title: Attitudes about human papillomavirus vaccine among family physicians.
abstract: OBJECTIVE
  Human papillomavirus (HPV) vaccines will soon be available for clinical use, and the effectiveness of vaccine delivery programs will depend largely upon whether providers recommend the vaccine. The objectives of this study were to examine family physicians' attitudes about HPV immunization and to identify predictors of intention to recommend immunization.
  
  
  METHODS
  Cross-sectional survey instrument assessing provider and practice characteristics, knowledge about HPV, attitudes about HPV vaccination, and intention to administer two hypothetical HPV vaccines.
  
  
  METHODS
  Surveys were mailed to a national random sample of 1,000 American Academy of Family Physicians (AAFP) members.
  
  
  METHODS
  Intention to administer two hypothetical HPV vaccines (a cervical cancer/genital wart vaccine and a cervical cancer vaccine) to boys and girls of different ages.
  
  
  RESULTS
  One hundred fifty-five surveys (15.5%) were returned and 145 were used in the final sample. Participants reported higher intention to recommend both hypothetical HPV vaccines to girls vs. boys (P < 0.0001) and to older vs. younger adolescents (P < 0.0001). They were more likely to recommend a cervical cancer/genital wart vaccine than a cervical cancer vaccine to boys and girls (P < 0.001). Variables independently associated with intention (P < 0.05) included: female gender of provider, knowledge about HPV, belief that organizations such as the AAFP would endorse vaccination, and fewer perceived barriers to vaccination.
  
  
  CONCLUSIONS
  Female gender, knowledge about HPV, and attitudes about vaccination were independently associated with family physicians' intention to recommend HPV vaccines. Vaccination initiatives directed toward family physicians should focus on modifiable predictors of intention to vaccinate, such as HPV knowledge and attitudes about vaccination.
authors.affiliation: University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Riedesel
authors.forename: S L
authors.initials: SL
authors.lastname: Rosenthal
authors.forename: G D
authors.initials: GD
authors.lastname: Zimet
authors.forename: D I
authors.initials: DI
authors.lastname: Bernstein
authors.forename: B
authors.initials: B
authors.lastname: Huang
authors.forename: D
authors.initials: D
authors.lastname: Lan
authors.forename: J A
authors.initials: JA
authors.lastname: Kahn
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D053918:Papillomavirus Vaccines; D010821:Physicians, Family / Q000523:psychology*; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology*
chemical_list: D053918:Papillomavirus Vaccines