title: A national survey of pediatrician knowledge and attitudes regarding human papillomavirus vaccination.
abstract: OBJECTIVE
  A human papillomavirus vaccine was licensed in June 2006. The vaccine is quadrivalent, protecting against 2 human papillomavirus strains that cause cervical cancer and 2 that cause genital warts. The objective of this study was to determine physician characteristics, knowledge, and attitudes associated with an intention to recommend human papillomavirus vaccination.
  
  
  METHODS
  Between August and October 2005, a cross-sectional survey was administered to a national network of 431 pediatricians. The network was developed from a random sample of American Academy of Pediatrics members and was designed to be representative of the organization's membership with respect to urban/rural location, practice type, and region. The survey was conducted before human papillomavirus vaccine licensure and therefore focused on a candidate quadrivalent human papillomavirus vaccine and a range of potential vaccination recommendations. The main outcome measure was intention to recommend a quadrivalent human papillomavirus vaccine to young adolescent (10- to 12-year-old) females.
  
  
  RESULTS
  Survey response rate was 68%. If endorsed by national health organizations, 46% of respondents would recommend vaccination for 10- to 12-year-old females, 77% for 13- to 15-year-old females, and 89% for 16- to 18-year-old females. Corresponding rates for males were 37%, 67%, and 82%, respectively. Whereas 60% of respondents thought that parents would be concerned that human papillomavirus vaccination may encourage risky sexual behaviors, 11% reported that they themselves had this concern. Respondents who believed that other new adolescent immunization recommendations (eg, meningococcal, pertussis) would facilitate human papillomavirus vaccine implementation were more likely to intend to recommend vaccination.
  
  
  CONCLUSIONS
  Although a national sample of pediatricians expressed a high level of acceptance of human papillomavirus vaccination in older adolescent females, fewer than one half anticipated giving human papillomavirus vaccine to younger female patients. Provider concerns about parental vaccine acceptance will need to be addressed to optimize human papillomavirus vaccination implementation.
authors.affiliation: Department of Pediatrics, University of Colorado at Denver and Health Sciences Center, Denver, Colorado, USA. daley.matthew@tchden.org
authors.forename: Matthew F
authors.initials: MF
authors.lastname: Daley
authors.forename: Nicole
authors.initials: N
authors.lastname: Liddon
authors.forename: Lori A
authors.initials: LA
authors.lastname: Crane
authors.forename: Brenda L
authors.initials: BL
authors.lastname: Beaty
authors.forename: Jennifer
authors.initials: J
authors.lastname: Barrow
authors.forename: Christine
authors.initials: C
authors.lastname: Babbel
authors.forename: Lauri E
authors.initials: LE
authors.lastname: Markowitz
authors.forename: Eileen F
authors.initials: EF
authors.lastname: Dunne
authors.forename: Shannon
authors.initials: S
authors.lastname: Stokley
authors.forename: L Miriam
authors.initials: LM
authors.lastname: Dickinson
authors.forename: Stephen
authors.initials: S
authors.lastname: Berman
authors.forename: Allison
authors.initials: A
authors.lastname: Kempe
mesh_terms: D001291:Attitude of Health Personnel; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000517:prevention & control*; D010372:Pediatrics; D011795:Surveys and Questionnaires; D014611:Vaccination