Revised: 07/10/2012] [Accepted: 07/11/2012] [Indexed: 10/27/2022]
Abstract
STUDY OBJECTIVE
We evaluated factors associated with physicians' intentions to perform Pap smears in human papillomavirus-vaccinated women.
DESIGN
Physicians were mailed a survey asking about intentions to change cervical cancer screening based on patients' human papillomavirus vaccination status.
PARTICIPANTS
A national sample of 1,738 Family Physicians, Internal Medicine Physicians, Pediatricians, and Obstetricians and Gynecologists was selected from the American Medical Association Physician Masterfile. Completed surveys were received from 1,118 physicians, of which 791 were included in the analyses.
MAIN OUTCOME MEASURES
Bivariate analyses compared physician, practice, and patient characteristics by intention change screening frequency. Significant variables were included in a multivariable logistic regression model.
RESULTS
Overall, 81.8% (n = 647) of physicians reported not planning to change Pap smear frequency for vaccinated women. Internal Medicine physicians were significantly more likely than Obstetrician/Gynecologists to report intentions to change frequency for vaccinated patients. Other factors significantly associated with the intention to change frequency were self-identification as a late adopter of new vaccines, a solo practice, and practicing primarily in a clinic or hospital-based setting.
CONCLUSIONS
Although it appears most clinicians understand that human papillomavirus vaccination should not alter current screening practices, there is a need to develop and evaluate interventions for physicians who are likely to change their screening pattern based on human papillomavirus vaccination receipt.
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